HOUSE BILL No. 5316

 

November 13, 2003, Introduced by Reps. Robertson and Julian and referred to the Committee on Insurance.

        

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1956 PA 218, entitled                                             

                                                                                

    "The insurance code of 1956,"                                               

                                                                                

    by amending section 3107 (MCL 500.3107), as amended by 1991 PA              

                                                                                

    191.                                                                        

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 3107.  (1)  Except as provided in subsection (2),                      

                                                                                

2   personal  Personal protection insurance benefits are payable for            

                                                                                

3   the following:                                                              

                                                                                

4       (a)  Allowable  Subject to section 3109a, allowable expenses                

                                                                                

5   consisting of all reasonable charges incurred for reasonably                

                                                                                

6   necessary products, services, and accommodations for an injured             

                                                                                

7   person's care, recovery, or rehabilitation.  Allowable expenses             

                                                                                

8   within personal protection insurance coverage shall not include             

                                                                                

9   charges for a hospital room in excess of a reasonable and                   

                                                                                

10  customary charge for semiprivate accommodations except if the               

                                                                                


                                                                                

1   injured person requires special or intensive care, or for funeral           

                                                                                

2   and burial expenses in the amount set forth in the policy which             

                                                                                

3   shall not be less than $1,750.00 or more than $5,000.00.                    

                                                                                

4       (b)  Work  Except as provided in subsection (2), work loss                  

                                                                                

5   consisting of loss of income from work an injured person would              

                                                                                

6   have performed during the first 3 years after the date of the               

                                                                                

7   accident if he or she had not been injured.  Work loss does not             

                                                                                

8   include any loss after the date on which the injured person                 

                                                                                

9   dies.  Because the benefits received from personal protection               

                                                                                

10  insurance for loss of income are not taxable income, the benefits           

                                                                                

11  payable for such loss of income shall be reduced 15% unless the             

                                                                                

12  claimant presents to the insurer in support of his or her claim             

                                                                                

13  reasonable proof of a lower value of the income tax advantage in            

                                                                                

14  his or her case, in which case the lower value shall apply.                 

                                                                                

15  Beginning March 30, 1973, the benefits payable for work loss                

                                                                                

16  sustained in a single 30-day period and the income earned by an             

                                                                                

17  injured person for work during the same period together shall not           

                                                                                

18  exceed $1,000.00, which maximum shall apply pro rata to any                 

                                                                                

19  lesser period of work loss.  Beginning October 1, 1974, the                 

                                                                                

20  maximum shall be adjusted annually to reflect changes in the cost           

                                                                                

21  of living under rules prescribed by the commissioner but any                

                                                                                

22  change in the maximum shall apply only to benefits arising out of           

                                                                                

23  accidents occurring subsequent to the date of change in the                 

                                                                                

24  maximum.                                                                    

                                                                                

25      (c) Expenses not exceeding $20.00 per day, reasonably                       

                                                                                

26  incurred in obtaining ordinary and necessary services in lieu of            

                                                                                

27  those that, if he or she had not been injured, an injured person            


                                                                                

1   would have performed during the first 3 years after the date of             

                                                                                

2   the accident, not for income but for the benefit of himself or              

                                                                                

3   herself or of his or her dependent.                                         

                                                                                

4       (2) A person who is 60 years of age or older and in the event               

                                                                                

5   of an accidental bodily injury would not be eligible to receive             

                                                                                

6   work loss benefits under subsection (1)(b) may waive coverage for           

                                                                                

7   work loss benefits by signing a waiver on a form provided by the            

                                                                                

8   insurer.  An insurer shall offer a reduced premium rate to a                

                                                                                

9   person who waives coverage under this subsection for work loss              

                                                                                

10  benefits.  Waiver of coverage for work loss benefits applies only           

                                                                                

11  to work loss benefits payable to the person or persons who have             

                                                                                

12  signed the waiver form.                                                     

                                                                                

13      Enacting section 1.  This amendatory act does take effect                   

                                                                                

14  unless Senate Bill No. _______ or House Bill No. 5314  (request             

                                                                                

15  no. 04909'03) of the 92nd Legislature is enacted into law.