reglab/statecodes huggingface dataset:
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 66 of 1933 - Emergency Insurance Legislation (550.1 - 550.8) › Section 550.8 - Violation of Act; Misdemeanor; License Revocation, Grounds.

550.8 Violation of act; misdemeanor; license revocation, grounds.
Sec. 8.
Any person or corporation violating any of the provisions hereof, or any regulation or proclamation made pursuant hereto, shall be deemed guilty of a misdemeanor, and of violating the insurance law of this state; and any such violation by any insurance company or its agent shall be deemed cause for revoking the license of such company or agent, as the case may be, to do an insurance business in this state.
History:
1933, Act 66, Imd. Eff. Apr. 28, 1933 ;-- CL 1948, 550.8
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Repealed - Act 385 of 1996 - Interstate Insurance Receivership Compact (550.11 - 550.13)

INTERSTATE INSURANCE RECEIVERSHIP COMPACT
Act 385 of 1996
550.11-550.13 Repealed. 1996, Act 385, Eff. June 1, 2006.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 233 of 1984 - Prudent Purchaser Act (550.51 - 550.63) › Section 550.51 - Short Title.

550.51 Short title.
Sec. 1.
This act shall be known and may be cited as the "prudent purchaser act".
History:
1984, Act 233, Eff. Dec. 20, 1984
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 233 of 1984 - Prudent Purchaser Act (550.51 - 550.63) › Section 550.53a - Disclosure of Financial Relationships Between Organization and Participating Health Care Providers, Health Care Facilities, or Other Entities.

550.53a Disclosure of financial relationships between organization and participating health care providers, health care facilities, or other entities.
Sec. 3a.
An organization that establishes a prudent purchaser agreement shall disclose in writing to all purchasers of its coverage and to all covered members of its plans upon request the financial relationships between the organization and its participating health care providers, health care facilities, or other similar entities, including all of the following as applicable:
(a) Whether a fee-for-service arrangement exists, under which the provider is paid a specified fee for each particular covered service rendered to each covered individual.
(b) Whether a capitation arrangement exists, under which a fixed amount is paid to the provider for all covered services rendered to each covered individual.
(c) Whether payments to providers are made according to how well the provider meets criteria regarding costs, quality, patient satisfaction, or other criteria.
History:
Add. 1996, Act 518, Eff. Oct. 1, 1997
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 233 of 1984 - Prudent Purchaser Act (550.51 - 550.63) › Section 550.53b - Prudent Purchaser Agreement Services; Providing Requested Information to Insurer.

550.53b Prudent purchaser agreement services; providing requested information to insurer.
Sec. 3b.
An organization that is providing prudent purchaser agreement services to an insurer shall provide the insurer on a timely basis with information requested by the insurer that the organization has and that the insurer needs to comply with section 2212 of the insurance code of 1956, Act No. 218 of the Public Acts of 1956, being section 500.2212 of the Michigan Compiled Laws.
History:
Add. 1996, Act 518, Eff. Oct. 1, 1997
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 233 of 1984 - Prudent Purchaser Act (550.51 - 550.63) › Section 550.54 - Discrimination Prohibited; Complaint of Violation; Hearing; Penalty.

550.54 Discrimination prohibited; complaint of violation; hearing; penalty.
Sec. 4.
An organization shall not refuse to enter into a prudent purchaser agreement with a health care provider on the basis of religion, race, color, national origin, age, sex, or marital status. Upon receipt of a complaint of a violation of this section, in a form satisfactory to the commissioner, and if the commissioner has probable cause to believe that such a violation has occurred, the commissioner shall conduct a hearing pursuant to the administrative procedures act of 1969, Act No. 306 of the Public Acts of 1969, being sections 24.201 to 24.315 of the Michigan Compiled Laws. If after such hearing the commissioner determines the organization has violated this section, the commissioner may do 1 or more of the following:
(a) Issue a cease and desist order requiring the organization to cease and desist from engaging in the conduct prohibited by this section.
(b) Issue a cease and desist order requiring the organization to enter into a prudent purchaser agreement with a health care provider.
(c) Impose a fine of not more than $500.00 for each violation, but not to exceed an aggregate fine of $5,000.00, unless the organization knew or reasonably should have known it was violating this section, in which case the fine shall not be more than $2,500.00 for each violation and shall not exceed an aggregate fine of $25,000.00 for all violations committed in a 6-month period.
(d) Suspend, limit, or revoke the organization's license or certificate of authority.
History:
1984, Act 233, Eff. Dec. 20, 1984
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 233 of 1984 - Prudent Purchaser Act (550.51 - 550.63) › Section 550.55 - Notice of Membership in Provider Panels; Display.

