HOUSE BILL No. 4415


     March 5, 1997, Introduced by Reps. Hale, Gire, Cherry, Varga, Kilpatrick, Schauer, Thomas, Quarles, Curtis, Griffin, Mans, Rison, Murphy, Palamara, Dobronski, Baade, Harder, Olshove, Baird, Vaughn, Parks, Price, Willard, Hood, Hanley, Agee, Prusi, Kelly, Leland, Brown, Martinez, Bogardus, Goschka, Mathieu, Bobier, Gagliardi, Hammerstrom, Brater, Schermesser,
Wojno, Frank, Brewer, DeHart, Schroer and Tesanovich and referred to the Committee on Insurance.


        A bill to amend 1980 PA 350, entitled

   "The nonprofit health care corporation reform act,"

   (MCL 550.1101 to 550.1704) by adding section 418.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 418.  (1) A NONGROUP OR GROUP CERTIFICATE PROVIDING

 2    BENEFITS FOR A FAMILY MEMBER OF THE SUBSCRIBER SHALL, AS TO THAT

 3    FAMILY MEMBER'S BENEFITS, ALSO PROVIDE THAT THE BENEFITS APPLICA-

 4    BLE FOR CHILDREN SHALL BE PAYABLE WITH RESPECT TO A NEWLY BORN

 5    CHILD OF THE SUBSCRIBER FROM THE MOMENT OF BIRTH.  THE BENEFITS

 6    FOR NEWLY BORN CHILDREN SHALL CONSIST OF BENEFITS FOR INJURY OR

 7    SICKNESS INCLUDING THE NECESSARY CARE AND TREATMENT OF MEDICALLY

 8    DIAGNOSED CONGENITAL DEFECTS AND BIRTH ABNORMALITIES.  THE CER-

 9    TIFICATE MAY REQUIRE THAT NOTIFICATION OF BIRTH OF A NEWLY BORN

10    CHILD AND PAYMENT OF THE REQUIRED PREMIUM SHALL BE FURNISHED TO

11    THE HEALTH CARE CORPORATION WITHIN 31 DAYS AFTER THE DATE OF


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 1    BIRTH IN ORDER TO HAVE THE BENEFITS CONTINUE BEYOND THE 31-DAY

 2    PERIOD.

 3         (2) BY JULY 1, 1997, A HEALTH CARE CORPORATION THAT PROVIDES

 4    OR OFFERS TO PROVIDE BENEFITS FOR A FAMILY MEMBER OF THE SUB-

 5    SCRIBER IN A NONGROUP OR GROUP CERTIFICATE SHALL PROVIDE BENEFITS

 6    IN THAT CERTIFICATE UPON THE SUBSCRIBER'S ELECTION AS FOLLOWS:

 7         (A) FOR THE SUBSCRIBER'S ADOPTED CHILDREN BEGINNING FROM THE

 8    DATE OF PLACEMENT FOR THE PURPOSE OF ADOPTION AND CONTINUING

 9    UNTIL THE CERTIFICATE IS CANCELED OR DISCONTINUED, DEPENDENT BEN-

10    EFITS END UNDER THE TERMS OF THE CERTIFICATE, OR THE PLACEMENT IS

11    DISRUPTED PRIOR TO LEGAL ADOPTION AND THE CHILD IS REMOVED FROM

12    PLACEMENT.

13         (B) FOR THE SUBSCRIBER'S ADOPTED CHILDREN BEGINNING FROM THE

14    DATE OF ADOPTION AND CONTINUING UNTIL THE CERTIFICATE IS CANCELED

15    OR DISCONTINUED OR DEPENDENT BENEFITS END UNDER THE TERMS OF THE

16    CERTIFICATE.

17         (3) BENEFITS UNDER SUBSECTION (2) FOR THE ADOPTED CHILD OR

18    THE CHILD WHO IS PLACED TO BE ADOPTED SHALL BE THE SAME AS IF THE

19    CHILD WAS A NEWLY BORN BIOLOGICAL CHILD OF THE SUBSCRIBER.

20         (4) AS USED IN THIS SECTION, "ADOPTED CHILD", "ADOPTED

21    CHILDREN", AND "CHILD WHO IS PLACED TO BE ADOPTED" MEAN RESPEC-

22    TIVELY AN INDIVIDUAL WHO IS ADOPTED OR PLACED TO BE ADOPTED AND

23    WHO IS LESS THAN 18 YEARS OF AGE.











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