Michigan Office of Administrative Hearings and Rules  
Administrative Rules Division (ARD)  
611 W. Ottawa Street  
Lansing, MI 48909  
Phone: 517-335-8658 Fax: 517-335-9512  
REQUEST FOR RULEMAKING (RFR)  
1. Department:  
Insurance and Financial Services  
2. Bureau:  
Insurance  
3. Promulgation type:  
Full Process  
4. Title of proposed rule set:  
Surprise Medical Billing  
5. Rule numbers or rule set range of numbers:  
R 500.241 - R 500.265  
6. Estimated time frame:  
6 months  
Name of person filling out RFR:  
Julie Agueros  
E-mail of person filling out RFR:  
AguerosJ@michigan.gov  
Phone number of person filling out RFR:  
517-894-3713  
Address of person filling out RFR:  
530 W. Allegan St., Lansing, MI 48933  
7. Describe the general purpose of these rules, including any problems the changes are intended  
to address.  
These rules implement the provisions of MCL 333.24510 and MCL 333.24511 by doing the  
following: 1) establishing procedures for the department to review and resolve requests for  
calculation determinations submitted pursuant to MCL 333.24510; 2) establishing procedures for  
the department to request documents, materials, or other information necessary to perform  
calculation reviews and issue determinations under MCL 333.24510; 3) establishing procedures  
for processing requests for binding arbitration submitted pursuant to MCL 333.24511; and 4)  
establishing standards for approving arbitrators to provide binding arbitration pursuant to MCL  
333.24511.  
8. Please cite the specific promulgation authority for the rules (i.e. department director,  
commission, board, etc.).  
Section 24517 of the Public Health Code, 1978 PA 368, MCL 333.24517, grants the Director of  
the Department of Insurance and Financial Services permissive authority to promulgate rules to  
implement Sections 24510 and 24511 of the Public Health Code, 1978 PA 368, MCL 333.24510  
and MCL 333.24511.  
A. Please list all applicable statutory references (MCLs, Executive Orders, etc.).  
MCL 24.239  
RFR-Page 2  
MCL 333.24510, MCL 333.24511, and MCL 333.24517. Executive Reorganization Order No.  
2013-1, MCL 550.991.  
B. Are the rules mandated by any applicable constitutional or statutory provision? If so, please  
explain.  
No; rulemaking is permissive under MCL 333.24510 and MCL 333.24511.  
9. Please describe the extent to which the rules conflict with or duplicate similar rules,  
compliance requirements, or other standards adopted at the state, regional, or federal level.  
These rules do not conflict with or duplicate similar rules, compliance requirements, or other  
standards adopted at the state, regional, or federal level.  
10. Is the subject matter of the rules currently contained in any guideline, handbook, manual,  
instructional bulletin, form with instructions, or operational memoranda?  
No.  
11. Are the rules listed on the department’s annual regulatory plan as rules to be processed  
for the current year?  
No.  
12. Will the proposed rules be promulgated under Section 44 of the Administrative Procedures  
Act, 1969 PA 306, MCL 24.244, or under the full rulemaking process?  
Full Process  
13. Please describe the extent to which the rules exceed similar regulations, compliance  
requirements, or other standards adopted at the state, regional, or federal level.  
These rules do not exceed similar regulations, compliance requirements, or other standards  
adopted at the state, regional, or federal level.  
14. Do the rules incorporate the recommendations received from the public regarding any  
complaints or comments regarding the rules? If yes, please explain.  
These rules do not incorporate any recommendations received from the public regarding any  
complaints or comments regarding the rules.  
15. If amending an existing rule set, please provide the date of the last evaluation of the rules  
and the degree, if any, to which technology, economic conditions, or other factors have changed  
the regulatory activity covered by the rules since the last evaluation.  
Not applicable; these rules do not amend an existing rule set.  
16. Are there any changes or developments since implementation that demonstrate there is no  
continued need for the rules, or any portion of the rules?  
Not applicable; these rules do not amend an existing rule set.  
17. Is there an applicable decision record (as defined in MCL 24.203(6) and required by MCL  
24.239(2))? If so, please attach the decision record.  
No  
MCL 24.239  
;