550.55 Notice of membership in provider panels; display.
Sec. 5.
A health care provider which is a member of a provider panel shall display a notice in a conspicuous place at the entrance of the health care provider's facility indicating those provider panels to which the health care provider is a member.
History:
1984, Act 233, Eff. Dec. 20, 1984
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 233 of 1984 - Prudent Purchaser Act (550.51 - 550.63) › Section 550.56 - Reporting Certain Information on Standard Forms Required; Availability of Information to Appropriate State Agencies; Confidentiality.

550.56 Reporting certain information on standard forms required; availability of information to appropriate state agencies; confidentiality.
Sec. 6.
(1) An organization which enters into prudent purchaser agreements with health care providers under this act shall report with its annual statement, or on a date set by the commissioner, on standard forms prescribed by the commissioner the following information:
(a) The number of natural persons receiving health care benefits under prudent purchaser agreements.
(b) The number of individual and group contracts providing health care services pursuant to prudent purchaser agreements.
(c) The dollar volume of business conducted under prudent purchaser agreements.
(2) Information received by the commissioner pursuant to this section shall be made available to appropriate state agencies for purposes of reviewing and evaluating this act.
(3) The commissioner and state agencies shall ensure the confidentiality of information containing data which may be associated with a particular organization. Information pertaining to the diagnosis, treatment, or health of any person receiving health care benefits under prudent purchaser agreements shall be confidential and shall not be disclosed to any person, except to the extent that it may be necessary to carry out the purposes of this act; upon the express consent of the person; pursuant to statute or court order for the production of evidence or the discovery thereof; or in the event of claim examination or litigation between the person and the organization, to the extent that the data or information is pertinent.
History:
1984, Act 233, Eff. Dec. 20, 1984 ;-- Am. 1988, Act 282, Imd. Eff. July 27, 1988
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 233 of 1984 - Prudent Purchaser Act (550.51 - 550.63) › Section 550.57 - Agreements Between Health Care Providers and Purchasers of Health Care Services.

550.57 Agreements between health care providers and purchasers of health care services.
Sec. 7.
Nothing in this act shall preclude 1 or more health care providers from entering into agreements with purchasers of health care services for the provision of health care services. Such agreements between 1 or more health care providers and purchasers of health care services shall not be considered to be per se violations of Michigan law prohibiting unreasonable restraint of trade. However, such agreements shall be fully subject to Michigan law regarding monopolization or attempted monopolization.
History:
1984, Act 233, Eff. Dec. 20, 1984
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 233 of 1984 - Prudent Purchaser Act (550.51 - 550.63) › Section 550.58 - Organization Subject to Enabling Act; Financial Records.

550.58 Organization subject to enabling act; financial records.
Sec. 8.
(1) An organization which provides or administers health care benefits or coverage under a prudent purchaser agreement shall remain subject to all of the provisions of its enabling act.
(2) An organization shall maintain financial records for its prudent purchaser agreements and activities in a form separate or separable from the financial records of other operations and activities carried on by the organization.
History:
1984, Act 233, Eff. Dec. 20, 1984
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 233 of 1984 - Prudent Purchaser Act (550.51 - 550.63) › Section 550.59 - Report on Competition in Retail Pharmacy Industry.

550.59 Report on competition in retail pharmacy industry.
Sec. 9.
The department of management and budget shall contract with an independent third party for a report which shall determine the extent of competition in the retail pharmacy industry, whether such competition results in maximum economic efficiency and the lowest possible costs for consumers, and the potential effects of this act on the retail pharmacy industry. Such report shall be submitted to the legislature before June 1, 1986.
History:
1984, Act 233, Eff, Dec. 20, 1984
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 233 of 1984 - Prudent Purchaser Act (550.51 - 550.63) › Section 550.60 - Repealed. 2005, Act 203, Imd. Eff. Nov. 10, 2005.

