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Insurance

The Insurance Licensing Section, Office of Insurance Evaluation, and Office of Insurance Rates & Forms are responsible for licensing, examining, investigating, and supervising over 120,000 individual licensees and 15,000 entities. This area encompasses several acts: the Health Benefit Agent Act, Insurance Code, Nonprofit Health Care Corporation Reform Act, and the Third Party Administrator Act.

Regulated Insurance Entities

Insurance Licensing

Insurance Product Filing/Review


Additional Requirement for 2015 Form and Rate Requirements for Health Plans [Bulletin 2014-06-INS & Bulletin 2014-08-INS]

On May 27, 2014, CMS issued a final ACA rule called "Exchange and Insurance Market Standards for 2015 and Beyond" which provided guidance on Guaranteed renewability of coverage and what qualifies as renewal under the Uniform Modification regulation. Due to this late guidance, DIFS is requesting Issuers complete the attached forms to assist in determining if a Product/Plan can be recertified. This must be filed to meet the Michigan filing deadline of 6/09/2014.

These forms can also be found in SERFF under the Michigan Filing Requirements. DIFS requests once completed they be filed in the SERFF rate/form filing under the Supporting Documentation tab.

Discontinuance Notices
Cross-walk form - Uniform Modifications
Cross-walk form - Terminations / Discontinuance


What's New

• Director Flood Requests One-Year Transition for Michigan Businesses on Health Exchange

• Order Regarding Limits on Treatment for Autism Spectrum Disorders PDF icon

• Order Regarding Affordable Care Act Extended Transitional Policy PDF icon

• 2015 Filing Requirements On and Off the Marketplace PDF icon

• Geographic Rating Map PDF icon

• Individual and Small Group Health Insurance Plans Forms Checklist Excel icon

• Individual and Small Group Health Insurance Plans Rates Checklist DOC icon

• November 27, 2013 Order Regarding Affordable Care Act Transitional Policy PDF icon

• Michigan Network Adequacy Guidance PDF icon

• Michigan Network Data Template Instructions - UPDATED 3/26/14 PDF icon

• Michigan Network Data Template - UPDATED 3/26/14 ZIP icon

• Network Adequacy - Michigan Service Area Maps

• Affordable Care Act


Autism Reimbursement

• Autism Coverage Reimbursement Program


Bulletins and Statements

• DIFS Bulletins

• Insurance Bulletins


Commissioner's Orders, Rulings, and Communications

• Public Hearings

• Commissioner's Orders

• Final Decisions


Forms

• Individual and Small Group Health Insurance Plans Forms Checklist Excel icon

• Individual and Small Group Health Insurance Plans Rates Checklist DOC icon

• Michigan Network Data Template Instructions - UPDATED 3/26/14 PDF icon

• Michigan Network Data Template - UPDATED 3/26/14 ZIP icon

• Insurance Business-to-Business Complaint Guide PDF icon

• Medical Malpractice & Municipal Liability Claim and Settlement Reporting

• Uniform Certificate of Authority Application

• Multiple Employer Welfare Arrangements

• Insurance Holding Company Forms

• Insurance Forms

• HMO/AFDS-Application for Licensure and Forms

• Financial Filing Forms

• Education Forms

• Insurance Licensing Forms

• Premium Finance Company Forms


Frequently Asked Questions

• Michigan Network Adequacy Guidance PDF icon

• Insurance Licensee Continuing Education FAQ

• Insurance Continuing Education Waiver or Extension FAQ

• Small Employer Group Health Coverage Act FAQ

• Insurance Pre-licensing Education FAQ's

• Waiver for Insurance Prelicensing Education


Related Links

• AM Best ratings on Insurance Companies

• Center for Medicare and Medicaid Services

• Insurance Information Exchange

• Michigan Auto Insurance Placement Facility (MAIPF)

• Moody's ratings on Insurance Companies

• National Association of Insurance Commissioners (NAIC)

• U.S. Government Site for Medicare Information

• U.S. Dept. of Labor: Pension and Welfare Benefits Administration




Quick Links
 •  Press Releases
 •  Reports
 •  Insurance Forms
 •  Regulated Insurance Entities
 •  Insurance Agent Locator
 •  Insurance Agency Locator
 •  Insurance Company Complaint Ratios
 •  Insurance Complaint Statistics
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