Michigan Law

ABA Coverage in Short-Term Plans in Michigan

Short-term medical plans are carved out of the autism section, so ABA coverage is not guaranteed.

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The details

The short-term carve-out

The carve-out

Section 3406s does not apply to a short-term or one-time limited duration policy or certificate of no longer than six months, as described in section 2213b.

Amended in 2016

Public Act 276 of 2016 is the only amendment the section lists since it was added in 2012.

Why it matters for employers

Employees who buy short-term coverage between jobs may find ABA excluded or limited. Review the policy before relying on it.

Ask for the exclusions list

Short-term policies list exclusions in the contract, so ask whether autism, behavioral health and habilitative services are covered.

Back to the ABA guide.

Questions We Get

ABA Coverage in Short-Term Plans in Michigan: short answers

Is ABA covered under a short-term plan?

Not necessarily. The mandate does not apply to policies of no longer than six months.

Does this affect employer group plans?

No. Employer group coverage is not a short-term limited duration policy.

What should an employee do between jobs?

Compare a short-term policy with COBRA or Marketplace coverage, because the latter two follow different rules.

ABA Coverage in Short-Term Plans in Michigan: not legal advice. Send us your renewal.

Sources

Where these details come from

The laws and rules named on this page link to the official text. This is general information, not legal advice, and rules change, so check the current text.

MCL 500.3406s, Insurance Code of 1956

Public Act 276 of 2016

DIFS: Autism Spectrum Disorder Health Coverage

Let’s Get to Work

Send us your renewal.

We’ll tell you whether it looks competitive, where we see opportunity, and the five questions we’d put to your carrier. No cost, and no obligation to move anything.

What to send

The renewal letter
Your current plan summary
Contribution split by tier
Enrolled counts by tier

Four documents — two more if your group is 50 or more. Nothing else; every extra one is a reason to postpone.

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