550.60 Repealed. 2005, Act 203, Imd. Eff. Nov. 10, 2005.
Compiler's Notes:
The repealed section pertained to creation of a joint committee to investigate competition in the health care coverage market.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 233 of 1984 - Prudent Purchaser Act (550.51 - 550.63) › Section 550.61 - Repealed. 1988, Act 282, Imd. Eff. July 27, 1988.

550.61 Repealed. 1988, Act 282, Imd. Eff. July 27, 1988.
Compiler's Notes:
The repealed section pertained to applicability of act.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 233 of 1984 - Prudent Purchaser Act (550.51 - 550.63) › Section 550.62 - Provisions Inapplicable to Certain Contracts and Renewal Thereof.

550.62 Provisions inapplicable to certain contracts and renewal thereof.
Sec. 12.
Nothing in this act shall apply to any contract which is in existence before the effective date of this act, or the renewal of such contract.
History:
1984, Act 233, Eff. Dec. 20, 1984
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 233 of 1984 - Prudent Purchaser Act (550.51 - 550.63) › Section 550.63 - Conditional Effective Date.

550.63 Conditional effective date.
Sec. 13.
This act shall not take effect unless all of the following bills of the 82nd Legislature are enacted into law:
(a) Senate Bill No. 714.
(b) House Bill No. 4799.
(c) House Bill No. 4800.
(d) House Bill No. 4801.
(e) House Bill No. 5067.
(f) House Bill No. 5068.
(g) House Bill No. 5141.
History:
1984, Act 233, Eff. Dec. 20, 1984
Compiler's Notes:
The bills referred to in this section were enacted into law as follows: Senate Bill No. 714, filed with the Secretary of State December 20, 1984, became P.A. 1984, No. 280, Imd. Eff. Dec. 20, 1984;House Bill No. 4799, filed with the Secretary of State July 30, 1984, became P.A. 1984, No. 230, Imd. Eff. July 30, 1984;House Bill No. 4800, filed with the Secretary of State July 30, 1984, became P.A. 1984, No. 231, Imd. Eff. July 30, 1984;House Bill No. 4801, filed with the Secretary of State July 30, 1984, became P.A. 1984, No. 232, Imd. Eff. July 30, 1984;House Bill No. 5067, filed with the Secretary of State July 30, 1984, became P.A. 1984, No. 235, Imd. Eff. July 30, 1984;House Bill No. 5068, filed with the Secretary of State July 30, 1984, became P.A. 1984, No. 234, Imd. Eff. July 30, 1984; andHouse Bill No. 5141, filed with the Secretary of State July 13, 1984, became P.A. 1984, No. 218, Imd. Eff. July 13, 1984.For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Repealed - Act 266 of 1895 - Surety Companies (550.101 - 550.111)

SURETY COMPANIES
Act 266 of 1895
550.101-550.111 Repealed. 1964, Act 256, Eff. Aug. 28, 1964;—2001, Act 183, Imd. Eff. Dec. 21, 2001.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Repealed - Act 151 of 1893 - Mutual Insurance Companies; Approval Fee (550.151 - 550.152)

MUTUAL INSURANCE COMPANIES; APPROVAL FEE
Act 151 of 1893
550.151,550.152 Repealed. 1956, Act 218, Eff. Jan. 1, 1957.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Repealed - Act 158 of 1943 - Uniform Insurers Liquidation Act (550.201 - 550.213)

UNIFORM INSURERS LIQUIDATION ACT
Act 158 of 1943
550.201-550.213 Repealed. 1956, Act 218, Eff. Jan. 1, 1957.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 143 of 1935 - Office Agent; Set-Off for Damages (550.231 - 550.233) › Section 550.231 - Office Agent of Insurance Company Taken Over by Insurance Commissioner or Receiver; Off-Set for Damages.

