September 13, 2012, Introduced by Reps. Haines, Shirkey, MacGregor, Kowall and Goike and referred to the Committee on Health Policy.
A bill to amend 1980 PA 350, entitled
"The nonprofit health care corporation reform act,"
by amending section 403 (MCL 550.1403), as amended by 2002 PA 317.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 403. (1) A health care corporation, on a timely basis,
shall pay to a member benefits as are entitled and provided under
the applicable certificate. When not paid on a timely basis,
benefits payable to a member shall bear simple interest from a date
60 days after a satisfactory claim form was received by the health
care corporation, at a rate of 12% interest per annum. The interest
shall be paid in addition to, and at the time of payment of, the
claim. Section 2006(7) to (14) of the insurance code of 1956, 1956
PA 218, MCL 500.2006, applies to a health care corporation.
(2) A health care corporation shall specify in writing the
materials that constitute a satisfactory claim form not later than
30 days after receipt of a claim, unless the claim is settled
within 30 days. If a claim form is not supplied as to the entire
claim, the amount supported by the claim form shall be considered
to be paid on a timely basis if paid within 60 days after receipt
of the claim form by the corporation. This subsection does not
apply to a health care corporation when paying a claim under
section 2006(7) to (14) of the insurance code of 1956, 1956 PA 218,
MCL 500.2006.
(3) Section 2006a of the insurance code of 1956, 1956 PA 218,
MCL 500.2006a, applies to a health care corporation.
Enacting section 1. This amendatory act does not take effect
unless Senate Bill No.____ or House Bill No. 5909(request no.
02540'11 **) of the 96th Legislature is enacted into law.