HOUSE BILL No. 5489

 

November 28, 2007, Introduced by Rep. Polidori and referred to the Committee on Tax Policy.

 

      A bill to amend 1956 PA 218, entitled

 

"The insurance code of 1956,"

 

by amending sections 224, 440a, 443, 476a, 476b, 1239, 2352,

 

2954, 3390, and 5208 (MCL 500.224, 500.440a, 500.443, 500.476a,

 

500.476b, 500.1239, 500.2352, 500.2954, 500.3390, and 500.5208),

 

section 224 as amended by 2001 PA 143, section 440a as added and

 

section 443 as amended by 1990 PA 256, section 476a as amended

 

by 1998 PA 121, sections 476b, 2352, 2954, and 3390 as added by

 

1987 PA 261, section 1239 as added by 2001 PA 228, and section

 

5208 as amended by 2002 PA 146.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

 1        Sec. 224. (1) All actual and necessary expenses incurred in

 

 2  connection with the examination or other investigation of an

 

 3  insurer or other person regulated under the commissioner's


 

 1  authority shall be certified by the commissioner, together with a

 

 2  statement of the work performed including the number of days

 

 3  spent by the commissioner and each of the commissioner's

 

 4  deputies, assistants, employees, and others acting under the

 

 5  commissioner's authority. If correct, the expenses shall be paid

 

 6  to the persons by whom they were incurred, upon the warrant of

 

 7  the state treasurer payable from appropriations made by the

 

 8  legislature for this purpose.

 

 9        (2) Except as otherwise provided in subsection (4), the

 

10  commissioner shall prepare and present to the insurer or other

 

11  person examined or investigated a statement of the expenses and

 

12  reasonable cost incurred for each person engaged upon the

 

13  examination or investigation, including amounts necessary to

 

14  cover the pay and allowances granted to the persons by the

 

15  Michigan civil service commission, and the administration and

 

16  supervisory expense including an amount necessary to cover fringe

 

17  benefits in conjunction with the examination or investigation.

 

18  Except as otherwise provided in subsection (4), the insurer or

 

19  other person, upon receiving the statement, shall pay to the

 

20  commissioner the stated amount. The commissioner shall deposit

 

21  the funds with the state treasurer as provided in section 225.

 

22        (3) The commissioner may employ attorneys, actuaries,

 

23  accountants, investment advisers, and other expert personnel not

 

24  otherwise employees of this state reasonably necessary to assist

 

25  in the conduct of the examination or investigation or proceeding

 

26  with respect to an insurer or other person regulated under the

 

27  commissioner's authority at the insurer's or other person's


 

 1  expense except as otherwise provided in subsection (4). Except as

 

 2  otherwise provided in subsection (4), upon certification by the

 

 3  commissioner of the reasonable expenses incurred under this

 

 4  section, the insurer or other person examined or investigated

 

 5  shall pay those expenses directly to the person or firm rendering

 

 6  assistance to the commissioner. Expenses paid directly to such

 

 7  person or firm and the regulatory fees imposed by this section

 

 8  shall be examination expenses under section 22e of the single

 

 9  business tax act, 1975 PA 228, MCL 208.22e 239(1) of the Michigan

 

10  business tax act, 2007 PA 36, MCL 208.1239.

 

11        (4) An insurer is subject to a regulatory fee instead of the

 

12  costs and expenses provided for in subsections (2) and (3). By

 

13  June 30 of each year or within 30 days after the enactment into

 

14  law of any appropriation for the insurance bureau's operation,

 

15  the commissioner shall impose upon all insurers authorized to do

 

16  business in this state a regulatory fee calculated as follows:

 

17        (a) As used in this subsection:

 

18        (i) "A" means total annuity considerations written in this

 

19  state in the immediately preceding year.

 

20        (ii) "B" means base assessment rate. The base assessment rate

 

21  shall not exceed .00038 and shall be a fraction the numerator of

 

22  which is the total regulatory fee and the denominator of which is

 

23  the total amount of direct underwritten premiums written in this

 

24  state by all insurers for the immediately preceding calendar year

 

25  as reported to the commissioner on the insurer's annual

 

26  statements filed with the commissioner.