550.231 Office agent of insurance company taken over by insurance commissioner or receiver; off-set for damages.
Sec. 1.
Any insurance agent, who has been the office agent of an insurance company taken over by the commissioner of insurance or an insurance company in the hands of a receiver, may off-set against any balance unpaid and owing such insurance company the damages resulting to such agent, and his insurance business, due to the taking over of such company by the commissioner of insurance or the placing of such company in the hands of a receiver.
History:
1935, Act 143, Imd. Eff. June 4, 1935 ;-- CL 1948, 550.231
Compiler's Notes:
For transfer of the Department of Insurance and Office of the Commissioner on Insurance from the Department of Licensing and Regulation to the Department of Commerce, see E.R.O. No. 1991-9, compiled at MCL 338.3501 of the Michigan Compiled Laws.For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 143 of 1935 - Office Agent; Set-Off for Damages (550.231 - 550.233) › Section 550.232 - Applicability of Act.

550.232 Applicability of act.
Sec. 2.
The provisions of this act shall apply to any balances unpaid and owing any such insurance companies at the time this act shall take effect, as represented in moneys uncollected by the agent and moneys collected by the agent and deposited in banks now closed, and shall apply to all actions at law or in equity to recover said unpaid balances which are pending in the courts of this state at the time this act shall take effect.
History:
1935, Act 143, Imd. Eff. June 4, 1935 ;-- CL 1948, 550.232
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 143 of 1935 - Office Agent; Set-Off for Damages (550.231 - 550.233) › Section 550.233 - Construction of Act.

550.233 Construction of act.
Sec. 3.
This act shall be construed as supplemental to the existing laws of this state governing insurance companies and insurance agents, and insofar as inconsistent shall supersede said laws.
History:
1935, Act 143, Imd. Eff. June 4, 1935 ;-- CL 1948, 550.233
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 64 of 1984 - The Coordination of Benefits Act (550.251 - 550.255) › Section 550.251 - Short Title.

550.251 Short title.
Sec. 1.
This act shall be known and may be cited as "the coordination of benefits act".
History:
1984, Act 64, Imd. Eff. Apr. 18, 1984
Compiler's Notes:
For transfer of the Department of Insurance and Office of the Commissioner on Insurance from the Department of Licensing and Regulation to the Department of Commerce, see E.R.O. No. 1991-9, compiled at MCL 338.3501 of the Michigan Compiled Laws.For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 64 of 1984 - The Coordination of Benefits Act (550.251 - 550.255) › Section 550.253a - Contract Issued Before Effective Date of Amendatory Act; Compliance With Changes; Transition Period.

550.253a Contract issued before effective date of amendatory act; compliance with changes; transition period.
Sec. 3a.
(1) An insurer that, before the effective date of the amendatory act that added this section, issued a contract that provides health care benefits shall bring the contract into compliance with the changes made to this act by the amendatory act that added this section by either of the following dates:
(a) Whichever of the following dates is later:
(i) The next anniversary date or renewal date of the contract.
(ii) Twelve months after the effective date of the amendatory act that added this section.
(b) If the contract was written pursuant to a collectively bargained contract, the expiration date of the collectively bargained contract.
(2) For the transition period between the effective date of the amendatory act that added this section and the time within which contracts are to be in compliance under subsection (1), a plan that is subject to the prior coordination of benefits requirements shall not be considered a noncomplying plan by a plan subject to the new coordination of benefits requirements and if there is a conflict between the prior coordination of benefits requirements under the prior regulation and the new coordination of benefits requirements under the amended regulation, the prior coordination of benefits requirements apply.
History:
Add. 2016, Act 275, Imd. Eff. July 1, 2016
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 64 of 1984 - The Coordination of Benefits Act (550.251 - 550.255) › Section 550.254 - Rules.

550.254 Rules.
Sec. 4.
The director of the department of insurance and financial services may promulgate rules to implement and supervise this act pursuant to the administrative procedures act of 1969, 1969 PA 306, MCL 24.201 to 24.328.
History:
1984, Act 64, Imd. Eff. Apr. 18, 1984 ;-- Am. 2016, Act 275, Imd. Eff. July 1, 2016
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 64 of 1984 - The Coordination of Benefits Act (550.251 - 550.255) › Section 550.255 - Repealed. 2016, Act 275, Imd. Eff. July 1, 2016.

