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2006 Michigan Compiled Laws - CHAPTER 34 DISABILITY INSURANCE POLICIES (500.3400...500.3480)

THE INSURANCE CODE OF 1956 (EXCERPT)
Act 218 of 1956
Chapter 34
DISABILITY INSURANCE POLICIES

DocumentDescription
Section 500.3400Policy of disability insurance; scope of chapter, exemptions, exceptions.
Section 500.3401Purpose of chapter; short title, uniform disability insurance policy provisions law.
Section 500.3402Disability insurance policy; provisions required.
Section 500.3403Individual disability insurance policy; coverage for newly born children; notice of birth; payment of premium.
Section 500.3404Disability insurance policies issued for delivery to nonresident.
Section 500.3405Prudent purchaser agreements with providers of hospital, nursing, medical, surgical, or sick-care services; disability insurance policies; rates; discrimination prohibited; prior contracts and renewal; optometric and chiropractic service; conditional effective date of subsection (8).
Section 500.3406Disability insurance policy; provisions required, captions, omissions, substitutions.
Section 500.3406aHospital, medical, or surgical expense incurred policy; mastectomy benefit coverage required.
Section 500.3406bCoverage for mental health services by mental health care provider.
Section 500.3406cHospice care; definition; description of coverage.
Section 500.3406dCoverage for breast cancer diagnostic services, breast cancer outpatient treatment services, and breast cancer rehabilitative services; coverage for breast cancer screening mammography; definitions; effective date of section.
Section 500.3406eCoverage for drug used in antineoplastic therapy and cost of its administration; conditions.
Section 500.3406fExcluded or limited coverage; "group" defined; applicability of section; crediting prior continuous health care coverage; examination by commissioner and director; report.
Section 500.3406gPolicy or certificate offering dependent coverage to child; denial of enrollment on certain grounds prohibited.
Section 500.3406hEligibility of parent for dependent coverage; health coverage of child through noncustodial parent; duties of insurer; court or administrative order and notice required.
Section 500.3406iIndividual eligible under title XIX of social security act; assignment of rights of insured to department of social services.
Section 500.3406jInsured or applicant for expense-incurred hospital, medical, or surgical policy or certificate as victim of domestic abuse; refusal to provide coverage prohibited; exception; liability; applicability to policies or certificates on or after June 1, 1998; "domestic violence" defined.
Section 500.3406kEmergency health services; medical services coverage; "stabilization" defined.
Section 500.3406lMedical transportation services; reimbursement.
Section 500.3406mAccess by insured to obstetrician-gynecologist.
Section 500.3406nAccess to pediatric services.
Section 500.3406oInsurer providing prescription drug coverage; formulary restrictions.
Section 500.3406pEstablishment of program to prevent onset of clinical diabetes required; report; coverages; "diabetes" defined.
Section 500.3406qOff-label use of approved drug; coverage; conditions; compliance; use of copayment, deductible, sanction, or utilization control; limitation; definitions.
Section 500.3406rCoverage for obstetrical and gynecological services by physician or nurse midwife.
Section 500.3407Entire contract; changes.
Section 500.3407aConduct on behalf of or information provided to insured by health care provider; prohibition or discouragement by disability insurer.
Section 500.3407bUndergoing genetic testing as condition of issuing, renewing, or continuing policy or certificate; disclosure of genetic testing or genetic information; prohibitions; "genetic information" and "genetic test" defined.
Section 500.3408Time limit on certain defenses; incontestability.
Section 500.3409Disability insurance; mandatory notices as to cancellation and refund of premium.
Section 500.3410Grace period; provision required.
Section 500.3411Reinstatement; provision required.
Section 500.3412Notice of claim; provision required.
Section 500.3413Claim forms; provision required.
Section 500.3414Proofs of loss; provision required.
Section 500.3416Time of payment of claims; provision required.
Section 500.3418Payment of claims provision required.
Section 500.3420Physical examinations and autopsy; provision required.
Section 500.3422Legal actions; provision required.
Section 500.3424Change of beneficiary; provision required.
Section 500.3425Health insurance policies; coverage for intermediate and outpatient care for substance abuse required; option to decline; charges, terms and conditions; reduction of coverage; deductibles and copayment provisions; minimum coverage; adjustment; definitions; effective date of section.
Section 500.3430Optional policy provisions; insurance commissioner's approval.
Section 500.3432Change of occupation; optional provision.
Section 500.3434Misstatement of age; optional provision.
Section 500.3436Other insurance with same insurer; optional provision.
Section 500.3438Insurance with other insurers; optional provision.
Section 500.3439Insurance with other insurers; allowable provisions; report to legislature.
Section 500.3440Insurance with other insurers; other benefits; optional provision.
Section 500.3444Relation of earnings to insurance; optional provision.
Section 500.3446Unpaid premium; optional provision.
Section 500.3448Cancellation; optional provision.
Section 500.3450Conformity with state statutes; optional provision.
Section 500.3452Illegal occupation; optional provision.
Section 500.3454Repealed. 1980, Act 429, Eff. Mar. 31, 1981.
Section 500.3460Order of certain policy provisions.
Section 500.3462Third party ownership of policy.
Section 500.3464Foreign or alien insurers; provision required by other state law; domestic insurers; provision required by other state or country.
Section 500.3466Filing procedure; insurance commissioner, regulatory powers.
Section 500.3468Provisions violating code; construction of noncomplying policies and provisions.
Section 500.3470Age of insured; provision regulations.
Section 500.3474Risk classification; rates; filing requirements.
Section 500.3475Reimbursement for services by licensed psychologist, podiatrist, or chiropractor; section inapplicable to policy or certificate involving prudent purchaser agreement.
Section 500.3480Repealed. 1963, Act 127, Eff. Sept. 6, 1963.

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