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
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Rule 9. (1) Upon conclusion of the internal complaint resolution process, the insurer shall provide the following information to the complainant:
(a) The action taken by the insurer.
(b) The facts, with supporting documentation, upon which the action is based.
(c) The specific section or sections of the law upon which the action is based.
(d) A statement explaining the person's right to appeal the matter to the commissioner within 120 days after the insurer makes or delivers the written statement.
(e) A statement describing the status of the insurance coverage or coverages involved.
(2) The insurer shall offer to provide the information in writing. If the insured accepts the offer, the insurer shall mail the written statement via first-class mail within 3 business days after acceptance.Such a written statement shall be phrased in terms understandable to a person of ordinary intelligence.
History: 1981 AACS.