HOUSE BILL No. 6307


     September 17, 2002, Introduced by Rep. Wojno and referred to the Committee on Family and Children Services.


        A bill to amend 1980 PA 350, entitled

   "The nonprofit health care corporation reform act,"

   by amending section 419a (MCL 550.1419a), as added by 1995 PA

   238.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

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             Sec. 419a.  (1) If a parent is eligible for dependent cover-

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        age through a health care corporation, the health care corpora-

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        tion shall:

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             (a) Permit the parent to enroll, under the dependent cover-

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        age, a child who is otherwise eligible for coverage without

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        regard to any enrollment season restrictions.

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             (b) If the parent is enrolled but fails to make application

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        to obtain coverage for the child, enroll the child under

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        dependent coverage upon application by the friend of the  court




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        CHILD or by the child's other parent through the friend of the

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         court  CHILD.

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             (c) Not eliminate the child's coverage unless premiums have

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        not been paid as required by the certificate or the health care

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        corporation is provided with satisfactory written evidence of

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        either of the following:

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             (i) The court or administrative order is no longer in

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        effect.

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             (ii) The child is or will be enrolled in comparable health

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        coverage through another health care corporation, insurer, health

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        maintenance organization, or self-funded health coverage plan

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        that will take effect not later than the effective date of the

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        cancellation of the existing coverage.

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             (2) If a child has health coverage through a health care

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        corporation of a noncustodial parent, that health care corpora-

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        tion shall do all of the following:

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             (a) Provide the custodial parent with information necessary

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        for the child to obtain benefits through that coverage.

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             (b) Permit the custodial parent or, with the custodial

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        parent's approval, the provider to submit a claim for covered

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        services without the noncustodial parent's approval.

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             (c) If applicable, reimburse or make payment on claims sub-

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        mitted by the custodial parent or medical provider for services

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        obtained or provided under subdivision (b).

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             (3) This section applies only if a parent is required by a

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        court or administrative order to provide health coverage for a





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        child and the health care corporation is notified of that court

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        or administrative order.

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             Enacting section 1.  This amendatory act does not take

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        effect unless Senate Bill No. _____ or House Bill No. 6317

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        (request no. 07684'02) of the 91st Legislature is enacted into

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        law.












































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