Michigan Insurance Code of 1956, Chapter 38

What this document is

Michigan Insurance Code of 1956, Chapter 38 - Medicare Supplement Policies and Certificates (MCL 500.3801 to 500.3861) and Chapter 39 - Long-Term Care Insurance (MCL 500.3901 to 500.3955) is a state statute published by www.legislature.mi.gov. It is one of the Michigan documents that insurance license exam questions are written from, including michigan life & health practice questions. This page summarizes it and points to the official version, which is the text to rely on.

Sections cited in practice questions

Each practice answer shows the exact passage it comes from. These are sections of this document that questions cite, with a short excerpt from the source text.

• MCL ch. 500 § 3907(1) (Individual Long-Term Care Policy; Guaranteed Renewable Provision)

  “Each individual long-term care policy shall contain a guaranteed renewable provision. An insurer shall not cancel or otherwise terminate a long-term care insurance policy on the grounds of the age or the deterioration of the mental or physical health of the insured.”

• MCL ch. 500 § 3943(1) (Right to Return Policy; Notice)

  “Except as otherwise provided in subsection (2), an applicant for long-term care insurance shall have the right to return the policy within 30 days after its delivery and to have the entire premium refunded if, after examination of the policy, the applicant is not satisfied for any reason and...”

• MCL ch. 500 § 3821(1) (Issuance of Policy to Person Not Enrolled in Medicare Parts A and B Prohibited; Refund)

  “An insurer shall not issue an individual medicare supplement policy to a person who has not applied for or enrolled in medicare, parts A and B. If it is later determined that a person has not applied for or enrolled in medicare, parts A and B, an insurer shall refund all premiums received from the...”

• MCL ch. 500 § 3825 (Preexisting Diseases or Conditions; Waiver Prohibited)

  “A medicare supplement policy shall not use waivers to exclude, limit, or reduce coverage or benefits for specifically named or described preexisting diseases or physical conditions.”

• MCL ch. 500 § 3833 (Replacement Policy; Waiver of Certain Time Periods)

  “If a medicare supplement policy or certificate replaces another medicare supplement policy, certificate, or contract, the replacing insurer shall waive any time periods applicable to preexisting conditions, waiting periods, elimination periods, and probationary periods in the new medicare...”

• MCL 500.3839(2) and (3) (Michigan Insurance Code of 1956, Chapter 38 - Medicare Supplement Policies)

  “(2) If a medicare supplement policy is terminated by the group policyholder and is not replaced as provided under subsection (4), the issuer shall offer certificate holders an individual medicare supplement policy that at the option of the certificate holder provides for continuation of the...”

• MCL 500.3906(3) (Michigan Insurance Code of 1956, Chapter 39 - Long-Term Care Insurance)

  “(3) An individual long-term care policy or certificate shall not lapse or be terminated for nonpayment of premium unless the insurer, at least 30 days before the effective date of the lapse or termination, has given notice to the insured and to those persons designated under subsection (1), at the...”

• MCL 500.3915 (Michigan Insurance Code of 1956, Chapter 39 - Long-Term Care Insurance)

  “A long-term care insurance policy sold before, on, or after June 2, 1992 shall not condition benefits on any of the following: (a) The prior institutionalization of the insured. (b) Prior receipt of a higher level of institutional care.”

• MCL 500.3942(2) (Michigan Insurance Code of 1956, Chapter 39 - Long-Term Care Insurance)

  “(2) An insurer marketing long-term care insurance coverage in this state shall not use the term "level premium" or "noncancelable" unless the insurer does not have the right to change the premium for the product being marketed.”

• MCL ch. 500 § 3911(1) (Long-term care insurance; preexisting condition; limitation period)

  “A preexisting condition limitation period in a long-term care insurance policy, other than a group long-term care certificate described in section 3901(c)(i), shall not exceed 1 of the following: (a) Six months after the effective date of coverage.”

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