 

27        (iii) "I" means all direct underwritten premiums other than


 

 1  life insurance premiums and annuity considerations written in

 

 2  this state in the immediately preceding year by all insurers.

 

 3        (iv) "L" means all direct underwritten life insurance

 

 4  premiums written in this state in the immediately preceding year

 

 5  by all life insurers.

 

 6        (v) Total regulatory fee shall not exceed 80% of the gross

 

 7  appropriations for the insurance bureau's operation for a fiscal

 

 8  year and shall be the difference between the gross appropriations

 

 9  for the insurance bureau's operation for that current fiscal year

 

10  and any restricted revenues, other than the regulatory fee

 

11  itself, as identified in the gross appropriation for the

 

12  insurance bureau's operation.

 

13        (vi) Direct premiums written in this state do not include any

 

14  amounts that represent claims payments that are made on behalf

 

15  of, or administrative fees that are paid in connection with, any

 

16  administrative service contract, cost-plus arrangement, or any

 

17  other noninsured or self-insured business.

 

18        (b) Two actual assessment rates shall be calculated so as to

 

19  distribute 75% of the burden of the regulatory fee shortfall

 

20  created by the exclusion of annuity considerations from the

 

21  assessment base to life insurance and 25% to all other insurance.

 

22  The 2 actual assessment rates shall be determined as follows:

 

 

23      (i)    L x B + .75 x B x A = assessment rate for life

24                     L            insurance.

25      (ii)    I x B = .25 x B x A = assessment rate for insurance

26                     I            other than life insurance.

 

 


 1        (c) Each insurer's regulatory fee shall be a minimum fee of

 

 2  $250.00 and shall be determined by multiplying the actual

 

 3  assessment rate by the assessment base of that insurer as

 

 4  determined by the commissioner from the insurer's annual

 

 5  statement for the immediately preceding calendar year filed with

 

 6  the commissioner.

 

 7        (5) Not less than 67% of the revenue derived from the

 

 8  regulatory fee under subsection (4) shall be used for the

 

 9  regulation of financial conduct of persons regulated under the

 

10  commissioner's authority and for the regulation of persons

 

11  regulated under the commissioner's authority engaged in the

 

12  business of health care and health insurance in this state.

 

13        (6) The amount, if any, by which amounts credited to the

 

14  commissioner pursuant to section 225 exceed actual expenditures

 

15  pursuant to appropriations for the insurance bureau's operation

 

16  for a fiscal year shall be credited toward the appropriation for

 

17  the insurance bureau in the next fiscal year.

 

18        (7) All money paid into the state treasury by an insurer

 

19  under this section shall be credited as provided under section

 

20  225.

 

21        (8) A regulatory fee under this section shall not be treated

 

22  by an insurer as a levy or excise upon premium but as a

 

23  regulatory burden that is apportioned in relation to insurance

 

24  activity in this state and reflects the insurance regulatory

 

25  burden on this state as a result of this insurance activity. A

 

26  foreign or alien insurer authorized to do business in this state

 

27  may consider the liability required under this section as a

 


 1  burden imposed by this state in the calculation of the insurer's

 

 2  liability required under section 476a.

 

 3        (9) An insurer may file with the commissioner a protest to

 

 4  the regulatory fee imposed not later than 15 days after receipt

 

 5  of the regulatory fee. The commissioner shall review the grounds

 

 6  for the protest and shall hold a conference with the insurer at

 

 7  the insurer's request. The commissioner shall transmit his or her

 

 8  findings to the insurer with a restatement of the regulatory fee

 

 9  based upon the findings. Statements of regulatory fees to which

 

10  protests have not been made and restatements of regulatory fees

 

11  are due and shall be paid not later than 30 days after their

 

12  receipt. Regulatory fees that are not paid when due bear interest

 

13  on the unpaid fee which shall be calculated at 6-month intervals

 

14  from the date the fee was due at a rate of interest equal to 1%

 

15  plus the average interest rate paid at auctions of 5-year United

 

16  States treasury notes during the 6 months immediately preceding

 

17  July 1 and January 1, as certified by the state treasurer, and

 

18  compounded annually, until the assessment is paid in full. An

 

19  insurer who fails to pay its regulatory fee within the prescribed

 

