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Bill > SB0356
MI SB0356
MI SB0356Insurance: health insurers; summary of benefits and coverage provided to insureds; modify. Amends sec. 2212a of 1956 PA 218 (MCL 500.2212a).
summary
Introduced
05/24/2023
05/24/2023
In Committee
10/05/2023
10/05/2023
Crossed Over
06/14/2023
06/14/2023
Passed
10/17/2023
10/17/2023
Dead
Signed/Enacted/Adopted
10/24/2023
10/24/2023
Introduced Session
102nd Legislature
Bill Summary
AN ACT to amend 1956 PA 218, entitled ?An act to revise, consolidate, and classify the laws relating to the insurance and surety business; to regulate the incorporation or formation of domestic insurance and surety companies and associations and the admission of foreign and alien companies and associations; to provide their rights, powers, and immunities and to prescribe the conditions on which companies and associations organized, existing, or authorized under this act may exercise their powers; to provide the rights, powers, and immunities and to prescribe the conditions on which other persons, firms, corporations, associations, risk retention groups, and purchasing groups engaged in an insurance or surety business may exercise their powers; to provide for the imposition of a privilege fee on domestic insurance companies and associations and the state accident fund; to provide for the imposition of a tax on the business of foreign and alien companies and associations; to provide for the imposition of a tax on risk retention groups and purchasing groups; to provide for the imposition of a tax on the business of surplus line agents; to provide for the imposition of regulatory fees on certain insurers; to provide for assessment fees on certain health maintenance organizations; to modify tort liability arising out of certain accidents; to provide for limited actions with respect to that modified tort liability and to prescribe certain procedures for maintaining those actions; to require security for losses arising out of certain accidents; to provide for the continued availability and affordability of automobile insurance and homeowners insurance in this state and to facilitate the purchase of that insurance by all residents of this state at fair and reasonable rates; to provide for certain reporting with respect to insurance and with respect to certain claims against uninsured or self-insured persons; to prescribe duties for certain state departments and officers with respect to that reporting; to provide for certain assessments; to establish and continue certain state insurance funds; to modify and clarify the status, rights, powers, duties, and operations of the nonprofit malpractice insurance fund; to provide for the departmental supervision and regulation of the insurance and surety business within this state; to provide for regulation over worker?s compensation self-insurers; to provide for the conservation, rehabilitation, or liquidation of unsound or insolvent insurers; to provide for the protection of policyholders, claimants, and creditors of unsound or insolvent insurers; to provide for associations of insurers to protect policyholders and claimants in the event of insurer insolvencies; to prescribe educational requirements for insurance agents and solicitors; to provide for the regulation of multiple employer welfare arrangements; to create an automobile theft prevention authority to reduce the number of automobile thefts in this state; to prescribe the powers and duties of the automobile theft prevention authority; to provide certain powers and duties upon certain officials, departments, and authorities of this state; to provide for an appropriation; to repeal acts and parts of acts; and to provide penalties for the violation of this act,? by amending section 2212a (MCL 500.2212a), as amended by 2016 PA 276.
AI Summary
This bill amends Section 2212a of the Michigan Insurance Code to modify the requirements for health insurers to provide a written summary of benefits and coverage to insureds. The key provisions include:
- Health insurers must provide a clear, complete, and accurate written summary of the policy in plain English, covering standard terms, covered benefits, cost-sharing, exclusions, renewability, and other key information.
- The summary must be provided within set timeframes, such as within 7 business days of receiving an application, by the first date of coverage if information has changed, and within 30 days of a policy renewal.
- Insurers must also provide additional details on request, such as information about the provider network, provider credentials, authorization requirements, and financial arrangements.
- The bill sets formatting requirements for the policy documents to ensure they are easy to read and understand.
The overall intent is to improve transparency and help consumers better understand the terms and coverage provided by their health insurance policies.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (11)
Kevin Hertel (D)*,
Winnie Brinks (D),
Mary Cavanagh (D),
Stephanie Chang (D),
John Cherry (D),
Veronica Klinefelt (D),
Mallory McMorrow (D),
Dayna Polehanki (D),
Sue Shink (D),
Sam Singh (D),
Paul Wojno (D),
Last Action
Assigned Pa 0161'23 (on 10/24/2023)
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