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2020 Michigan Compiled Laws
Chapter 500 - Insurance Code of 1956
Act 218 of 1956 The Insurance Code of 1956 (500.100 - 500.8302)
218-1956-34 Chapter 34 Disability Insurance Policies (500.3400...500.3480)
- Section 500.3400 Definitions; Scope of Chapter, Exemptions, Exceptions.
- Section 500.3401 Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
- Section 500.3401a Group Disability Insurance; Issuance; Filing and Approval of Form.
- Section 500.3402 Disability Insurance Policy; Provisions Required.
- Section 500.3402a Group Disability Insurance Policy; Provisions Required.
- Section 500.3402b Group or Nongroup Disability Insurance Policy; Coordination of Benefits; Provision; Limitation; "Other Coverage" Defined; Payment by Each Insurer.
- Section 500.3402c Family Expense Insurance Policy.
- Section 500.3402d Blanket Disability Insurance; Coverage.
- Section 500.3402e Blanket Disability Insurance Policies; Issuance.
- Section 500.3402f Blanket Disability Insurance Policy; Provisions.
- Section 500.3402g Blanket Disability Insurance Policy; Certificate; Payment of Benefits.
- Section 500.3402h Legal Liability of Policyholder.
- Section 500.3403 Health Insurance Policy Offering Dependent Coverage; Required Provisions; Denial Prohibited; Grounds.
- Section 500.3404 Insurance Policy Issued for Delivery to Nonresident.
- Section 500.3405 Prudent Purchaser Agreements With Providers of Hospital, Nursing, Medical, Surgical, or Sick-Care Services; Rates; Discrimination Prohibited; Optometry, Chiropractic, and Physical Therapy Service.
- Section 500.3405a Use of Most Favored Nation Clause.
- Section 500.3406 Disability Insurance Policy; Provisions Required, Captions, Omissions, Substitutions.
- Section 500.3406a Reconstructive Surgery Following Mastectomy; Prosthetic Device.
- Section 500.3406b Coverage for Mental Health Services by Mental Health Care Provider.
- Section 500.3406c Hospice Care; Definition; Description of Coverage.
- Section 500.3406d Coverage for Breast Cancer Diagnostic Services, Breast Cancer Outpatient Treatment Services, and Breast Cancer Rehabilitative Services; Coverage for Breast Cancer Screening Mammography; Definitions.
- Section 500.3406e Coverage for Drug Used in Antineoplastic Therapy and Cost of Its Administration; Conditions.
- Section 500.3406f Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
- Section 500.3406g Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
- Section 500.3406h Eligibility of Parent for Dependent Coverage; Health Coverage of Child Through Noncustodial Parent; Duties of Insurer; Court or Administrative Order and Notice Required.
- Section 500.3406i Individual Eligible Under Title XIX of Social Security Act; Assignment of Rights of Insured to Department of Social Services.
- Section 500.3406j Insured or Applicant as Victim of Domestic Violence; Refusal to Provide Coverage Prohibited; Liability; "Domestic Violence" Defined.
- Section 500.3406k Emergency Health Services; Medically Necessary Coverage; "Stabilization" Defined.
- Section 500.3406l Medical Transportation Services; Reimbursement; Exception.
- Section 500.3406m Access by Insured to Obstetrician-Gynecologist.
- Section 500.3406n Access to Pediatric Care Services.
- Section 500.3406o Insurer Providing Prescription Drug Coverage; Formulary Restrictions; Expedited Review of Coverage for Nonformulary Alternative; Determination; Subject to 500.3406w.
- Section 500.3406p Establishment of Program to Prevent Onset of Clinical Diabetes Required; Survey; Coverages; "Diabetes" Defined.
- Section 500.3406q Off-Label Use of Approved Drug; Coverage; Conditions; Compliance; Use of Copayment, Deductible, Sanction, or Utilization Control; Limitation; Definitions.
- Section 500.3406r Coverage for Obstetrical and Gynecological Services by Physician or Nurse Midwife.
- Section 500.3406s Diagnosis and Treatment of Autism Spectrum Disorders; Coverage; Prohibition; Availability of Other Benefits; Conditions; Qualified Health Plan Offered Through American Health Benefit Exchange Pursuant to Federal Law; Short-Term or 1-Time Limited Duration Policy or Certificate; Prescription Drug Plan; Coordinated Benefits; Definitions.
