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Short-term Limited Duration FAQ
Posted 08/14/18
Reviewed 3/12/2020
Frequently Asked Questions
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Can issuers continue to sell short term limited duration products in Michigan? Will these products be subject to guarantee issue requirements?
Short-term products can be offered off-Marketplace but are not considered to be minimum essential health coverage. Short-term limited duration policies are exempt from the Health Insurance Portability and Accountability Act of 1996 (HIPAA) requirements, including guaranteed issue. See 45 CFR 144.103.
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Can issuers extend or renew short-term limited duration policies for longer than permitted by Michigan law?
Federal regulations permit issuers to renew or extend short-term limited duration policies up to a maximum of 36 months. However, Section 2213b(9) of the Insurance Code, MCL 500.2213b(9), governs short-term limited duration policies issued in Michigan, and limits the total period of coverage to 185 days out of any 365-day period. The federal regulations do not preempt Michigan law. Accordingly, short-term limited duration policies issued in Michigan must comply with Section 2213b(9) and cannot be renewed or extended for more than 185 days.