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 463 Original 2021 Regular Session Illg
Abstract: Authorizes a state-based health insurance exchange and fee assessments payable by
insurers.
Proposed law authorizes the commissioner of insurance to assess a fee from insurers offering health
insurance coverage through a La.-based health insurance exchange. Requires the assessment from
insurers not to exceed 2% of the amount of premiums received by the insurers during the previous
calendar year. Further provides for the fee to be assessed by and made payable to the commissioner
annually between July 1 and July 30.
Proposed law requires each insurer to file with the commissioner, on a form prescribed and provided
by the commissioner, information requested to determine the total premiums received by each
insurer in the preceding calendar year and to calculate the assessment. Further requires the insurer
to file the prescribed form annually by March 1.
Proposed law requires the commissioner to provide notice of the annual assessment percentage
amount for each calendar year to the Louisiana Register to be published annually no later than July
1.
Proposed law requires the commissioner to establish the annual assessment percentage amount based
on the estimated operational, administrative, contractual, and other costs of operating the state-based
health insurance exchange. Further requires the commissioner to deduct any unexpended funds from
prior assessments or other appropriations in his determination of costs to operate the state-based
health insurance exchange.
Present law authorizes the commissioner to apply for a state innovation waiver to establish and
implement a reinsurance program.
Proposed law expands present law to authorize application for a state innovation waiver to establish
a state-based health insurance exchange. Otherwise retains present law.
Proposed law authorizes the commissioner to create and implement a state-based health insurance
exchange directly or through contracted services and with or without the state innovation waiver
provided for in proposed law.
Proposed law requires funding for the state-based health insurance exchange through the proceeds
of insurers' assessments provided for in proposed law. (Amends R.S. 22:2471; Adds R.S. 22:1090.1)