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2006 Michigan Compiled Laws - CHAPTER 38 MEDICARE SUPPLEMENT POLICIES AND CERTIFICATES (500.3801...500.3861)

THE INSURANCE CODE OF 1956 (EXCERPT)
Act 218 of 1956
Chapter 38
MEDICARE SUPPLEMENT POLICIES AND CERTIFICATES

DocumentDescription
Section 500.3801Chapter; definitions.
Section 500.3803Applicability of chapter.
Section 500.3805Medicare supplement policy; definitions.
Section 500.3807Basic core package of benefits.
Section 500.3808Medicare supplement insurance policy; availability of benefits in § 500.3811(5)(e).
Section 500.3809Additional benefits; reimbursement for preventative screening tests and services; definitions.
Section 500.3811Basic core benefits; availability; sale of certain benefits prohibited; designations, structure, language, and format; other designations; requirements.
Section 500.3813Disability coverage; medicare supplement buyer's guide; applicability of section.
Section 500.3815Outline of coverage; acknowledgment of receipt; substitute; language, format, and required items.
Section 500.3817Medicare select policies and certificates; definitions; requirements for issuance; plan of operation; filing, format, and contents; proposed changes; updated list of network providers; payment for covered services not available through network providers; disclosure; receipt of information; grievance procedure; report; availability of comparable or lesser benefits; continuation of coverage; requests for data by state or federal agencies.
Section 500.3819Minimum standards; suspension of benefits and premiums; notice; reinstitution.
Section 500.3821Issuance of policy to person not enrolled in medicare parts A and B prohibited; refund; interest.
Section 500.3823Covered benefits more restrictive than benefits under medicare and required under state law prohibited.
Section 500.3825Preexisting diseases or conditions; waiver prohibited.
Section 500.3827Duplicate benefits prohibited; application; statements and questions whether another policy in force; list of policies sold to applicant; notice regarding replacement coverage.
Section 500.3829Denying or conditioning issuance based on health status, claims experience, receipt of health care, or medical condition of applicant prohibited; condition; exclusion of benefits based on preexisting conditions; reduction; creditable coverage.
Section 500.3830Eligible person; requirements.
Section 500.3830aTermination of contract or agreement; notice to individual.
Section 500.3831Individual or group expense incurred hospital, medical, or surgical policies; right of continuation, conversion, or type C medicare supplemental package; request for coverage; exclusion from preexisting conditions; notice of availability of coverage.
Section 500.3833Replacement policy; waiver of certain time periods.
Section 500.3835Marketing procedures; determining appropriateness of recommended purchase or replacement; more than one policy prohibited; "notice to buyer" displayed.
Section 500.3837Repealed. 2002, Act 304, Imd. Eff. May 10, 2002.
Section 500.3839Renewal or continuation provision; effect of termination or replacement.
Section 500.3841Riders or endorsements; signed acceptance or agreement; additional premium; use of certain standards, terms, and words; filing of changes in medicare benefits; elimination of duplicate benefits; notice of modifications.
Section 500.3843Disability insurance; notice; contents; applicability of subsection (1).
Section 500.3847Advertising; filing copy with commissioner.
Section 500.3849Filing and approval requirements; issuance of policy; use and change in premium rates; additional forms; availability; conditions and effect of discontinuance; combining forms for purposes of refund or credit calculation; compliance with federal law; "type" defined.
Section 500.3851Aggregate benefits; rates, rating schedules, and rate revisions.
Section 500.3852Benchmark ratio.
Section 500.3853Refund or credit calculation; form; interest; due date.
Section 500.3855Annual filing of rates, rating schedule, and supporting documentation; premium adjustments; public hearing for rate increase; failure to make premium adjustments.
Section 500.3857Duties of insurer; certification of compliance with subsection (1)(a).
Section 500.3859Prohibited conduct; violation as misdemeanor; penalty.
Section 500.3861Probable cause of violation; notice of hearing; opportunity to confer and discuss; hearing; applicability of §§ 500.2038 to 500.2040; violation; penalty.

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