Section 500.3406i - Individual eligible under title XIX of social security act; assignment of rights of insured to department of social services.
THE INSURANCE CODE OF 1956 (EXCERPT)
Act 218 of 1956
500.3406i Individual eligible under title XIX of social security act; assignment of rights of insured to department of social services.
Sec. 3406i.
(1) An insurer shall not consider whether an individual is eligible for or has available medical assistance under title XIX of the social security act, chapter 531, 49 Stat. 620, 42 U.S.C. 1396 to 1396g and 1396i to 1396v, in this or another state when considering eligibility for coverage or making payments under its plan for eligible insureds.
(2) If an insurer has a legal liability to make payments, and payment for covered expenses for medical goods or services furnished to an individual has been made under the medical assistance program established under section 105 of the social welfare act, Act No. 280 of the Public Acts of 1939, being section 400.105 of the Michigan Compiled Laws, the department of social services has the rights of the individual to payment by the insurer to the extent payment was made by the department of social services's medical assistance program for those medical goods or services.
(3) If the department of social services has been assigned the rights of an insured who is eligible for medical assistance under section 105 of Act No. 280 of the Public Acts of 1939 and is covered by an insurer, the insurer shall not impose requirements on the department of social services that are different from requirements that apply to an agent or assignee of any other covered insured.
History: Add. 1995, Act 237, Eff. Mar. 28, 1996
Popular Name: Act 218