550.255 Repealed. 2016, Act 275, Imd. Eff. July 1, 2016.
Compiler's Notes:
The repealed section pertained to conditional effective date.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 593 of 2006 - Sharing Health Care Information (550.281 - 550.289) › Section 550.281 - Definitions.

550.281 Definitions.
Sec. 1.
As used in this act:
(a) "Department" means the department of community health.
(b) "Entity" means a health insurer; a health maintenance organization; a nonprofit health care corporation; a managed care corporation; a preferred provider organization; an organization operating pursuant to the prudent purchaser act, 1984 PA 233, MCL 550.51 to 550.63; a self-funded health plan; a professional association, trust, pool, union, or fraternal group, offering health coverage; a system of health care delivery and financing operating pursuant to section 3573 of the insurance code of 1956, 1956 PA 218, MCL 500.3573; and a third party administrator.
(c) "Medical assistance" means the medical assistance program administered by the state under the social welfare act, 1939 PA 280, MCL 400.1 to 400.119b.
(d) "Qualified health plan" means that term as defined in section 111i of the social welfare act, 1939 PA 280, MCL 400.111i.
History:
2006, Act 593, Imd. Eff. Jan. 3, 2007
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 593 of 2006 - Sharing Health Care Information (550.281 - 550.289) › Section 550.283 - Determination That Health Coverage Recipient Is Also Medical Assistance Recipient; Information to Be Provided by Health Insurer.

550.283 Determination that health coverage recipient is also medical assistance recipient; information to be provided by health insurer.
Sec. 3.
(1) An entity shall provide on a monthly basis to the department, in a format determined by the department, information necessary to enable the department or entity to determine whether a health coverage recipient of the entity is also a medical assistance recipient.
(2) If a health coverage recipient of the entity is also a medical assistance recipient, the entity shall do all of the following by not later than 180 days after the department's request:
(a) Pay the department for, or assign to the department any right of recovery owed to the entity for, a covered health claim for which medical assistance payment has been made.
(b) Respond to any inquiry by the department concerning a claim for payment for any health care item or service that is submitted not later than 3 years after the date the health care item or service was provided.
(3) An entity shall not deny a claim submitted by the department solely on the basis of the date of submission of the claim, the type or format of the claim form, or a failure to present proper documentation at the time the health care item or service that is the basis of the claim was provided so long as both of the following apply:
(a) The claim is submitted to the entity within 3 years of the date that the health care item or service that is the subject of the claim was provided.
(b) Any action by the state to enforce its rights under this subdivision is commenced within 6 years of the date that the health care item or service that is the subject of the claim was provided.
History:
2006, Act 593, Imd. Eff. Jan. 3, 2007
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 593 of 2006 - Sharing Health Care Information (550.281 - 550.289) › Section 550.285 - Determination That Health Coverage Recipient Is Also Medical Assistance Recipient; Actions by Department.

550.285 Determination that health coverage recipient is also medical assistance recipient; actions by department.
Sec. 5.
If the department determines that a health coverage recipient is also a medical assistance recipient:
(a) The department may use information received under section 3 to update the medical assistance database maintained by the department.
(b) If the medical assistance recipient is covered by a qualified health plan, the department shall share with that qualified health plan all information received under this act by the department for that medical assistance recipient.
History:
2006, Act 593, Imd. Eff. Jan. 3, 2007
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 593 of 2006 - Sharing Health Care Information (550.281 - 550.289) › Section 550.287 - Violation of Act; Administrative Fine; Notice; Right to Hearing.

550.287 Violation of act; administrative fine; notice; right to hearing.
Sec. 7.
An entity that violates this act is subject to an administrative fine of not more than $500.00 for each day the entity does not comply with section 3(1) or with a request for information made pursuant to section 3(2). Upon the department's determination that a violation of this act has occurred, the entity has a right to notice of the alleged violation and an opportunity for a hearing under the administrative procedures act of 1969, 1969 PA 306, MCL 24.201 to 24.328.
History:
2006, Act 593, Imd. Eff. Jan. 3, 2007
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 593 of 2006 - Sharing Health Care Information (550.281 - 550.289) › Section 550.289 - Rules.

