ENROLLED
ACT No. 112
2019 Regular Session
HOUSE BILL NO. 408
BY REPRESENTATIVE DAVIS
1 AN ACT
2 To 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.
6 Be 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, or make available
15 electronically, information as to the premium rate or amount to be paid to renew the
16 group policy for the next policy year. The health insurance issuer shall make the
17 information available to the employer group or to the employer group's appointed
18 insurance agent or broker.
19 (2) No later than eighty days prior to the date of renewal or termination, the
20 employer group may make written request, by certified mail, to the group insurance
21 issuer for The group insurance issuer shall make available on a monthly basis the
22 currently available utilization data and aggregate paid claims and premium data
23 accumulated for the period of the current policy year. This data shall be made
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HB NO. 408 ENROLLED
1 available to both the employer group and the employer group's appointed insurance
2 agent or broker. The Upon request by the employer group or its agent or broker, the
3 health insurance issuer shall provide this data to the employer group or the agent or
4 broker within fourteen business days of receipt of the initial request and monthly
5 thereafter.
6 * * *
SPEAKER OF THE HOUSE OF REPRESENTATIVES
PRESIDENT OF THE SENATE
GOVERNOR OF THE STATE OF LOUISIANA
APPROVED:
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions.