HOUSE BILL No. 4759


     June 3, 1999, Introduced by Rep. Hart and referred to the Committee on Family and
Civil Law.


        A bill to amend 1956 PA 218, entitled

   "The insurance code of 1956,"

   (MCL 500.100 to 500.8302) by adding section 3633.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 3633.  AN INSURER DELIVERING, ISSUING FOR DELIVERY, OR

 2    RENEWING IN THIS STATE A GROUP EXPENSE-INCURRED HOSPITAL, MEDI-

 3    CAL, OR SURGICAL POLICY OR CERTIFICATE SHALL FURNISH TO ANY

 4    PERSON PRIMARILY PAYING FOR THE GROUP POLICY OR CERTIFICATE,

 5    WITHIN 30 DAYS AFTER RECEIVING A WRITTEN REQUEST THEREFORE AND

 6    UPON PAYMENT OF A REASONABLE CHARGE, ALL OF THE FOLLOWING INFOR-

 7    MATION FOR THE GROUP POLICY OR CERTIFICATE FOR THE IMMEDIATELY

 8    PRECEDING 12-MONTH PERIOD:

 9         (A) TOTAL NUMBER OF INDIVIDUALS COVERED.

10         (B) TOTAL NUMBER OF CLAIMS PAID.




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 1         (C) TOTAL NUMBER OF CLAIMS PENDING.

 2         (D) TOTAL NUMBER OF CLAIMS EXCEEDING $50,000.00 AND THE

 3    AMOUNT OF EACH OF THOSE CLAIMS.  INFORMATION UNDER THIS SUBDIVI-

 4    SION SHALL NOT DISCLOSE PERSONAL DATA THAT MAY REVEAL THE IDEN-

 5    TITY OF A COVERED INDIVIDUAL.

 6         (E) CLAIMS EXPERIENCE DATA BY COVERAGE COMPONENT.

 7         (F) ALL PERTINENT INFORMATION THAT IS NECESSARY FOR THE

 8    PERSON TO OBTAIN COMPETITIVE BIDS FOR OTHER HEALTH CARE COVERAGE.








































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