20  time limits may have its certificate of authority or license

 

21  suspended, limited, or revoked as the commissioner considers

 

22  warranted until the regulatory fee is paid. If the commissioner

 

23  determines that a regulatory fee or a part of a regulatory fee

 

24  paid by an insurer is in excess of the amount legally due and

 

25  payable, the amount of the excess shall be refunded or, at the

 

26  insurer's option, be applied as a credit against the regulatory

 

27  fee for the next fiscal year. An overpayment of $100.00 or less

 


 1  shall be applied as a credit against the insurer's regulatory fee

 

 2  for the next fiscal year unless the insurer had a $100.00 or less

 

 3  overpayment in the immediately preceding fiscal year. If the

 

 4  insurer had a $100.00 or less overpayment in the immediately

 

 5  preceding fiscal year, at the insurer's option, the current

 

 6  fiscal year overpayment of $100.00 or less shall be refunded.

 

 7        (10) Any amounts stated and presented to or certified,

 

 8  assessed, or imposed upon an insurer as provided in subsections

 

 9  (2), (3), and (4) that are unpaid as of the date that the insurer

 

10  is subjected to a delinquency proceeding pursuant to chapter 81

 

11  shall be regarded as an expense of administering the delinquency

 

12  proceeding and shall be payable as such from the general assets

 

13  of the insurer.

 

14        (11) In addition to the regulatory fee provided in

 

15  subsection (4), each insurer that locates records or personnel

 

16  knowledgeable about those records outside this state pursuant to

 

17  section 476a(3) or section 5256 shall reimburse the insurance

 

18  bureau for expenses and reasonable costs incurred by the

 

19  insurance bureau as a result of travel and other costs related to

 

20  examinations or investigations of those records or personnel. The

 

21  reimbursement shall not include any costs that the insurance

 

22  bureau would have incurred if the examination had taken place in

 

23  this state.

 

24        (12) As used in this section:

 

25        (a) "Annuity considerations" means receipts on the sale of

 

26  annuities as used in section 22a of the single business tax act,

 

27  1975 PA 228, MCL 208.22a 235 of the Michigan business tax act,

 


 1  2007 PA 36, MCL 208.1235.

 

 2        (b) "Insurer" means an insurer authorized to do business in

 

 3  this state and includes nonprofit health care corporations,

 

 4  dental care corporations, and health maintenance organizations.

 

 5        Sec. 440a. (1) Beginning August 3, 1987, an insurer that is

 

 6  subject to the worker's disability compensation act of 1969, Act

 

 7  No. 317 of the Public Acts of 1969, being sections 418.101 to

 

 8  418.941 of the Michigan Compiled Laws 1969 PA 317, MCL 418.101 to

 

 9  418.941, may credit against the tax imposed by section 476a or

 

10  the fee imposed by section 476c an amount equal to the amount

 

11  paid during that tax year by the insurer under section 352 of Act

 

12  No. 317 of the Public Acts of 1969, being section 418.352 of the

 

13  Michigan Compiled Laws the worker's disability compensation act

 

14  of 1969, 1969 PA 317, MCL 418.352, as certified by the director

 

15  of the bureau of worker's disability compensation under section

 

16  391 of Act No. 317 of the Public Acts of 1969, being section

 

17  418.391 of the Michigan Compiled Laws the worker's disability

 

18  compensation act of 1969, 1969 PA 317, MCL 418.391.

 

19        (2) The credit under this section shall be claimed in the

 

20  manner prescribed by the revenue commissioner.

 

21        (3) A taxpayer claiming a credit under this section shall

 

22  claim a portion of the credit allowed by this section equal to

 

23  the payments made during a calendar quarter pursuant to section

 

24  352 of Act No. 317 of the Public Acts of 1969 the worker's

 

25  disability compensation act of 1969, 1969 PA 317, MCL 418.352,

 

26  against the quarterly payments required under section 443. The

 

27  state treasurer shall refund a credit in excess of a quarterly

 


 1  payment to the taxpayer on a quarterly basis within 60 days after

 

 2  receipt of a properly completed quarterly filing as required by

 

 3  this act. A subsequent increase or decrease in the amount claimed

 

 4  for payments made by the insurer or self-insurer shall be

 

 5  reflected in the amount of the credit taken for the calendar

 

 6  quarter in which the amount of the adjustment is finalized.

