Subarticle - CHAPTER 38. MEDICARE SUPPLEMENT POLICIES AND CERTIFICATES
- Section 500.3801 - Chapter; definitions
- Section 500.3803 - Applicability of chapter
- Section 500.3804 - [Repealed]
- Section 500.3805 - Medicare supplement policy; definitions
- Section 500.3807 - Basic core package of benefits; standards for plans K and L; applicability of section
- Section 500.3807a - Medicare supplement policies or certificates with effective date for coverage on or after June 1, 2010; basic core package of benefits
- Section 500.3808 - [Repealed]
- Section 500.3809 - Additional benefits; reimbursement for preventive screening tests and services; definitions; applicability of section
- Section 500.3809a - Medicare supplement policies or certificates with effective date for coverage on or after June 1, 2010; additional benefits
- Section 500.3811 - Basic core benefits; availability; sale of certain benefits prohibited; designations, structure, language, and format; other designations; requirements; applicability of section
- Section 500.3811a - Medicare supplement policies or certificates with effective date for coverage on or after June 1, 2010; basic core benefits; availability; sale of certain benefits prohibited; structure, language, designation, and format; other designations; requirements
- Section 500.3811b - Medicare supplement policies or certificates for newly eligible individuals after December 31, 2019; exceptions to standards and requirements
- Section 500.3813 - Disability coverage; medicare supplement buyer's guide; applicability of section
- Section 500.3815 - Outline of coverage; acknowledgment of receipt; compliance with notice requirements; substitute; language, written or electronic format, and required items
- Section 500.3817 - Medicare select policies and certificates; definitions; requirements for issuance; plan of operation; filing, format, and contents; proposed changes; updated list of network providers; payment for covered services not available through network providers; disclosure; receipt of information; grievance procedure; report; availability of comparable or lesser benefits; continuation of coverage; requests for data by state or federal agencies
- Section 500.3819 - Minimum standards; suspension of benefits and premiums; notice; reinstitution; offer to exchange 1990 standardized plan to 2010 plan
- Section 500.3819a - Medicare supplement policies or certificates with effective date for coverage on or after June 1, 2010; minimum standards
- Section 500.3821 - Issuance of policy to person not enrolled in medicare parts A and B prohibited; refund; interest
- Section 500.3823 - Covered benefits more restrictive than benefits under medicare and required under state law prohibited; benefits for outpatient prescription drugs
- Section 500.3825 - Preexisting diseases or conditions; waiver prohibited
- Section 500.3827 - Duplicate benefits prohibited; application; statements and questions whether another policy in force; list of policies sold to applicant; notice regarding replacement coverage
- Section 500.3829 - Denying or conditioning issuance based on health status, claims experience, receipt of health care, or medical condition of applicant prohibited; condition; exclusion of benefits based on preexisting conditions; reduction; creditable coverage
- Section 500.3829a - Medicare supplement policies or certificates delivered, issued for delivery, or renewed on or after May 21, 2009; genetic test; definitions
- Section 500.3830 - Eligible person; requirements
- Section 500.3830a - Termination of contract or agreement; notice to individual
- Section 500.3831 - Individual or group expense incurred hospital, medical, or surgical policies; right of continuation or conversion to medicare supplemental plan; request for coverage; exclusion from preexisting conditions; notice of availability of coverage; utilization of another insurer to write coverage
- Section 500.3833 - Replacement policy; waiver of certain time periods
- Section 500.3835 - Marketing procedures; determining appropriateness of recommended purchase or replacement; more than 1 policy prohibited; individual enrolled in medicare advantage; "notice to buyer" displayed
- Section 500.3837 - [Repealed]
- Section 500.3839 - Renewal or continuation provision; effect of termination or replacement; elimination of outpatient prescription drug benefit
- Section 500.3841 - Riders or endorsements; signed acceptance or agreement; additional premium; use of certain standards, terms, and words; filing of changes in medicare benefits; elimination of duplicate benefits; notice of modifications; notice requirements of medicare prescription drug, improvement, and modernization act of 2003
- Section 500.3843 - Health insurance; notice; contents; applicability of subsection (1)
- Section 500.3847 - Advertising; filing copy with director
- Section 500.3849 - Filing and approval requirements; deletion of outpatient prescription drug benefits; issuance of policy; use and change in premium rates; additional forms; availability; conditions and effect of discontinuance; combining forms for purposes of refund or credit calculation; compliance with federal law; "type" defined
- Section 500.3851 - Aggregate benefits; rates, rating schedules, and rate revisions
- Section 500.3852 - Benchmark ratio
- Section 500.3853 - Refund or credit calculation; form; interest; due date
- Section 500.3855 - Annual filing of rates, rating schedule, and supporting documentation; premium adjustments; public hearing for rate increase; failure to make premium adjustments
- Section 500.3857 - Duties of insurer; certification of compliance with subsection (1)(a)
- Section 500.3859 - Prohibited conduct; violation as misdemeanor; penalty
- Section 500.3861 - Probable cause of violation; notice of hearing; opportunity to confer and discuss; hearing; applicability of MCL 500.2038 to 500.2040; violation; penalty