HLS 16RS-1762 ORIGINAL
2016 Regular Session
HOUSE BILL NO. 997
BY REPRESENTATIVE THIBAUT
INSURANCE/GROUP-STATE: Provides with respect to self-insured group health plans
offered by the Office of Group Benefits
1 AN ACT
2To enact R.S. 42:802.2, relative to the Office of Group Benefits; to provide for the powers,
3 duties, and functions of the office with respect to self-insured group health plans;
4 to require the prior approval of certain schedule of benefits; to require certain
5 information to be published; and to provide for related matters.
6Be it enacted by the Legislature of Louisiana:
7 Section 1. R.S. 42:802.2 is hereby enacted to read as follows:
8 ยง802.2. Self-insured group health plans; reporting of plans, rates, and benefits
9 A. The Office of Group Benefits shall make available a summary of benefits
10 and coverage for each self-insured group health plan offered by the Office of Group
11 Benefits in accordance with applicable federal law. The Office of Group Benefits
12 shall provide the summary to any plan member who requests a copy.
13 B. Any new schedule of benefits for a self-insured group health plan offered
14 through the Office of Group Benefits and promulgated in the Office of Group
15 Benefits regulations shall be subject to review and prior approval by the appropriate
16 standing committee of the legislature having jurisdiction of review of agency rules
17 by the Office of Group Benefits as designated by R.S. 49:968(B)(21)(c) or the
18 subcommittee on oversight of the standing committee.
19 C. The Office of Group Benefits shall publish on its website the following:
20 (1) The summary of benefits and coverage for each self-insured group health
21 plan as required by Subsection A of this Section.
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 16RS-1762 ORIGINAL
HB NO. 997
1 (2) The plan documents for each self-insured group health plan offered by
2 the Office of Group Benefits.
3 D. Any modifications to plan documents for self-insured group health plans
4 offered by the Office of Group Benefits shall be in accordance with applicable state
5 and federal laws.
6 E. The Office of Group Benefits shall provide all premium rates and any
7 changes to premium rates for the self-insured group health plans offered by the
8 Office of Group Benefits to the Group Benefits Estimating Conference, the Group
9 Benefits Policy and Planning Board, and the independent consulting actuary retained
10 by or on behalf of the Office of Group Benefits in accordance with applicable state
11 law.
DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part
of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute
part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
HB 997 Original 2016 Regular Session Thibaut
Abstract: Requires the Office of Group Benefits (OGB) to make certain information
available on its website and to receive prior approval of any new schedule of benefits
of a self-insured group health plan offered by OGB.
Proposed law requires the Office of Group Benefits (OGB) to prepare a summary of benefits
and coverage for each self-insured group health plan offered by OGB in accordance with
applicable federal law.
Proposed law requires any new schedule of benefits of a self-insured group health plan
offered by OGB to be subject to review and prior approval of the House Committee on
Appropriations and the Senate Committee on Finance.
Proposed law requires OGB to publish on its website the summary of benefits and coverage
required under proposed law and the plan documents for each self-insured group health plan
offered by OGB.
Proposed law requires any modifications to plan documents for self-insured group health
plans offered by OGB to comply with applicable state and federal laws.
Proposed law requires OGB to provide all premium rates and any changes to premium rates
for the self-insured group health plans to the Group Benefits Estimating Conference, the
Group Benefits Policy and Planning Board, and the independent consulting actuary retained
by or on behalf of the Office of Group Benefits in accordance with applicable state law.
(Adds R.S. 42:802.2)
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions.