Section 550.1909 – Written Request to Director; Manner; Electronic Communication.
550.1909 Written request to director; manner; electronic communication. Sec. 9. (1) Except for a request for an expedited external review under section 13, all requests for external review must be made in writing to the director. (2) A written notice required to be provided under this act must be provided in a culturally and linguistically […]
Section 550.1911 – Request for External Review; Commencement; Preliminary Review; Notice of Acceptance; Duties of Director; Incomplete Request; Nonacceptance; Assignment of Independent Review Organization; Duty of Health Carrier to Provide Documents; Reconsideration by Health Carrier of Its Adverse Determination; Recommendation; Considerations; Review by Director; Notice of Decision.
550.1911 Request for external review; commencement; preliminary review; notice of acceptance; duties of director; incomplete request; nonacceptance; assignment of independent review organization; duty of health carrier to provide documents; reconsideration by health carrier of its adverse determination; recommendation; considerations; review by director; notice of decision. Sec. 11. (1) Not later than 60 days or, after […]
Section 550.1913 – Expedited External Review.
550.1913 Expedited external review. Sec. 13. (1) Except as provided in subsection (12), a covered person or the covered person’s authorized representative may make a request for an expedited external review with the director within 10 days after the covered person receives an adverse determination if both of the following apply: (a) The adverse determination […]
Section 550.1915 – Decision as Final Administrative Remedy; Other Remedies.
550.1915 Decision as final administrative remedy; other remedies. Sec. 15. (1) An external review decision and an expedited external review decision are the final administrative remedies available under this act. A person aggrieved by an external review decision or an expedited external review decision may seek judicial review no later than 60 days from the […]
Section 550.1917 – Approved Independent Review Organizations; Application; Form; Fee; Expiration; Termination; Updated List.
550.1917 Approved independent review organizations; application; form; fee; expiration; termination; updated list. Sec. 17. (1) The director shall approve independent review organizations eligible to be assigned to conduct external reviews under this act to ensure that an independent review organization satisfies the minimum standards established under section 19. (2) The director shall develop an application […]
Section 550.1919 – Approved Independent Review Organization; Requirements.
550.1919 Approved independent review organization; requirements. Sec. 19. (1) To be approved under section 17 to conduct external reviews, an independent review organization must do all of the following: (a) Have and maintain written policies and procedures that govern all aspects of both the standard external review process and the expedited external review process under […]
Section 550.1841 – Implementation of Program.
550.1841 Implementation of program. Sec. 11. (1) The department shall not implement the program under this act until the legislature has appropriated sufficient funds to cover the same. (2) Not more than 1% of the annual appropriation made to the autism coverage fund may be used for the purpose of administering the program authorized under […]
Section 550.1861 – Short Title.
550.1861 Short title. Sec. 1. This act shall be known and may be cited as the “health care sharing ministries freedom to share act”. History: 2012, Act 530, Eff. Jan. 1, 2013
Section 550.1863 – Definitions.
550.1863 Definitions. Sec. 3. As used in this act: (a) “Eligible entity” means a faith-based, nonprofit entity that maintains tax-exempt status under section 501(c) of the internal revenue code, 26 USC 501. (b) “Health care sharing ministry” or “ministry” means a program established by an eligible entity for the sharing of finances and health care […]
Section 550.1865 – Health Care Sharing Ministry; Establishment; Operation; Business of Insurance Prohibited.
550.1865 Health care sharing ministry; establishment; operation; business of insurance prohibited. Sec. 5. An eligible entity may establish and operate a health care sharing ministry under this act. An eligible entity that establishes and operates a health care sharing ministry in compliance with this act is not engaged in the business of insurance in this […]