RÉSUMÉ DIGEST
ACT 35 (HB 188) 2017 Regular Session Cromer
Existing law requires that when a covered person requests an external review of his health
insurance issuer, the issuer pay the cost to conduct the review.
New law retains existing law and further requires that the costs of the external review
charged to the issuer must be reasonable and that the independent review organization
provide documentation outlining an explanation of costs.
New law provides that when an issuer believes that the cost of the external review are
unreasonable, he can appeal to the commissioner of insurance, who may make an adjustment,
if appropriate. New law allows the commissioner to request additional information if
necessary to assess the reasonableness of the costs.
Effective August 1, 2017.
(Amends R.S. 22:2444)