550.289 Rules.
Sec. 9.
The department may promulgate rules pursuant to the administrative procedures act of 1969, 1969 PA 306, MCL 24.201 to 24.328, necessary to implement this act. Rules governing the exchange of information under this act shall be consistent with all laws, regulations, and rules relating to the confidentiality or privacy of personal information or medical records, including, but not limited to, the health insurance portability and accountability act of 1996, Public Law 104-191, and regulations promulgated under that act, 45 CFR parts 160 to 164.
History:
2006, Act 593, Imd. Eff. Jan. 3, 2007
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Repealed - Act 108 of 1939 - Nonprofit Medical Care Corporations (550.301 - 550.316)

NONPROFIT MEDICAL CARE CORPORATIONS
Act 108 of 1939
550.301-550.316 Repealed. 1980, Act 350, Eff. Apr. 3, 1981.
Compiler's Notes:
Prior to April 3, 1981, the effective date of Act 350 of 1980, Blue Cross & Blue Shield of Michigan brought a complaint for declaratory judgment challenging the constitutionality of the act and sought an injunction against the act's enforcement in the Ingham County Circuit Court. On April 2, 1981, the Ingham County Circuit Court enjoined the enforcement of the act and further ordered the parties to comply with the existing enabling acts, Acts 108 and 109 of 1939. Blue Cross & Blue Shield of Michigan v Governor, 422 Mich 1; 367 NW2d 1, appdis, 474 US 805, 106 S Ct 40; 88 L Ed 2d 33 (1985).During the period when enforcement of Act 350 of 1980 was enjoined by the Ingham County Circuit Court, Act 108 was amended by Acts 142, 199, and 232 of 1982 and by Acts 67, 180, 194, 231, and 370 of 1984 and Act 109 was amended by Acts 198 and 233 of 1982 and by Acts 68, 182, 195, 232, and 371 of 1984.The Michigan Supreme Court in Blue Cross & Blue Shield of Michigan v Governor, 422 Mich at 97, ordered the Ingham County Circuit Court to dissolve the injunction against the enforcement of Acts 108 and 109 of 1939. An order dissolving the injunction was entered on August 28, 1985.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 125 of 1963 - Nonprofit Dental Care Corporations (550.351 - 550.373) › Section 550.351 - Nonprofit Dental Care Corporation; Formation; Purpose; Types of Dental Care Plans; Services in Other States; Corporation Subject to Nonprofit Corporation Act.

550.351 Nonprofit dental care corporation; formation; purpose; types of dental care plans; services in other states; corporation subject to nonprofit corporation act.
Sec. 1.
(1) Three or more residents of this state may form a nonprofit corporation under the provisions of this act for the purpose of establishing, maintaining, and operating nonprofit dental care plans by which professional licensed dental services are provided at the expense of the corporation to persons who become subscribers to the plans.
(2) The dental care plans may be a fee for service plan, administrative service contract, cost-plus arrangement, or a capitation plan.
(3) The corporation may establish, maintain, and operate dental care plans to furnish, deliver, indemnify, or finance professional dental services in other states, directly or through affiliate corporations.
(4) Except as otherwise provided in this act, a corporation formed under this act is subject to the nonprofit corporation act, Act No. 162 of the Public Acts of 1982, being sections 450.2101 to 450.3192 of the Michigan Compiled Laws.
History:
1963, Act 125, Eff. Sept. 6, 1963 ;-- Am. 1990, Act 129, Imd. Eff. June 26, 1990
Compiler's Notes:
For transfer of the Department of Insurance and Office of the Commissioner on Insurance from the Department of Licensing and Regulation to the Department of Commerce, see E.R.O. No. 1991-9, compiled at MCL 338.3501 of the Michigan Compiled Laws.For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 125 of 1963 - Nonprofit Dental Care Corporations (550.351 - 550.373) › Section 550.352 - Subscriber Contract Payment Regulations; Prohibited Provisions.

550.352 Subscriber contract payment regulations; prohibited provisions.
Sec. 2.
No contract shall provide for the payment of any cash or other material benefits to a subscriber or to his estate on account of death, illness or injury, or be in any way related to the payment of any such benefit by any other agency.
History:
1963, Act 125, Eff. Sept. 6, 1963
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 125 of 1963 - Nonprofit Dental Care Corporations (550.351 - 550.373) › Section 550.353 - Supervision by Insurance Commissioner; Incorporation Procedures.

