The State of Michigan filed a Rehabilitation order against American Community Medical last week. This is an overview, if you would like more information than is listed, please follow the links at the bottom of the page.
Group and Individual Policyholders:
Billing: As a policyholder of American Community, you will continue to receive covered services and American Community will continue to pay for that care. You will continue to be billed for premiums as long as your policy is effective with American Community. The Rehabilitation Order prohibits health care providers from seeking payment from you for healthcare goods and services provided prior to the date of the Rehabilitation Order, as long as those health care goods and services are covered under your American Community policy. Please remember that you will continue to be responsible for payment of any non-covered health care goods and services, deductibles, and/or copayments. If you believe that you have been improperly billed, please contact American Community customer service toll free at 1-800-991-2642.
Policyholder Care Concerns: If you have any problems with a provider who states they no longer accept American Community, please call customer service toll free at 1-800-991-2642. If the provider was a contracted provider as of April 8, 2010, the provider is required by the Rehabilitation Order to continue to provide services to American Community policyholders.
Your employees will continue to receive coverage pursuant to their policy with American community. You will continue to be billed for premiums as long as your policy is effective with American Community. The Rehabilitator or Deputy Rehabilitators may choose whether to renew your policy with American Community at their discretion.
If your employees are refused care or contacted by a collection agency working on a provider’s behalf, please contact American Community customer service toll free at 1-800-991-2642.
At this time, the Rehabilitator and Deputy Rehabilitators do not anticipate accepting any new American Community policyholders.
About the Order
On April 8, 2010, Ingham County Circuit Court Judge William E. Collette issued a Rehabilitation Order placing American Community Mutual Insurance Company (“American Community”) into Rehabilitation and naming the Commissioner of the Office of Financial and Insurance Regulation (“OFIR”) as the company’s Rehabilitator. Rehabilitation is a corporate reorganization under Chapter 81 of the Michigan Insurance Code that is conducted under the
supervision of the Ingham County Circuit Court. The Rehabilitation Order allows OFIR to ascertain American Community’s financial condition and implement steps to protect American Community policyholders and creditors.
The Commissioner of OFIR has appointed James Gerber and Mike Hogan as Deputy Rehabilitators. If you are an insured of American Community and need information, please call American Community customer service toll free at 1-800-991-2642. If you are a provider and need to speak to the Deputy Rehabilitator on urgent matters please call James Gerber at 734-591-8103 or Mike Hogan at 734-591-4771.
Originally posted 2010-04-12 09:37:44. Republished by Blog Post Promoter
Tags: American Community, American Community Bankruptcy, American Community Medical, Bankrupt, Employer, Group Plan, Michigan, Policyholder, Rehabilitation Order, State of Michigan