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Terms Used In Michigan Laws 500.3557

  • Director: means , unless the context clearly implies a different meaning, the director of the department. See Michigan Laws 500.102
  • Health maintenance organization: means a person that, among other things, does the following:
    (i) Delivers health services that are medically necessary to enrollees under the terms of its health maintenance contract, directly or through contracts with affiliated providers, in exchange for a fixed prepaid sum or per capita prepayment, without regard to the frequency, extent, or kind of health services. See Michigan Laws 500.3501
    A health maintenance organization shall file notice with the director of any substantive changes in operations within 30 days after the substantive change in operations occurs. A substantive change in operations includes, but is not limited to, any of the following:
    (a) A change in the health maintenance organization’s officers or directors. In addition to the notification, the health maintenance organization shall file a disclosure statement on a form prescribed by the director for each newly appointed or elected officer or director.
    (b) A change in the location of corporate offices.
    (c) A change in the organization’s articles of incorporation or bylaws. A health maintenance organization shall include a copy of the revised articles of incorporation or bylaws with the notice.
    (d) A change in contractual arrangements under which the health maintenance organization is managed.
    (e) Any other significant change in operations.