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Health Plan Defined

Health plan means all of the following:

  1. An insurer providing benefits under an expense-incurred hospital, medical, surgical, vision, or dental policy or certificate, including any policy or certificate that provides coverage for specific diseases or accidents only, or any hospital indemnity, Medicare supplement, long-term care, or 1-time limited duration policy or certificate, but not to payments made to an administrative services only or cost-plus arrangement.
  2. A MEWA regulated under Chapter 70 that provides hospital, medical, surgical, vision, dental, and sick care benefits.
  3. A health maintenance organization or alternative financing delivery system licensed or issued a certificate of authority in this state.
  4. A health care corporation for benefits provided under a certificate issued under the Nonprofit Health Care Corporation Reform Act, Public Act 350 of 1980, MCL 550.1101 to 550.1704, but not to payments made pursuant to an administrative services only or cost-plus arrangement.