October 27, 2005, Introduced by Senators GEORGE, JOHNSON, BIRKHOLZ, TOY, CROPSEY, JELINEK, KUIPERS, McMANUS, HARDIMAN, VAN WOERKOM, GILBERT, BROWN, CASSIS, PATTERSON, SIKKEMA, SANBORN, BISHOP, STAMAS, ALLEN, GOSCHKA, GARCIA and HAMMERSTROM and referred to the Committee on Health Policy.
A bill to amend 1980 PA 350, entitled
"The nonprofit health care corporation reform act,"
(MCL 550.1101 to 550.1704) by adding section 414b.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 414b. A health care corporation shall offer group
wellness coverage that provides for an appropriate rebate of
premiums paid in the last calendar year for the wellness coverage
plan if the majority of the members in the wellness coverage plan
have enrolled and maintained participation in any health wellness,
maintenance, or improvement program offered by the employer. The
employer shall provide evidence of demonstrative maintenance or
improvement of the members' health status as determined by
assessments of agreed-upon health status indicators between the
employer and the health care corporation. Any rebate provided by
the health care corporation is presumed to be appropriate unless
credible data demonstrate otherwise, but shall not exceed 10% of
paid premiums.
(2) A health care corporation shall offer nongroup wellness
coverage that provides for an appropriate rebate of premiums paid
in the last calendar year if the individual or family is enrolled
in and maintains participation in any health wellness, maintenance,
or improvement program approved by the health care corporation. The
member shall provide evidence of demonstrative maintenance or
improvement of the individual's or family's health status as
determined by assessments of agreed-upon health status indicators
between the member and the health care corporation. Any rebate
provided by the health care corporation is presumed to be
appropriate unless credible data demonstrate otherwise, but shall
not exceed 10% of paid premiums.
(3) The premium rebate authorized by subsection (1) shall be
provided each year that subsection (1) is satisfied.
(4) The premium rebate authorized by subsection (2) shall be
provided each year that subsection (2) is satisfied.
Enacting section 1. This amendatory act takes effect January
1, 2006.