 

 7        (4) Except as otherwise provided in this subsection, the

 

 8  state treasurer shall refund, without interest, a credit under

 

 9  this section that is in excess of the insurer's tax liability or

 

10  fee amount for the calendar year to the insurer within 60 days

 

11  after receipt of a properly completed annual tax return as

 

12  required by this act. The state treasurer shall only make a

 

13  refund to an insurer whose tax liability or fee amount under this

 

14  act is greater than its tax liability under the single business

 

15  tax act, Act No. 228 of the Public Acts of 1975, being sections

 

16  208.1 to 208.145 of the Michigan Compiled Laws Michigan business

 

17  tax act, 2007 PA 36, MCL 208.1101 to 208.1601.

 

18        (5) This section shall be applied retroactively to August 3,

 

19  1987.

 

20        Sec. 443. (1) Before April 30, July 31, October 31, and

 

21  January 31 of each year, each foreign insurer admitted to do

 

22  insurance business in this state and subject to the tax

 

23  prescribed in section 476a shall pay to the state treasurer,

 

24  accompanied by forms prescribed by the revenue commissioner,

 

25  quarterly installments of the insurer's total estimated tax for

 

26  the current year. Failure of an insurer to make quarterly

 

27  payments of at least 1/4 of either of the following shall subject

 


 1  the insurer to the penalty and interest prescribed in Act No. 122

 

 2  of the Public Acts of 1941, being sections 205.1 to 205.31 of the

 

 3  Michigan Compiled Laws 1941 PA 122, MCL 205.1 to 205.31:

 

 4        (a) If the preceding year's liability was $20,000.00 or

 

 5  less, the total tax liability of the insurer for the previous

 

 6  calendar year. For purposes of this subdivision, an insurer's tax

 

 7  liability for the previous calendar year shall be considered to

 

 8  be the amount of tax imposed that year under section 476a or

 

 9  under the single business tax act, Act No. 228 of the Public Acts

 

10  of 1975, being sections 208.1 to 208.145 of the Michigan Compiled

 

11  Laws Michigan business tax act, 2007 PA 36, MCL 208.1101 to

 

12  208.1601, whichever is greater.

 

13        (b) Eighty-five percent of the actual tax liability of the

 

14  insurer for the current calendar year.

 

15        (2) Annually before March 1, each insurer described in

 

16  subsection (1) shall make and file with the revenue commissioner

 

17  its statement showing all of the data necessary for computation

 

18  of its taxes under this chapter, upon forms and including

 

19  information that the revenue commissioner prescribes, and shall

 

20  pay any additional amount due for the preceding calendar year.

 

21  The failure to file the statement with the revenue commissioner

 

22  does not excuse or relieve an insurer from the payment of the tax

 

23  that is justly due.

 

24        Sec. 476a. (1) Beginning August 3, 1987, whenever, by a law

 

25  in force outside of this state or country, a domestic insurer or

 

26  agent of a domestic insurer is required to make a deposit of

 

27  securities for the protection of policyholders or otherwise, or

 


 1  to make payment for taxes, fines, penalties, certificates of

 

 2  authority, valuation of policies, or otherwise, or a special

 

 3  burden or other burden is imposed, greater in the aggregate than

 

 4  is required by the laws of this state for a similar alien or

 

 5  foreign insurer or agent of an alien or foreign insurer, the

 

 6  alien or foreign insurer of that state or country is required, as

 

 7  a condition precedent to its transacting business in this state,

 

 8  to make a like deposit for like purposes with the state treasurer

 

 9  of this state, and to pay to the revenue commissioner for taxes,

 

10  fines, penalties, certificates of authority, valuation of

 

11  policies, and otherwise an amount equal in the aggregate to the

 

12  charges and payments imposed by the laws of the other state or

 

13  country upon a similar domestic insurer and the agents of a

 

14  domestic insurer, regardless of whether a domestic insurer or

 

15  agent of a domestic insurer is actually transacting business in

 

16  that state or country. For fire department or salvage corps taxes

 

17  or other local taxes the amount shall be computed by the revenue

 

18  commissioner by dividing the total of the payments made by

 

19  domestic insurers in that state or country by the gross premium

 

20  received by domestic insurers in that state or country less

 

21  return premiums. The commissioner shall revoke the certificate of

 

22  authority of an alien or foreign insurer refusing for 30 days to

 

23  make payment of fees or taxes as required by this chapter. Except

 

24  as provided in subsections (3) and (4), for purposes of this

 

25  section, an insurer organized under the laws of a state or

 

26  country other than these United States shall be considered an

 

27  insurer of the state in which its general deposit for the benefit

 


 1  of its policyholders is made.

