ARTICLE ONE The name of this corporation is Michigan Medical Service. ARTICLE TWO The purposes of this corporation are as follows: To establish, maintain, and operate a voluntary nonprofit medical care plan, whereby medical care is provided at the expense of this corporation to such persons or groups of persons as shall become subscribers to such plan, such medical care to be furnished under written contracts, providing definite medical and surgical care, appliances and supplies by licensed and registered doctors of medicine in the offices of such doctors, or in hospitals, or in the home of such subscribers: To supply to the subscribers to any such plan such other similar or related benefits, not including hospital service, as the board of directors of this corporation shall designate and as shall have the prior approval of the commissioner of Insurance of this State as to the character thereof and as to the financial abil ity of this corporation to carry out its agreements with respect thereto : To cooperate with any other corporation organized under the provisions of for the benefit of public health or improvement of the health of the people of this state: To cooperate with any other corporation organized under the provisions of this or any similar act in establishing and operating nonprofit medical care plans and to contract with such, or other corporations, or agencies, or other associa tions or persons with reference to the furnishing of medical care in connection with such plans, provided that all such contracts and/or plans of the corporation shall be approved by the said commissioner of insurance. To collect in connection with the operation of the plan statistics and data and to compile reports which may be deemed of value to the community, to the medical profession, and to the furtherance of the plan; to be of assistance in the promotion of such benevolent, scientific, educational, relief, and other activities as are considered to be for the best interests of the community in relation to the health and welfare of the people, and to carry out all other objects of this corporation. ARTICLE THREE The location of the principal office of this corporation shall be in Detroit, Mich. ARTICLE FOUR Membership in this corporation shall be as follows: The membership of this corporation shall be composed of the persons who are members of the house of delegates of the Michigan State Medical Society, while said persons are members of said house of delegates, persons elected directors ef this corporation, while directors of this corporation, and such other persons not practicing a healing art whom the board of direcftors shall elect to membership in this corporation: Provided, however, That not more than ten percent (10) of the membership of this corporation shall be composed of such other persons not practicing a healing art. The annual meeting of this corporation shall be held in September of each year, on such day as may from time to time be fixed by the board of directors. The corporation shall be organized upon a nonstock basis. The assets of the corporation are as follows: Real property, none. Personal property, none. This corporation shall be financed as follows: Each person with whom this corporation agrees to pay for medical care furnished to such person shall pay such monthly, quarterly, or annual rate as the board of directors shall from time to time establish. ARTICLE FIVE Any other provisions to the contrary notwithstanding, the board of directies. of this corporation shall consist of not less than (11) nor more than thirty-fre (35) persons, at least two thirds (%) of whom shall be doctors of medicine day licensed and registered to practice medicine in the State of Michigan. oard of directors shall have authority to delegate its powers to committees, fficers, agents, and representatives. ARTICLE SIX The term of existence of this corporation shall be in perpetuity. ARTICLE SEVEN The board of directors may adopt, alter, or amend the bylaws of this corpoation. The names and places of residence or business of each of the incorporators are s follows: L. S. Brunk, M. D., 58 Martin Place, Detroit. Henry R. Carstens, M. D., 1447 David Whitney Building, Detroit. Fernald Foster, M. D., 328 Shearer Building, Bay City. ARTICLE NINE The names and addresses of the first board of directors are as follows: 1. S. Brunk, M. D., 58 Martin Place, Detroit. Henry R. Carstens, M. D., 1447 David Whitney Building, Detroit. Burton R. Corbus, M. D., Metz Building, Grand Rapids. . Fernald Foster, M. D., 328 Shearer Building, Bay City. Dora H. Stockman, LL. D., 555 East Grand River, East Lansing. ARTICLE TEN These articles of association may be amended at any annual meeting of the orporation or at any special meeting, provided that 15 days' notice of the proposed mendment has been given to the members. No such amendment shall be effecive until it has the written approval of the commissioner of insurance. ARTICLE ELEVEN Each medical-care certificate issued by this corporation shall provide that his corporation will, in accordance with the terms of the certificate and its y-laws and regulations, compensate participating licensed and registered doctors if medicine, of the subscriber's choice, for services rendered to that subscriber. This corporation shall not assume, and no contract or certificate shall impose pon this corporation any liability of a physician arising from or growing_out of the doctor-patient relationship. This corporation shall not assume, and no ontract or certificate shall impose upon this corporation, responsibility or iability for any act, negligence, or failure to act of any person furnishing medical are to any subscriber, or for the failure to furnish medical care to any subscriber, or shall this corporation for any reason be held to any such responsibility or lability. Nothing in these articles shall be construed to prevent employees, groups of 'mployers, or other agencies from underwriting or contributing in part or in full the costs of this corporation for the benefit of all or certain of its subscribers. ARTICLE TWELVE No dividends shall be paid by this corporation. Members or other persons may be repaid, in whole or in part, their contributions to the capital of 12 corporation, but all shall be paid at the same rate and only upon the writte approval of the insurance department of the State of Michigan. Except in the event of liquidation, such payments shall be made only out of accumulated surplus earnings of the corporation that have not been used for the creation of reserves. ARTICLE THIRTEEN The reserve funds of the corporation may be invested in such securities as are permitted as investments by the laws of this