SENATE BILL No. 849

 

 

October 27, 2005, Introduced by Senators GEORGE, JOHNSON, BIRKHOLZ, TOY, CROPSEY, JELINEK, KUIPERS, McMANUS, HARDIMAN, VAN WOERKOM, GILBERT, BROWN, CASSIS, PATTERSON, SIKKEMA, SANBORN, BISHOP, STAMAS, ALLEN, GOSCHKA, GARCIA and HAMMERSTROM and referred to the Committee on Health Policy.

 

 

 

     A bill to amend 1980 PA 350, entitled

 

"The nonprofit health care corporation reform act,"

 

(MCL 550.1101 to 550.1704) by adding section 414b.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 414b. A health care corporation shall offer group

 

wellness coverage that provides for an appropriate rebate of

 

premiums paid in the last calendar year for the wellness coverage

 

plan if the majority of the members in the wellness coverage plan

 

have enrolled and maintained participation in any health wellness,

 

maintenance, or improvement program offered by the employer. The

 

employer shall provide evidence of demonstrative maintenance or

 

improvement of the members' health status as determined by

 

assessments of agreed-upon health status indicators between the

 


employer and the health care corporation. Any rebate provided by

 

the health care corporation is presumed to be appropriate unless

 

credible data demonstrate otherwise, but shall not exceed 10% of

 

paid premiums.

 

     (2) A health care corporation shall offer nongroup wellness

 

coverage that provides for an appropriate rebate of premiums paid

 

in the last calendar year if the individual or family is enrolled

 

in and maintains participation in any health wellness, maintenance,

 

or improvement program approved by the health care corporation. The

 

member shall provide evidence of demonstrative maintenance or

 

improvement of the individual's or family's health status as

 

determined by assessments of agreed-upon health status indicators

 

between the member and the health care corporation. Any rebate

 

provided by the health care corporation is presumed to be

 

appropriate unless credible data demonstrate otherwise, but shall

 

not exceed 10% of paid premiums.

 

     (3) The premium rebate authorized by subsection (1) shall be

 

provided each year that subsection (1) is satisfied.

 

     (4) The premium rebate authorized by subsection (2) shall be

 

provided each year that subsection (2) is satisfied.

 

     Enacting section 1.  This amendatory act takes effect January

 

1, 2006.