HOUSE BILL No. 6316


     September 17, 2002, Introduced by Rep. Wojno and referred to the Committee on Family and Children Services.


        A bill to amend 1995 PA 239, entitled

   "Group health plan act,"

   by amending section 7 (MCL 550.1807).

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

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             Sec. 7.  (1) If a parent is eligible for dependent coverage

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        through a plan, the plan administrator shall:

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             (a) Permit the parent to enroll, under the dependent cover-

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        age, a child who is otherwise eligible for coverage without

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        regard to any enrollment season restrictions.

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             (b) If the parent is enrolled but fails to make application

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        to obtain coverage for the child, enroll the child under depen-

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        dent coverage upon application by the friend of the  court  CHILD

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        or by the child's other parent through the friend of the  court

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        CHILD.




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             (c) Not eliminate the child's coverage unless premiums have

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        not been paid as required by the plan or the plan administrator

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        is provided with satisfactory written evidence of either of the

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        following:

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             (i) The court or administrative order is no longer in

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        effect.

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             (ii) The child is or will be enrolled in comparable health

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        coverage through another plan, insurer, health care corporation,

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        or health maintenance organization that will take effect not

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        later than the effective date of the cancellation of the existing

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        coverage.

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             (2) If a child has health coverage through the plan of a

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        noncustodial parent, that plan administrator shall do all of the

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        following:

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             (a) Provide the custodial parent with information necessary

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        for the child to obtain benefits through that coverage.

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             (b) Permit the custodial parent or, with the custodial

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        parent's approval, the provider to submit a claim for covered

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        services without the noncustodial parent's approval.

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             (c) Make payment on claims submitted under subdivision (b)

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        directly to the custodial parent or medical provider.

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             (3) This section applies only if a parent is required by a

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        court or administrative order to provide health coverage for a

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        child and the plan is notified of that court or administrative

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        order.

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             Enacting section 1.  This amendatory act does not take

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        effect unless Senate Bill No. _____ or House Bill No. 6317



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        (request no. 07684'02) of the 91st Legislature is enacted into

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        law.




















































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