HLS 20RS-771 ENGROSSED
2020 Regular Session
HOUSE BILL NO. 311
BY REPRESENTATIVE HUVAL
INSURANCE CLAIMS: Provides relative to denial of coverage by dental plans
1 AN ACT
2To enact R.S. 22:1155(D), relative to denial of claims by dental service contractors; to
3 prohibit denial of claims based upon preexisting conditions; to authorize a twelve-
4 month waiting period for preexisting conditions; and to provide for related matters.
5Be it enacted by the Legislature of Louisiana:
6 Section 1. R.S. 22:1155(D) is hereby enacted to read as follows:
7 ยง1155. Denial of claims; appeal; prior authorization; preexisting conditions
8 * * *
9 D.(1) A dental service contractor shall not deny coverage for a dental
10 condition existing prior to the date the coverage begins.
11 (2) A dental service contractor may impose up to a twelve-month waiting
12 period for coverage of preexisting conditions.
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 311 Engrossed 2020 Regular Session Huval
Abstract: Prohibits the denial of dental plan claims based upon preexisting conditions.
Present law provides for the denial of a reimbursement request for dental services by a dental
service contractor and requires the establishment and maintenance of an appeal process.
Proposed law retains present law.
Page 1 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 20RS-771 ENGROSSED
HB NO. 311
Proposed law prohibits the denial of coverage for a dental condition existing prior to the date
the coverage begins but allows a dental service contractor to impose up to a 12-month
waiting period for coverage of preexisting conditions.
(Adds R.S. 22:1155(D))
Summary of Amendments Adopted by House
The Committee Amendments Proposed by House Committee on Insurance to the
original bill:
1. Extend the waiting period that may be imposed for coverage of preexisting
conditions from 6-months to 12-months.
Page 2 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.