 

 2        (2) The purpose of this section is to promote the interstate

 

 3  business of domestic insurers by deterring other states from

 

 4  enacting discriminatory or excessive taxes.

 

 5        (3) Subsection (4) does not apply to a domestic insurer that

 

 6  is owned or controlled, directly or indirectly, by an alien or

 

 7  foreign insurer who prior to 1998 and with the commissioner's

 

 8  approval did not keep books, records, and files or true copies

 

 9  thereof in this state.

 

10        (4) For purposes of this section, the state treasurer, after

 

11  consultation with the commissioner, shall determine that a

 

12  domestic insurer is an alien or foreign insurer domiciled in a

 

13  state or country determined by the state treasurer if the insurer

 

14  does not comply with all of the following:

 

15        (a) Maintain its principal place of business in this state.

 

16        (b) Maintain in this state officers and personnel

 

17  responsible for and knowledgeable of the company's operation,

 

18  books, records, administration, and annual statement.

 

19        (c) Conduct in this state a substantial portion of its

 

20  underwriting, sales, claims, legal, and, if applicable, medical

 

21  operations relating to Michigan policyholders and certificate

 

22  holders.

 

23        (d) Comply with section 5256(1)(a) and (2) through (6). The

 

24  commissioner shall inform the state treasurer when a domestic

 

25  insurer is not in compliance with section 5256(1)(a) or (2)

 

26  through (6).

 

27        (5) Taxes collected pursuant to this section are subject to

 


 1  section 22d of the single business tax act, 1975 PA 228, MCL

 

 2  208.22d.

 

 3        (5) (6) The state treasurer shall administer the tax

 

 4  prescribed by this section in the manner provided in 1941 PA 122,

 

 5  MCL 205.1 to 205.31.

 

 6        (6) (7) The requirements of section 28 of 1941 PA 122, MCL

 

 7  205.28, that prohibit an employee or an authorized representative

 

 8  or former employee or authorized representative or anyone

 

 9  connected with the department of treasury from divulging any

 

10  facts or information obtained in connection with the

 

11  administration of taxes, do not apply to disclosure of the tax

 

12  return prescribed in this act.

 

13        Sec. 476b. An authorized insurer subject to tax under this

 

14  chapter on August 2, 1987 shall be liable for the payment of the

 

15  tax under sections 440 to 476 for the 1987 tax year as calculated

 

16  on August 2, 1987. Beginning August 3, 1987, authorized

 

17  Authorized insurers shall be are subject to the tax as provided

 

18  in section 476a if applicable or the single business tax, Act No.

 

19  228 of the Public Acts of 1975, being sections 208.1 to 208.145

 

20  of the Michigan Compiled Laws Michigan business tax act, 2007 PA

 

21  36, MCL 208.1101 to 208.1601, whichever is greater.

 

22        Sec. 1239. (1) In addition to any other powers under this

 

23  act, the commissioner may place on probation, suspend, revoke, or

 

24  refuse to issue an insurance producer's license or may levy a

 

25  civil fine under section 1244 or any combination of actions for

 

26  any 1 or more of the following causes:

 

27        (a) Providing incorrect, misleading, incomplete, or

 


 1  materially untrue information in the license application.

 

 2        (b) Violating any insurance laws or violating any

 

 3  regulation, subpoena, or order of the commissioner or of another

 

 4  state's insurance commissioner.

 

 5        (c) Obtaining or attempting to obtain a license through

 

 6  misrepresentation or fraud.

 

 7        (d) Improperly withholding, misappropriating, or converting

 

 8  any money or property received in the course of doing insurance

 

 9  business.

