Mich. Admin. Code R. 500.1509 - Complaint-resolution process; information provided following private informal managerial-level conference

Current through Vol. 22-05, April 1, 2022

Rule 9.

(1) Upon the conclusion of a private informal managerial-level conference, the insurer shall provide the person making the complaint the following information in writing and in language understandable to a person of ordinary intelligence:

(a) The action taken by the insurer to resolve the dispute.

(b) The facts and documentation supporting the action.

(c) The specific section or sections of the law supporting the action.

(d) A statement explaining the person's right to submit a complaint to the director and for a review and determination within 120 days after the date that the information under this rule is mailed or provided if the person disagrees with the proposed resolution included in the information. The statement must also provide instructions regarding how to submit a complaint to the director and request a review and determination, provide the department's toll-free number and mailing address, and clearly indicate the date that the information under this rule is mailed or provided.

(e) A statement describing the status of the automobile or home insurance coverage or coverages involved.

(2) The insurer shall mail the information under subrule (1) of this rule to the person making the complaint, unless the insurer and the person have previously agreed to another means of communication and that agreement includes within its scope providing the information contemplated under this rule and is consistent with applicable law.

Notes

Mich. Admin. Code R. 500.1509

1981 AACS; 2021 MR 6, Eff. 3/24/2021