Insurance: pools; small business health pool; provide for. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding ch. 71A.

SB 1011 creates a new state-regulated program called a small business health pool to offer health coverage to Michigan employers with fewer than 500 employees and eligible self-employed individuals. This initiative requires these businesses to join a nonprofit sponsoring association that meets specific financial and operational standards, ensuring the group is stable and has a legitimate business purpose beyond just providing insurance. The bill establishes rules for how these pools operate, allowing them to be fully insured, level-funded, or self-funded while mandating that they cover essential health benefits and cannot discriminate based on health status or claims history. Additionally, the legislation creates a state-funded reinsurance program to reimburse 60% of catastrophic claims between $75,000 and $250,000 per person to help stabilize premiums. The Department of Insurance will oversee the program by reviewing financial solvency and compliance, but it will not approve insurance rates except for fully insured products.