The original instrument and the following digest, which constitutes no part of the
legislative instrument, were prepared by Thomas L. Tyler.
DIGEST
SB 60 Original 2020 Regular Session Fred Mills
Present law provides for guaranteed renewability of health coverage for employees in the group
market and persons with individual health coverage.
Present law authorizes a health insurance issuer to modify the health insurance coverage for a policy
form offered to a group health plan or to individuals in the individual market if each of the following
conditions is met:
(1)The modification occurs at the time of coverage renewal.
(2)The modification is approved by the commissioner of insurance and is on a uniform basis
among all individuals and all small and large employers covered by the group health plan.
(3)The insurer notifies each individual or group no later than the 60th day before the
modification is effective.
Proposed law retains these provisions in present law but as to the notification requirement,
modification of drug coverage is allowed at any time as to a drug costing over $300 per prescription
or refill with an increase in the wholesale acquisition cost of at least 25% in the prior 365 days
provided that 30-day notice if the modification of coverage is given.
Effective August 1, 2020.
(Amends R.S. 22:1068(D)(3) and 1074(D)(3))