550.56 Reporting certain information on standard forms required; availability of information to appropriate state agencies; confidentiality.
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550.56 Reporting certain information on standard forms required; availability of information to appropriate state agencies; confidentiality.
Sec. 6.
(1)An organization which enters into prudent purchaser agreements with health care providers under this act shall report with its annual statement, or on a date set by the commissioner, on standard forms prescribed by the commissioner the following information:
(a)The number of natural persons receiving health care benefits under prudent purchaser agreements.
(b)The number of individual and group contracts providing health care services pursuant to prudent purchaser agreements.
(c)The dollar volume of business conducted under prudent purchaser agreements.
(2)Information received by the commissioner pursuant to this section shall be made available to appropriate state agencies for purposes of reviewing and evaluating this act.
(3)The commissioner and state agencies shall ensure the confidentiality of information containing data which may be associated with a particular organization. Information pertaining to the diagnosis, treatment, or health of any person receiving health care benefits under prudent purchaser agreements shall be confidential and shall not be disclosed to any person, except to the extent that it may be necessary to carry out the purposes of this act; upon the express consent of the person; pursuant to statute or court order for the production of evidence or the discovery thereof; or in the event of claim examination or litigation between the person and the organization, to the extent that the data or information is pertinent.
History: 1984, Act 233, Eff. Dec. 20, 1984 ;-- Am. 1988, Act 282, Imd. Eff. July 27, 1988
Compiler's Notes: For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.