This version of the form is not currently in use and is provided for reference only. Download this version of Form FIS2362 for the current year.
This is a legal form that was released by the Michigan Department of Insurance and Financial Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form FIS2362?
A: Form FIS2362 is an application for unconditional certification of an auto insurance utilization review program in Michigan.
Q: What is an auto insurance utilization review program?
A: An auto insurance utilization review program is a system used by insurance companies to review and assess the medical necessity and appropriateness of healthcare services related to auto insurance claims.
Q: Who needs to complete Form FIS2362?
A: Insurance companies that want to establish or renew an auto insurance utilization review program in Michigan need to complete Form FIS2362.
Q: What is the purpose of Form FIS2362?
A: The purpose of Form FIS2362 is to apply for certification of an auto insurance utilization review program, ensuring compliance with Michigan's auto insurance laws.
Q: Is Form FIS2362 required for all insurance companies?
A: Yes, any insurance company that wishes to establish or renew an auto insurance utilization review program in Michigan is required to complete Form FIS2362.
Q: Are there any fees associated with Form FIS2362?
A: Yes, there is a fee that must be submitted with Form FIS2362. The specific fee amount can be found in the instructions accompanying the form.
Q: When should Form FIS2362 be submitted?
A: Form FIS2362 should be submitted at least 60 days before the planned effective date of the auto insurance utilization review program.
Q: Are there any additional documents required with Form FIS2362?
A: Yes, the instructions for Form FIS2362 provide a list of required supporting documentation that must be included with the application.
Form Details:
Download a fillable version of Form FIS2362 by clicking the link below or browse more documents and templates provided by the Michigan Department of Insurance and Financial Services.