550.353 Supervision by insurance commissioner; incorporation procedures.
Sec. 3.
A nonprofit dental care corporation is subject to regulation and supervision by the commissioner of insurance as hereinafter provided. Any law of this state now or hereafter in force relating to insurance or corporations engaged in the business of insurance shall not apply unless such law specifically, in exact terms, applies to nonprofit dental care corporations. A nonprofit dental care corporation may not be incorporated in this state except under the provisions of this act, but nothing herein contained limits the corporations formed under Act No. 108 of the Public Acts of 1939, being sections 550.301 to 550.316 of the Compiled Laws of 1948, in providing care to subscribers.
History:
1963, Act 125, Eff. Sept. 6, 1963
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 125 of 1963 - Nonprofit Dental Care Corporations (550.351 - 550.373) › Section 550.354 - Articles of Incorporation; Contents.

550.354 Articles of incorporation; contents.
Sec. 4.
Any persons associating as a nonprofit dental care corporation shall qualify under this act by subscribing to and filing articles of incorporation as provided in section 5. The articles shall contain:
(a) The names of the incorporators and their places of residence.
(b) The location of the principal office of the corporation for the transaction of business in this state.
(c) The name by which the corporation shall be known, which shall not include the words insurance, casualty, surety, health and accident, mutual or other words descriptive of the insurance or surety business. The corporation shall not assume any name likely to mislead the public, or any name already in use by another existing corporation of this state, or corporation lawfully carrying on business in this state, or so nearly similar thereto as to lead to confusion or deception.
(d) The purposes of the corporation.
(e) The term of existence of the corporation, which shall be for not more than 30 years.
(f) The time for holding the annual meeting of members of the corporation.
(g) Any terms and conditions of membership in the corporation which the incorporators wish set forth in the articles.
(h) Any other terms and conditions, not inconsistent with the provisions of this act, necessary for the conduct of the affairs of the corporation.
History:
1963, Act 125, Eff. Sept. 6, 1963
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 125 of 1963 - Nonprofit Dental Care Corporations (550.351 - 550.373) › Section 550.355 - Articles of Incorporation; Execution, Filing, Fee, Approval, Amendment.

550.355 Articles of incorporation; execution, filing, fee, approval, amendment.
Sec. 5.
The articles shall be acknowledged before a notary public of this state by at least 1 of the persons signing them. The articles shall be filed in triplicate in the form prescribed by the commissioner of insurance. A corporation shall pay to the commissioner a $10.00 fee for filing its articles or any amendments. The fees shall be paid into the state treasury to the credit of the general fund.
If the commissioner approves the corporation, he shall return to the incorporators 1 copy of the articles certified for filing with the county clerk of the county in which the corporation proposes to maintain its principal business office, and 1 copy certified by the commissioner for the records of the corporation, and he shall retain 1 copy for his office files.
A corporation, with the approval of the commissioner and in the manner provided in its articles, may amend its articles in any manner not inconsistent with this act.
History:
1963, Act 125, Eff. Sept. 6, 1963
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 125 of 1963 - Nonprofit Dental Care Corporations (550.351 - 550.373) › Section 550.356 - Contracts; Statement to Insurance Commissioner; Contents, Examination.

550.356 Contracts; statement to insurance commissioner; contents, examination.
Sec. 6.
Before a corporation shall enter into or solicit contracts to provide dental services at the expense of such corporation to persons who shall become subscribers, it shall file a statement with the commissioner of insurance showing in full detail:
(a) The plan on which it proposes to transact business.
(b) A copy of its bylaws.
(c) A copy of the contract to be issued to subscribers.
(d) A copy of its prospectus and advertising proposed to be used in the solicitation of contracts and subscribers.
The commissioner shall examine the statements and the documents so filed with him, and may conduct any investigation he deems necessary, and examine under oath any persons interested in or connected with the proposed corporation. If in the opinion of the commissioner the incorporation or solicitation of contracts would work a fraud upon the persons so solicited, he may refuse to license the corporation.
History:
1963, Act 125, Eff. Sept. 6, 1963
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 125 of 1963 - Nonprofit Dental Care Corporations (550.351 - 550.373) › Section 550.357 - Certificate of Authority to Commence Business and Issue Contracts; Requirements.

