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Home » US Law » 2022 Michigan Compiled Laws » Chapter 500 - Insurance Code of 1956 » Act 218 of 1956 - The Insurance Code of 1956 (500.100 - 500.8302) » 218-1956-37 - Chapter 37 Small Employer Group Health Coverage (500.3701...500.3728)

Section 500.3701 – Definitions.

500.3701 Definitions. Sec. 3701. As used in this chapter: (a) “Actuarial certification” means a written statement by a member of the American Academy of Actuaries or another individual acceptable to the director that a small employer carrier is in compliance with section 3705, based on the individual’s examination, including a review of the appropriate records […]

Section 500.3703 – Scope of Chapter.

500.3703 Scope of chapter. Sec. 3703. (1) This chapter applies to any health benefit plan that provides coverage to 2 or more employees of a small employer. (2) This chapter does not apply to individual health insurance policies that are subject to policy form and premium approval by the director. History: Add. 2003, Act 88, […]

Section 500.3705 – Geographic Areas; Adjustment and Determination of Premiums; Conditions; Additional Premium; Small Employer; Rating Factors.

500.3705 Geographic areas; adjustment and determination of premiums; conditions; additional premium; small employer; rating factors. Sec. 3705. (1) For adjusting premiums for health benefit plans subject to this chapter, a carrier shall use the defined geographic areas established by the director and allowed under federal law. (2) Premiums for a health benefit plan under this […]

Section 500.3707 – Health Benefit Plan; Marketing; Affiliation Period.

500.3707 Health benefit plan; marketing; affiliation period. Sec. 3707. (1) As a condition of transacting business in this state with small employers, every small employer carrier shall make available to small employers all health benefit plans it markets to small employers in this state. A small employer carrier shall be considered to be marketing a […]

Section 500.3708 – Special Enrollment Period.

500.3708 Special enrollment period. Sec. 3708. (1) A health benefit plan offered to a small employer by a small employer carrier shall provide for the acceptance of late enrollees subject to this chapter. (2) A small employer carrier shall permit an employee or a dependent of the employee, who is eligible, but not enrolled, to […]

Section 500.3709 – Minimum Participation Rules.

500.3709 Minimum participation rules. Sec. 3709. (1) Except as provided in this section, requirements used by a small employer carrier in determining whether to provide coverage to a small employer shall be applied uniformly among all small employers applying for coverage or receiving coverage from the small employer carrier. If a small employer carrier waives […]

Section 500.3712 – Decision to Discontinue Plan in Geographic Area.

500.3712 Decision to discontinue plan in geographic area. Sec. 3712. (1) If a small employer carrier decides to discontinue offering all small employer health benefit plans in a geographic area, all of the following apply: (a) The small employer carrier shall provide notice to the commissioner and to each small employer covered by the small […]

Section 500.3713 – Information Offered Upon Request.

500.3713 Information offered upon request. Sec. 3713. Each small employer carrier shall provide all of the following to a small employer upon request and upon entering into a contract with the small employer: (a) The extent to which premiums for a specific small employer are established or adjusted due to any permitted characteristic and rating […]

Section 500.3715 – Information and Documentation; Retention at Principal Place of Business.

500.3715 Information and documentation; retention at principal place of business. Sec. 3715. (1) Each small employer carrier shall maintain at its principal place of business a complete and detailed description of its rating practices and renewal underwriting practices, including information and documentation that demonstrate that its rating methods and practices are based upon commonly accepted […]

Section 500.3716 – Archer Medical Savings Account; Exception.

500.3716 Archer medical savings account; exception. Sec. 3716. This chapter does not apply to a health benefit plan sponsored by a small employer that is an Archer medical savings account that meets all requirements of section 220 of the internal revenue code of 1986. History: Add. 2003, Act 88, Eff. Jan. 23, 2004 Compiler’s Notes: […]

Section 500.3717 – Suspension; Exemption; Conditions; Exception.

500.3717 Suspension; exemption; conditions; exception. Sec. 3717. (1) Upon a request for suspension by the small employer carrier and a finding by the commissioner after consulting with the attorney general that the suspension is reasonable in light of the financial condition of the carrier and that the suspension would enhance the efficiency and fairness of […]

Section 500.3718 – Applicability of MCL 550.1619.

500.3718 Applicability of MCL 550.1619. Sec. 3718. A nonprofit health care corporation is subject to section 619 of the nonprofit health care corporation reform act, 1980 PA 350, MCL 550.1619. History: Add. 2003, Act 88, Eff. Jan. 23, 2004 Compiler’s Notes: Former MCL 500.3718, which pertained to association formed for purposes of chapter, was repealed […]