DEPARTMENT OF LABOR AND ECONOMIC GROWTH
OFFICE OF FINANCIAL AND INSURANCE SERVICES
CREDIT INSURANCE POLICY FORMS - DISCRETIONARY CLAUSES
(By authority conferred on the commissioner of the Office of Financial and Insurance
Services by section 22 of the credit insurance act, 1958 PA 173, 1969 PA 306, E.R.O. No
2000-2, and E.R.O. No 2003-1; MCL 550.622, MCL 24.231 to MCL 24.233, MCL 445.2003,
and MCL 445.2011)
R 550.301 Definitions.
Rule 1. As used in these rules:
(a) "Appeal" means an appeal by a policyholder or other claimant of a claim denial by
an insurer. It includes appeals to administrative agencies, arbitrators, courts, and mediators.
(b) "Commissioner" means the commissioner of the office of financial and insurance
services.
(c) "Discretionary clause" is a provision in a form that purports to bind the claimant to or
grant deference in subsequent proceedings to the credit insurer's decision, denial, or
interpretation on terms, coverage, or eligibility for benefits including, but not limited to, a
form provision that does any of the following:
(i) Provides that a policyholder or other claimant may not appeal a denial of a claim.
(ii) Provides that the insurer's decision to deny policy coverage is binding upon a
policyholder or other claimant.
(iii) Provides that on appeal the insurer's decision-making power as to policy coverage is
binding.
(iv) Provides that the insurer's interpretation of the terms of a form is binding upon a
policyholder or other claimant.
(v) Provides that on appeal the insurer's interpretation of the terms of a form is binding.
(vi) Provides that or gives rise to a standard of review on appeal that gives deference to
the original claim decision.
(vii) Provides that or gives rise to a standard of review on appeal other than a de novo
review.
(d) "Form" means a form identified in section 13 of the credit insurance act, 1958 PA 173,
MCL 550.613.
(e) Terms defined in the credit insurance act, 1958 PA 173, as amended, MCL 550.601 to
MCL 550.624, and R 550.201 to R 550.216 have the same meanings when used in these rules.
History: 2007 AACS.
R 550.302 Discretionary clauses prohibited.
Rule 2. (a) A discretionary clause is unjust, unfair, inequitable, misleading, deceptive,
and encourages misrepresentation of a policy within the meaning of section 13 of the credit
insurance act.
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