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