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Mich. Comp. Laws Ann. § 124.85 - Public employer with 100 or more employees; claims utilization and cost information; compilation; "relevant period" defined; disclosure; availability; protected health information not included; date of compilation

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Medical benefit plans operating within Michigan must electronically provide cost and utilization information to all public employers that have, either solely or aggregately with other employers, at least 100 employees enrolled in a medical benefit plan. The information must include a census of the employees (e.g. gender, zip code), claims data (e.g. hospital and medical claims), fees and administrative expenses, and a benefits summary. Employers must make this information available to any carrier they solicit to provide coverage. Medical benefit plans may only release de-identified information and information not otherwise protected by HIPPA when complying with the disclosure requirements.

Current as of June 2015