Guest guest Posted December 11, 2000 Report Share Posted December 11, 2000 >From: wannabemagic@... Hi , Thanks for thinking of me and trying to help. Unfortunately these options are not available for my type of self funded plan. "However, if your health care coverage is underwritten by us, (MINE IS NOT)or if you are a member of a self-funded group that is exempt from the federal law called ERISA (Employee Retirement Income Security Act) (MINE IS NOT EXEMPT) , as is usually the case for self-funded government or religious groups (NOT THIS KIND OF GROUP) , Michigan Public Act 350, as amended by Public Act 516 of 1996 and Public Act 250 of 2000, protects you by providing an internal grievance procedure, including a managerial-level conference, if you believe that we have violated Section 402 or 403 of Public Act 350. "Likewise, if you are a BCBSM member of a group whose coverage is underwritten by a commercial insurer (for example, the Michigan Farm Bureau or the Michigan Dental Association), Public Act 252 amends the state Insurance Code to provide you with the same internal grievance procedure, including a managerial-level conference. MINE IS NOT ..."underwritten by a commercial insurer " THEREFORE THIS DOESN'T APPLY FOR ME =O( The letter than BCBS of MI sent to the Michigan Commissioner of Financial and Insurance Services stated..."Beacause our member's coverage is not unerwritten by us, the appeal process under Public Act 350 is not aailable. Thus every consideration has been extended in this matter." SheilaGet more from the Web. FREE MSN Explorer download : http://explorer.msn.com Quote Link to comment Share on other sites More sharing options...
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