550.357 Certificate of authority to commence business and issue contracts; requirements.
Sec. 7.
If the commissioner is satisfied that:
(a) The solicitation of subscriptions would not work a fraud upon the persons so solicited,
(b) The rates to be charged and the benefits to be provided are fair and reasonable,
(c) The amount of money available for working capital is not less than $5,000.00,
(d) The amounts contributed as the working capital of the corporation are repayable only out of surplus earnings of such corporation,
(e) Adequate and reasonable reserves to insure the maturity of the contracts are provided,
he shall issue and deliver to the corporation a certificate of authority to commence business and issue contracts under this act.
History:
1963, Act 125, Eff. Sept. 6, 1963
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 125 of 1963 - Nonprofit Dental Care Corporations (550.351 - 550.373) › Section 550.358 - Certificate of Authority; Revocation; Liquidation.

550.358 Certificate of authority; revocation; liquidation.
Sec. 8.
The commissioner of insurance, after reasonable notice and hearing, may revoke a certificate, order or consent, made by him and forbid applications for membership, upon being satisfied that further solicitation of subscribers would work a fraud upon the persons so solicited. He may make such investigations from time to time as he deems best and grant hearings to the incorporators. He shall have the same authority in respect to taking over or liquidating a corporation formed or doing business under this act as is provided by chapter 78 of Act No. 218 of the Public Acts of 1956, as amended, being sections 500.7800 to 500.7868 of the Compiled Laws of 1948.
A dissolution or liquidation of a corporation shall be conducted under the supervision of the commissioner, who shall have the same power with respect thereto as granted to him under provisions of the law for the dissolution and liquidation of insurance companies.
History:
1963, Act 125, Eff. Sept. 6, 1963
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 125 of 1963 - Nonprofit Dental Care Corporations (550.351 - 550.373) › Section 550.359 - Corporation Examination by Insurance Commissioner; Expenses.

550.359 Corporation examination by insurance commissioner; expenses.
Sec. 9.
The commissioner of insurance, or any deputy, examiner, or other person whom the commissioner appoints, may visit and examine into the affairs of a corporation, have free access to all of the books, papers, and documents that relate to the business of the corporation, may summon and qualify witnesses under oath, and examine corporation officers, agents, employees, or other persons having knowledge of the corporation's affairs, transactions, and conditions. Except as provided in section 9a, per diem, travel, and other necessary expenses in connection with an examination under this section shall be paid by the corporation.
History:
1963, Act 125, Eff. Sept. 6, 1963 ;-- Am. 1994, Act 168, Imd. Eff. June 17, 1994
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 125 of 1963 - Nonprofit Dental Care Corporations (550.351 - 550.373) › Section 550.359a - Nonprofit Dental Care Corporation Subject to MCL 500.224 and 500.225; Costs and Expenses.

550.359a Nonprofit dental care corporation subject to MCL 500.224 and 500.225; costs and expenses.
Sec. 9a.
A nonprofit dental care corporation is subject to sections 224(4) through (13) and 225 of the insurance code of 1956, Act No. 218 of the Public Acts of 1956, being sections 500.224 and 500.225 of the Michigan Compiled Laws, instead of the costs and expenses that may be imposed by the commissioner pursuant to section 9.
History:
Add. 1994, Act 168, Imd. Eff. June 17, 1994
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
2023 Michigan Compiled Laws › Chapter 550 - General Insurance Laws › Act 125 of 1963 - Nonprofit Dental Care Corporations (550.351 - 550.373) › Section 550.360 - Annual Statement; Filing.

550.360 Annual statement; filing.
Sec. 10.
A corporation, annually on or before March 1 of each year, shall file in the office of the commissioner of insurance a sworn statement verified by at least 2 of its principal officers showing its condition on the preceding December 31, which shall be in such form and contain such matters as the commissioner shall prescribe. If a corporation fails to file such annual statement, the commissioner may suspend the certificate of authority issued to the corporation until such statement shall be properly filed.
History:
1963, Act 125, Eff. Sept. 6, 1963
Compiler's Notes:
For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.