- Section 500.3406t Synchronizing Insured's or Enrollee's Multiple Maintenance Prescription Drugs.
- Section 500.3406u Coverage for Prescription Eyedrops; Requirements; "Prescriber" Defined.
- Section 500.3406w Temporary Emergency and Early Refills for Prescription Drugs; Inapplicable After March 31, 2021.
- Section 500.3407 Entire Contract; Changes.
- Section 500.3407a Conduct on Behalf of or Information Provided to Insured by Health Care Provider; Prohibition or Discouragement by Disability Insurer.
- Section 500.3407b Undergoing Genetic Testing as Condition of Issuing, Renewing, or Continuing Policy; Disclosure of Genetic Testing or Genetic Information; Definitions.
- Section 500.3408 Time Limit on Certain Defenses; Incontestable Policy.
- Section 500.3409 Disability Insurance Policy; Mandatory Notices as to Cancellation and Refund of Premium.
- Section 500.3410 Grace Period; Provision Required.
- Section 500.3411 Reinstatement; Provision Required.
- Section 500.3412 Notice of Claim; Provision Required.
- Section 500.3413 Claim Forms; Provision Required.
- Section 500.3414 Proofs of Loss; Provision Required.
- Section 500.3416 Time of Payment of Claims; Provision Required.
- Section 500.3418 Payment of Claims; Provision Required.
- Section 500.3420 Physical Examinations and Autopsy; Provision Required.
- Section 500.3422 Legal Actions; Provision Required.
- Section 500.3424 Change of Beneficiary; Provision Required.
- Section 500.3425 Health Insurance Policy; Coverage for Intermediate and Outpatient Care for Substance Use Disorder Required; Charges, Terms, and Conditions; Reduction of Coverage; Deductibles and Copayment Provisions; Definitions.
- Section 500.3426 Offer of Wellness Coverage by Insurer.
- Section 500.3428 Provider Network.
- Section 500.3430 Optional Policy Provisions; Insurance Commissioner's Approval.
- Section 500.3432 Change of Occupation; Optional Provision.
- Section 500.3434 Misstatement of Age; Optional Provision.
- Section 500.3436 Other Insurance With Same Insurer; Optional Provision.
- Section 500.3438 Insurance With Other Insurers; Optional Provision; Expense Incurred Benefits.
- Section 500.3439 Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
- Section 500.3440 Insurance With Other Insurers; Other Benefits.
- Section 500.3444 Relation of Earnings to Insurance; Optional Provision.
- Section 500.3446 Unpaid Premium; Optional Provision.
- Section 500.3448 Cancellation; Optional Provision.
- Section 500.3450 Conformity With State Statutes; Optional Provision.
- Section 500.3452 Illegal Occupation or Criminal Activity; Optional Provision; Definitions.
- Section 500.3454 Repealed. 1980, Act 429, Eff. Mar. 31, 1981.
- Section 500.3460 Order of Certain Policy Provisions.
- Section 500.3462 Third Party Ownership of Policy.
- Section 500.3464 Foreign or Alien Insurers; Provision Required by Other State Law; Domestic Insurers; Provision Required by Other State or Country.
- Section 500.3466 Filing Procedure; Insurance Commissioner, Regulatory Powers.
- Section 500.3468 Provisions Violating Code; Construction of Noncomplying Policies and Provisions.
- Section 500.3470 Age of Insured; Provision Regulations.
- Section 500.3472 Open Enrollment Period; Prohibitions; Establishment of Reasonable Periods for Health Insurance Policies; Minimum Standards for Frequency and Duration of Open Enrollment Periods; Denial of Coverage.
- Section 500.3474 Risk Classification; Rates; Filing Requirements.
- Section 500.3474a Premium Rate After January 1, 2014; Basis; Factors.
- Section 500.3475 Reimbursement for Services by Licensed Psychologist, Podiatrist, or Chiropractor; Section Inapplicable to Policy Involving Prudent Purchaser Agreement.
- Section 500.3476 Telemedicine Services; Provisions; Definitions.
- Section 500.3477 Use of Financial Incentive or Payment to Act as Inducement to Deny, Reduce, Limit, or Delay Services; Prohibition; Exception.
- Section 500.3480 Repealed. 1963, Act 127, Eff. Sept. 6, 1963.
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