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 Reengrossed 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
or to the employer group's appointed insurance agent or broker.
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 or the employer group's appointed insurance agent or broker within 14 business days
of receipt of the request.
Proposed law requires the group insurance issuer to provide, upon request by the employer group
or the employer group's appointed insurance agent or broker, the currently available utilization data
and aggregate paid claims and premium data accumulated for the period of the current policy year
to the employer group or the 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.
The House Floor Amendments to the engrossed bill: 1. Authorize the health insurance insurer to make renewal information available
electronically.
2. Require the health insurance issuer to make the renewal information available to the
employer group or to the employer group's appointed insurance agent or broker.
3. Provide that the claims data information will be made available upon request of the
employer group or its agent or broker.