HLS 19RS-893 ENGROSSED
2019 Regular Session
HOUSE BILL NO. 408
BY REPRESENTATIVE DAVIS
Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana.
INSURANCE/HEALTH: Provides relative to group health insurance renewals
1 AN ACT
2To amend and reenact R.S. 22:978(D), relative to renewals of group health insurance
3 policies; to provide for group policy renewal; to require notice of premium rates or
4 renewal costs; to require the insurer to provide data on utilization, paid claims, and
5 premiums; and to provide for related matters.
6Be it enacted by the Legislature of Louisiana:
7 Section 1. R.S. 22:978(D) is hereby amended and reenacted to read as follows:
8 ยง978. Group, family group, blanket, and association health and accident insurance;
9 notice required for certain premium increase, cancellation, or nonrenewal
10 * * *
11 D.(1) At least ninety days prior to the date on which a group policy is to be
12 renewed or terminated, every health insurance issuer providing coverage to an a
13 large employer group, as defined in R.S. 22:1061, comprising more than one hundred
14 enrolled employees shall provide the employer group with information as to the
15 premium rate or amount to be paid to renew the group policy for the next policy
16 year.
17 (2) No later than eighty days prior to the date of renewal or termination, the
18 employer group may make written request, by certified mail, to the group insurance
19 issuer for The group insurance issuer shall make available on a monthly basis the
20 currently available utilization data and aggregate paid claims and premium data
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 19RS-893 ENGROSSED
HB NO. 408
1 accumulated for the period of the current policy year. This data shall be made
2 available to both the employer group and the employer group's appointed insurance
3 agent or broker. The health insurance issuer shall provide this data to the employer
4 group or the agent or broker within fourteen business days of receipt of the initial
5 request and monthly thereafter.
6 * * *
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 408 Engrossed 2019 Regular Session Davis
Abstract: Requires every health insurance issuer to provide group policy cost data to all
large employer groups who have employees enrolled for coverage.
Present law requires insurers to provide notice of policy renewals to employer groups who
are comprised of 100 or more enrolled employees.
Proposed law expands present law to require insurers to provide notice of policy renewals
to all large employer groups, as defined by present law, who have employees enrolled for
insurance coverage.
Present law authorizes an employer group, no later than 80 days prior to the date of renewal
or termination, to make written request, by certified mail, to the group insurance issuer for
the currently available utilization data and aggregate paid claims and premium data
accumulated for the period of the current policy year and requires the health insurance issuer
to provide this data to the employer group within 14 business days of receipt of the request.
Proposed law requires the group insurance issuer to provide the currently available
utilization data and aggregate paid claims and premium data accumulated for the period of
the current policy year to both the employer group and the employer group's appointed
insurance agent or broker within 14 business days of receipt of the initial request and
monthly thereafter.
(Amends R.S. 22:978(D))
Summary of Amendments Adopted by House
The Committee Amendments Proposed by House Committee on Insurance to the
original bill:
1. Limit the applicability to large group policies.
2. Require the insurer to provide data on utilization, paid claims, and premiums on
a monthly basis.
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions.