Michigan insurance laws

What it would do: Requires health insurers delivering, issuing, or renewing health insurance policies in Michigan to cover group prenatal care services, defined as up to 12 prenatal visits in groups of at least 3 people based on evidence-based models.

What it would do: Eliminates the 10% single-risk limit for title insurers that obtained certificates of authority before the amendment's effective date, allowing them up to 50% of paid-up capital and surplus per risk instead.

What it would do: Beginning January 1, 2027, establishes new caps on public employer medical benefit plan contributions: $8,258.54 for single coverage, $17,271.17 for individual-and-spouse or individual-plus-one coverage, and $22,523.34 for family coverage, with annual adjustments based on Michigan health insurance rates or 3%, whichever is greater.

What it would do: Establishes a state-regulated small business health pool program allowing Michigan-domiciled nonprofit associations to sponsor health coverage for employers with fewer than 500 employees and self-employed individuals, with a state-funded reinsurance program covering 60% of eligible claims between $75,000 and $250,000 per covered life annually.

What it would do: Allows foreign credit unions to conduct business in Michigan with commissioner approval if they meet requirements including financial solvency, insurance from a federal agency or qualified private insurance organization, and compliance with state consumer protection laws and interest rate limits.

What it would do: Expands unfair insurance practices to include claims handling conduct, requires insurers to pay claims timely or pay 12% interest, and creates a private right of action allowing insureds and claimants to sue insurers for violations and recover damages including attorney fees and punitive damages.

What it would do: Requires insurers to reduce the total premium for new automobile insurance policies or first renewals after the effective date by 10%, without reducing any coverage requested by the insured.

What it would do: Allows insurers to claim a credit against taxes imposed under section 476a equal to the state low-income housing tax credit they would be eligible to claim as qualified taxpayers under the income tax act, effective for tax years beginning January 1, 2027.

What it would do: Amends the Insurance Code to update references to health insurance exchanges, replacing references to the Affordable Care Act's exchange provisions with references to the Michigan Health Insurance Exchange Act, and clarifies definitions and requirements for navigators and certified application counselors.

What it would do: Requires the director to contract with the Michigan health insurance exchange to certify qualified health plans and qualified dental plans, and directs the director to establish certification criteria by rule under federal law.

What it would do: Requires health insurers to provide written summaries of health insurance policies in plain English containing specified information about coverage, cost-sharing, exceptions, and network providers, and directs insurers to provide requested information about provider networks and credentials.

What it would do: Requires the Michigan Department of Insurance and Financial Services to apply for a federal section 1332 state innovation waiver to establish a reinsurance program, including public review, legislative notification, and a public hearing within 180 days.

What it would do: Amends health insurer requirements for formulary-based prescription drug coverage to require participation of providers in formulary development, disclosure of restrictions, and exceptions for medically necessary nonformulary drugs. Repeals section 3406w.

What it would do: Requires health insurers delivering or renewing policies in Michigan to cover all adverse consequences of gender transition procedures, annual health monitoring, and procedures to reverse gender transition, regardless of when the enrollee underwent the original procedure.

What it would do: Amends the Guaranteed Asset Protection Waiver Act to update references to the Motor Vehicle Sales Finance Act and Retail Installment Sales Act, revise the definition of Commissioner to reference the director of the department of insurance and financial services, and clarify that a free look period must be at least 30 days.

What it would do: Amends the Insurance Code of 1956 to revise definitions in section 4601, including terms related to captive insurance companies, affiliated companies, industrial insureds, sponsored captive insurance companies, and other insurance-related entities and concepts.

What it would do: Urges the federal government to issue clarifying rules or guidance requiring that claims subject to state surprise billing laws must go through state dispute resolution processes rather than the federal independent dispute resolution process.

What it would do: Modifies requirements for sponsors of sponsored captive insurance companies to include captive insurance companies authorized under this chapter, and requires director approval based on safety, reliability, and public confidence criteria.

What it would do: Modifies requirements for special purpose financial captive insurers' plans of operation and reporting, including changes to financial statement filing deadlines, counterparty swap substitution rules, and reporting format requirements to the insurance commissioner.

What it would do: Amends the process for obtaining a limited certificate of authority to transact insurance or reinsurance business as a Special Purpose Financial Captive (SPFC), reducing the application fee from $10,000 to $5,000 and changing the annual renewal fee payment deadline from March 1 to 90 days after the SPFC's fiscal year ends.

What it would do: Amends the definition of who may participate in a sponsored captive insurance company to clarify that participants need not be shareholders or affiliates, and that participants may insure risks of controlled unaffiliated businesses with commissioner approval.

What it would do: Amends the captive insurance company limited certificate of authority requirements by reducing the application processing fee from $10,000 to $5,000 and establishing a $2,700 examination fee for internal resource use.

What it would do: Modifies captive insurance company reporting requirements by changing the annual renewal fee payment deadline from March 1 to not later than 90 days after fiscal year end, and makes technical corrections replacing references to commissioner with director.