Provides relative to notice and appeal rights for over-age dependent coverage by any health plan offered under the purview of the Office of Group Benefits and designated as "Arielle's Law". (8/1/20) (EN INCREASE SG EX See Note)
Impact
The bill has significant implications for state laws governing health insurance coverage for dependents, particularly those with disabilities. By allowing continued coverage beyond the typical age limit for dependents, it addresses a critical gap in support for families with disabled children or grandchildren. Additionally, the bill establishes clear guidelines regarding the notice requirements that health plans must fulfill prior to the termination of coverage, thus enhancing transparency and protecting affected families from abrupt loss of benefits.
Summary
Senate Bill 122, known as 'Arielle's Law', modifies the existing regulations regarding dependent coverage under health plans administered by the Office of Group Benefits in Louisiana. Specifically, it ensures that dependents who are physically or mentally disabled and unable to sustain employment do not automatically lose their coverage upon reaching the designated limiting age, provided they or their guardians apply for continued coverage in a timely manner. This bill emphasizes the importance of providing a safety net for vulnerable populations who rely on these benefits.
Sentiment
The sentiment surrounding SB 122 appears to be largely positive, particularly from advocates for individuals with disabilities and their families. Supporters laud the bill for recognizing and accommodating the unique challenges faced by those who are unable to attain self-sustaining employment due to disabilities. While there were no notable opposition points recorded in the voting history, such as the unanimous approval (98-0), the discourse may have encompassed concerns regarding the administrative requirements for appealing denials, suggesting that issuers of health plans need to be well-informed and compliant with the new provisions.
Contention
One point of contention that may arise involves the appeals process outlined in the bill. While the provision for administrative review offers a pathway for reinstatement of coverage, it does carry responsibilities for parents or grandparents to ensure timely submissions of medical documentation. Some may argue that the complexities involved in the appeals procedure could pose additional burdens on families already dealing with significant challenges, indicating a need for careful implementation and communication from health plan administrators.
Provides coverage for developmentally disabled dependents of classified or unclassified state civil service employees by life, health or other programs sponsored by the Office of Group Benefits under certain circumstances. (8/15/11) (EN NO IMPACT See Note)