SLS 14RS-1794 ORIGINAL
Page 1 of 2
Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
Regular Session, 2014
SENATE BILL NO. 641
BY SENATOR JOHN SMITH
HEALTH/ACC INSURANCE. Authorizes promulgation of rules and regulations regarding
processing of and payment of claims for certain self-insurers and self-insurance plans.
(8/1/14)
AN ACT1
To amend and reenact R.S. 22:451, relative to certain group self-insurers; to authorize2
promulgation of rules and regulations for processing and payment of claims by3
certain self-insurers and self-insurance plans; and to provide for related matters.4
Be it enacted by the Legislature of Louisiana:5
Section 1. R.S. 22:451 is hereby amended and reenacted to read as follows:6
ยง451. Scope of provisions7
A. This Subpart shall be applicable to and shall regulate self-insurers and8
self-insurance plans, as defined in this Subpart, which are subject to jurisdiction of9
the commissioner of insurance under this Title. This Subpart shall not be applicable10
to any workers' compensation plan, except as otherwise provided in this Subpart.11
This Subpart shall not apply to any arrangement or trust formed under Subpart J of12
Part I of Chapter 10 of Title 23 of the Louisiana Revised Statutes of 1950.13
B. Regulation Except as provided in Subsection C of this Section,14
regulation under this Subpart shall not be deemed to and shall not make any self-15
insurer or insurance plan an insurer or insurance policy solely because of such16
regulation hereunder. Any entity regulated under this Subpart shall not be considered17 SB NO. 641
SLS 14RS-1794 ORIGINAL
Page 2 of 2
Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
or treated as an insurer or insurance policy solely because of such regulation.1
C. The commissioner of insurance shall promulgate rules and regulations2
involving the processing and payment of health and accident claims by a self-3
insurer and self-insurance plan. These rules and regulations shall address but4
not be limited to issues involving notification of a claimant as to any payment5
being sent to a health care provider and the amount of the payment.6
The original instrument and the following digest, which constitutes no part
of the legislative instrument, were prepared by Thomas L. Tyler.
DIGEST
John Smith (SB 641)
Present law provides that the Subpart involving group self-insurers in the Louisiana
Insurance Code applies to and regulates self-insurers and self-insurance plans, as defined in
present law which are subject to jurisdiction of the commissioner of insurance under the
Louisiana Insurance Code (Code). Provides that the Subpart is not applicable to any workers'
compensation plan, except as otherwise provided in present law and that it does not apply
to any arrangement or trust formed under Subpart J of Part I of Chapter 10 of Title 23 of the
Louisiana Revised Statutes of 1950.
Present law provides that regulation under the Subpart is not deemed to and shall not make
any self-insurer or insurance plan an insurer or insurance policy solely because of regulation
under the Subpart. Provides that entities regulated under the Subpart are not considered or
to be treated as an insurer or insurance policy solely because of its regulation under the
Subpart.
Proposed law retains these provisions but provides an except by specifically requiring the
commissioner of insurance to promulgate rules and regulations involving the processing and
payment of health and accident claims by a self-insurer and self-insurance plan. Requires
that the rules and regulations address but not be limited to issues involving notification of
a claimant as to any payment being sent to a health care provider and the amount of the
payment
Effective August 1, 2014.
(Amends R.S. 22:451)