Form FIS2362 Application for Unconditional Certification of Auto Insurance Utilization Review Program (Initial, Renewal, or Reinstatement) - Michigan

Notification Icon 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.

Form FIS2362 Application for Unconditional Certification of Auto Insurance Utilization Review Program (Initial, Renewal, or Reinstatement) - Michigan

What Is Form FIS2362?

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.

FAQ

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.

ADVERTISEMENT

Form Details:

  • Released on March 1, 2021;
  • The latest edition provided by the Michigan Department of Insurance and Financial Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download Form FIS2362 Application for Unconditional Certification of Auto Insurance Utilization Review Program (Initial, Renewal, or Reinstatement) - Michigan

4.6 of 5 (26 votes)
  • Form FIS2362 Application for Unconditional Certification of Auto Insurance Utilization Review Program (Initial, Renewal, or Reinstatement) - Michigan

    1

  • Form FIS2362 Application for Unconditional Certification of Auto Insurance Utilization Review Program (Initial, Renewal, or Reinstatement) - Michigan, Page 2

    2

  • Form FIS2362 Application for Unconditional Certification of Auto Insurance Utilization Review Program (Initial, Renewal, or Reinstatement) - Michigan, Page 1
  • Form FIS2362 Application for Unconditional Certification of Auto Insurance Utilization Review Program (Initial, Renewal, or Reinstatement) - Michigan, Page 2
Prev 1 2 Next
ADVERTISEMENT