This bill amends the Michigan Insurance Code of 1956, specifically section 2212a, to enhance the transparency and clarity of health insurance policies provided by insurers. It mandates that insurers deliver a written summary of health insurance policies in plain English, ensuring that it includes uniform definitions of insurance and medical terms, a detailed description of coverage and cost-sharing provisions, exceptions and limitations, and contact information for inquiries. Additionally, the summary must inform consumers whether the policy meets minimum essential coverage requirements and provide instructions for accessing further information, including provider networks and prescription drug coverage.

The bill also stipulates that insurers must provide this summary to applicants and insured individuals within specified timeframes, such as within seven business days after receiving an application or upon renewal of the policy. Furthermore, it requires insurers to furnish additional information upon request, including details about provider networks, professional credentials, prior authorization requirements, and financial relationships with providers. The amendments aim to ensure that consumers have access to clear and comprehensive information about their health insurance coverage, thereby promoting informed decision-making.

Statutes affected:
Senate Introduced Bill: 500.2212
As Passed by the Senate: 500.2212