 

10        (e) Intentionally misrepresenting the terms of an actual or

 

11  proposed insurance contract or application for insurance.

 

12        (f) Having been convicted of a felony.

 

13        (g) Having admitted or been found to have committed any

 

14  insurance unfair trade practice or fraud.

 

15        (h) Using fraudulent, coercive, or dishonest practices or

 

16  demonstrating incompetence, untrustworthiness, or financial

 

17  irresponsibility in the conduct of business in this state or

 

18  elsewhere.

 

19        (i) Having an insurance producer license or its equivalent

 

20  denied, suspended, or revoked in any other state, province,

 

21  district, or territory.

 

22        (j) Forging another's name to an application for insurance

 

23  or to any document related to an insurance transaction.

 

24        (k) Improperly using notes or any other reference material

 

25  to complete an examination for an insurance license.

 

26        (l) Knowingly accepting insurance business from an individual

 

27  who is not licensed.

 


 1        (m) Failing to comply with an administrative or court order

 

 2  imposing a child support obligation.

 

 3        (n) Failing to pay single Michigan business tax or comply

 

 4  with any administrative or court order directing payment of

 

 5  single Michigan business tax.

 

 6        (2) Before the commissioner denies an application for a

 

 7  license, the commissioner shall notify in writing the applicant

 

 8  or licensee of the denial and of the reason for the denial. Not

 

 9  later than 30 days after this written denial, the applicant or

 

10  licensee may make written demand upon the commissioner for a

 

11  hearing before the commissioner to determine the reasonableness

 

12  of the commissioner's action. A hearing under this subsection

 

13  shall be held pursuant to the administrative procedures act of

 

14  1969, 1969 PA 306, MCL 24.201 to 24.328.

 

15        (3) The license of a business entity may be suspended,

 

16  revoked, or refused if the commissioner finds, after hearing,

 

17  that an individual licensee's violation was known or should have

 

18  been known by 1 or more of the partners, officers, or managers

 

19  acting on behalf of the partnership or corporation and the

 

20  violation was neither reported to the commissioner nor corrective

 

21  action taken.

 

22        (4) In addition to or in lieu of any applicable denial,

 

23  suspension, or revocation of a license, a person may, after

 

24  hearing, be subject to a civil fine under section 1244.

 

25        (5) In addition to the penalties under this section, the

 

26  commissioner may enforce the provisions of and impose any penalty

 

27  or remedy authorized by this act against any person who is under

 


 1  investigation for or charged with a violation of this act even if

 

 2  the person's license or registration has been surrendered or has

 

 3  lapsed by operation of law.

 

 4        Sec. 2352. Determinations made by the commissioner pursuant

 

 5  to this chapter shall be made independent of the credits provided

 

 6  to insurers pursuant to the single business tax act, Act No. 228

 

 7  of the Public Acts of 1975, being sections 208.1 to 208.145 of

 

 8  the Michigan Compiled Laws Michigan business tax act, 2007 PA 36,

 

 9  MCL 208.1101 to 208.1601.

 

10        Sec. 2954. Determinations made by the commissioner pursuant

 

11  to this chapter shall be made independent of the credits provided

 

12  to insurers pursuant to the single business tax act, Act No. 228

 

13  of the Public Acts of 1975, being sections 208.1 to 208.145 of

 

14  the Michigan Compiled Laws Michigan business tax act, 2007 PA 36,

 

15  MCL 208.1101 to 208.1601.

 

16        Sec. 3390. Determinations made by the commissioner pursuant

 

17  to this chapter shall be made independent of the credits provided

 

18  to insurers pursuant to the single business tax act, Act No. 228

 

19  of the Public Acts of 1975, being sections 208.1 to 208.145 of

 

20  the Michigan Compiled Laws Michigan business tax act, 2007 PA 36,

 

21  MCL 208.1101 to 208.1601.

 

22        Sec. 5208. (1) The corporate powers of an insurer

 

23  incorporated in this state is limited to the issuance of policies

 

24  insuring persons or property or other hazards in the state of

 

25  domicile and in other states from which it has received authority

 

26  to transact insurance business from the insurance department of

 

27  that state, and to the provision of services of the kind it

 


 1  performs in the normal conduct of its insurance business whether

 

 2  or not those services are performed in connection with an

 

 3  insurance contract. This section does not apply to insurers

 

 4  organized in compliance with the insurance laws of this state,

 

 5  which cannot be properly authorized in other states, because the

 

 6  laws of those states do not permit the writing of the class or

 

 7  kind of insurance written by those insurers.