State for life insurance companies. MICHIGAN MEDICAL SERVICE SCHEDULE OF BENEFITS The Schedule of Benefits of Michigan Medical Service is composed of the fre quent and common surgical procedures. The Medical Advisory Committee rece nizes that it would be futile to attempt to list each possible surgical operation o combinations of operations. The amount, therefore, shown in the schedule is the average payment for the average case. If the surgeon feels that a particular case deserves particular consideration he is invited and encouraged to augment his regular report with a letter expla." ing the details of the case, or, if possible, forward a copy of the operative Where the operation is one not recorded in the Schedule, a complete descripti of the operation should be forwarded to Michigan Medical Service. e recur To facilitate payment to the doctors, the Medical Advisory Committee has f mulated certain basic regulations to permit prompt authorization for services This applies particularly to multiple surgical procedures. A great number of combination surgical operations that are commonly pe formed in the same operative field have been grouped into classifications and lump sum is paid for the particular classification. This primarily relates · abdominal and vaginal operations, as well as the incidental appendectomy pan formed at the same time as another major abdominal operation. The Schedule of Benefits as printed in this booklet provides only for the ir vidual operation. While it is possible for the doctor to perform three disting operations listed in this Schedule, it does not necessarily follow that the amor of payment will be the total sum of the benefits listed separately for es i operation. The Surgical Certificate of Michigan Medical Service provides for the following services: (a) Surgical services (operative and cutting procedures for the treatm of disease or injury and treatment of fractures and dislocations) rendered ** the doctor of medicine in charge of the case. (b) Maternity services, i. e., childbirth, but not until after the certifica" has been in force nine consecutive months. (c) Diagnostic X-ray services not in excess of the value of Fifteen Do"," ($15.00), as set forth in and limited by the Michigan Medical Service Sche ule of Benefits, between the effective date of this certificate and the f-anniversary hereof or during any succeeding twelve-month period. (d) Anesthesia services rendered by a doctor of medicine not in charg of the case when in connection with services in the hospital where *** subscriber is a patient. (e) Emergency surgical services not requiring bed care rendered !" regularly accredited hospital by a doctor of medicine during the first twer four hours following accidental injury. It is a primary consideration that the patient must be a BED PATIENT 1: regularly accredited hospital before any benefits are payable under the certific This is essentially necessary inasmuch as the subscription rate paid by the s scriber contemplates only those necessary surgical services requiring hospita ization. There are certain exclusions under the certificate which are as follows: 1. Hospital, dental, or nursing services. 2. Medicines, drugs, appliances, materials, or supplies. 3. Services for industrial injuries or diseases, or services from any government agency, which are, or to the extent such services can be, obtained by the subscriber without cost to him by compliance with laws enacted by any federal, state, municipal, or other legislative body. 4. Prenatal or other medical or surgical service in the home or office. 5. Plastic operations for cosmetic or beautifying purposes. (NOTE.-Many subscribers of Michigan Medical Service are also enrolled in Michigan Hospital Service, which provides for payment of the hospital bill. Each subscriber is given an Identification Card at the time of enrollment. He is impressed with the necessity of presenting this card to the doctor when service is requested. Unfortunately, some subscribers do not do so, while others believe that the presentation of the card at the hospital admission desk is sufficient. We recommend, therefore, that the doctor attempt to secure this information: 1. Name of the subscriber. 2. Name of the patient. 3. Service and contract number. 4. Group number or place of employment. 5. Address of the subscriber. This permits prompt identification when the Doctor's Service Report is received and in turn facilitates handling and payment for the services. A specimen of the Doctor's Service Report as printed on pages 10 and 11 will assist the doctor and his secretary in properly completing this report. See pages 10 and 11 for reproduction of Doctor's Report. 1. Patient's name. 2. Subscriber's name. Give first and last name. As a rule, this is the father or husband. In some cases the wife or mother may be the subscriber. In any event, the Identification Card carries the subscriber's name. The reverse side of the Identification Card also carries a description of each service code. 3. Subscriber's address. 4. Relationship of patient to subscriber, e. g., son, daughter, wife, etc. 5. Group Number. 6. Service number (subscriber is eligible for surgical care only if the service number is from 11 to 19). 7. Certificate number. 8, 9, 10. Self-explanatory. 11. Surgical Operation. To be filled in by the OPERATING SURGEON ONLY. If it is an unusual operation, supplement with complete description, preferably a copy of operative record. Permission is granted by the subscriber to release this information to Michigan Medical Service, on the application he signs at the time of enrollment. This record of service is confidential and is discussed with no one other than the doctor submitting the report. 12. OBSTETRICAL SERVICE. To be completed by the doctor performing the delivery. If Caesarean Section, please state. 13. X-RAY SERVICE. As a rule this portion of report is completed by X-ray department of the hospital and sent directly to Michigan Medical Service. Report, however, must be signed by roentgenologist. 14. ANESTHESIA. Benefit available only when administered personally by a doctor of medicine not in charge of the case. 15. DIAGNOSIS. A separate report should be completed and signed by each doctor rendering the specific service, e. g., the operating surgeon should fill in item 11, sign the report, and forward it to Michigan Medical Service, and the roentgenologist should complete item 13 and forward it to Michigan Medical Service. This is necessary inasmuch as the Enabling Act, under which Michigan Medical Service operates, requires that payments for services rendered to subscribers be made directly to the doctor rendering such service. Consequently, confusion |