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How are other groups and self-insured employer groups regulated?

How are other groups and self-insured employer groups regulated?

Large group covered by HMOs are regulated by Michigan statute. Rates must be filed annually and approved. Large groups covered by commercial insurers are not required to file their rates for approval. DIFS does not have authority over the rates charged under a self-funded health care plan. Self funded health plans, are regulated by the United States Department of Labor.