 

 8        (2) For services provided under subsection (1) that are

 

 9  performed in connection with a noninsured benefit plan, all of

 

10  the following apply:

 

11        (a) An insurer's fees for services rendered shall be on a

 

12  basis that precludes cost transfers between individuals receiving

 

13  those services and policyholders of the insurer.

 

14        (b) Any insurer providing services described in subsection

 

15  (1) in connection with a noninsured benefit plan shall offer a

 

16  program of specific or aggregate excess loss insurance.

 

17        (c) Except as provided in subdivision (d), an insurer

 

18  providing the services described in subsection (1) in connection

 

19  with a noninsured benefit plan shall not enter into the service

 

20  contract for a plan covering a group of less than 500

 

21  individuals. However, an insurer may continue a service contract

 

22  for a plan covering a group of less than 500 individuals if the

 

23  contract was in existence on December 29, 1981.

 

24        (d) An insurer may enter into a service contract for a plan

 

25  covering a group of less than 500 individuals if either the

 

26  insurer makes arrangements for excess loss insurance or the

 

27  sponsor of the plan that covers the individuals is liable for the

 


 1  plan's liabilities and is a sponsor of 1 or more plans covering

 

 2  500 or more individuals in the aggregate. The commissioner, upon

 

 3  obtaining the advice of insurers, shall establish the standards

 

 4  for the manner and amount of the excess loss insurance required

 

 5  by this subdivision. It is the intent of the legislature that the

 

 6  excess loss insurance requirements be uniform as between insurers

 

 7  and other persons authorized to provide similar services.

 

 8        (e) An insurer providing the services described in

 

 9  subsection (1) in connection with a noninsured benefit plan shall

 

10  comply with section 5208a.

 

11        (f) A service contract containing an administrative services

 

12  only arrangement between an insurer and a governmental entity not

 

13  subject to ERISA, whose plan provides coverage under a collective

 

14  bargaining agreement utilizing a policy or certificate issued by

 

15  an insurer, health care corporation, dental care corporation, or

 

16  health maintenance organization before the signing of the service

 

17  contract, is void unless the governmental entity has provided the

 

18  notice described in section 5208a(8) to the collective bargaining

 

19  agent and to the members of the collective bargaining unit not

 

20  less than 30 days before signing the service contract. The

 

21  voiding of a service contract under this subdivision does not

 

22  relieve the governmental entity of any obligations to the insurer

 

23  under the service contract.

 

24        (3) Nothing in this section shall be construed to permit an

 

25  actionable interference by an insurer with the rights and

 

26  obligations of the parties under a collective bargaining

 

27  agreement.

 


 1        (4) Services provided under subsection (1) that are

 

 2  performed in connection with a noninsured benefit plan shall be

 

 3  considered a business activity that is not an insurance carrier

 

 4  service and are subject to tax as authorized by the single

 

 5  business tax act, 1975 PA 228, MCL 208.1 to 208.145 Michigan

 

 6  business tax act, 2007 PA 36, MCL 208.1101 to 208.1601.

 

 7        (5) An insurer shall report with its annual statement the

 

 8  amount of business it has conducted as services provided under

 

 9  subsection (1) that are performed in connection with a noninsured

 

10  benefit plan, and the commissioner shall annually transmit this

 

11  information to the state commissioner of revenue.

 

12        (6) An employee covered under a noninsured benefit plan for

 

13  which services are provided under a service contract authorized

 

14  under subsection (1) is not liable for that portion of claims

 

15  incurred and subject to payment under the plan if the service

 

16  contract is entered into between an employer and insurer, unless

 

17  that portion of the claim has been paid directly to the employee.

 

18        (7) As used in this section, "noninsured benefit plan" or

 

19  "plan" means a benefit plan without insurance or the noninsured

 

20  portion of a benefit plan that has specific or aggregate excess

 

21  loss insurance.