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How our department monitors insurance market practices
Insurance Company Contract and Rate Filings
DIFS Prohibition Orders for Consumer Finance and Credit Union.
Licensing - Consumer Finance and Mortgage
Consumer Finance and Mortgage Forms
BIDCO and Anti-Redlining Forms.
Statutes, Rules and Regulations
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Supplemental IPPS Calculation Form
UPDATED 1/5/2024 - Use this link for complete form and instruction packets.
(This template is no longer used. Use FIS 2385 Michigan Network Adequacy Template)
Checklist for Individual and Small Group MEDICAL Plans - FORMS
Checklist for Individual and Small Group MEDICAL Plans - RATES
Checklist for Individual and Small Group STAND-ALONE DENTAL Plans - FORMS
Checklist for Individual and Small Group STAND-ALONE DENTAL Plans - RATES
MI Uniform Modification Justification Documentation form
Checklist for Individual and Small Group MEDICAL Plans - NETWORK ADEQUACY
Checklist for Individual and Small Group STAND-ALONE DENTAL Plans - NETWORK ADEQUACY
Stand-Alone Dental Plan Actuarial Value Supporting Documentation and Justification
Pursuant to 18 USC Section 1033 and 1034
Pharmacy Benefit Manager (PBM) Network Adequacy Request for Waiver
Financial Statements for Pharmacy Benefit Managers (PBMs)
Pharmacy Benefit Manager - Consent to Service
PBM Network Adequacy Template
Pharmacy Benefit Manager (PBM) Application
Pharmacy Benefit Manager (PBM) Modification of Information
Pharmacy Benefit Manager (PBM) Affiliation Statement
Pharmacy Benefit Manager (PBM) Complaint Form
Pharmacy Benefit Manager – Certificate of Compliance
Pharmacy Benefit Manager (PBM) Transparency Report
Fee Processing Card for Pharmacy Benefit Manager
Application for Self-Insurance Certificate
On January 1, 2013, the Department of Insurance and Financial Services (DIFS) assumed responsibility for the licensing and administration of the motor vehicle self-insurance program in accordance with Public Act No. 204 of 2012.