Louisiana 2025 Regular Session

Louisiana Senate Bill SB16

Introduced
3/19/25  
Refer
3/19/25  

Caption

Provides relative to health stop-loss insurance. (gov sig) (OR NO IMPACT See Note)

Impact

The bill's enactment would alter existing regulations concerning the issuance of health stop-loss insurance. By limiting availability strictly to large employers, the bill may restrict the options for smaller businesses looking to provide comprehensive healthcare benefits to their workers. The underlying rationale for this legislation appears to be aimed at ensuring financial stability within the employee benefit plans of larger companies, potentially safeguarding these employers from significant insurance claims.

Summary

Senate Bill 16, introduced by Senator McMath, focuses on health stop-loss insurance, a form of insurance that provides coverage for medical expenses exceeding a certain threshold. The key stipulation of this bill is that health stop-loss insurance will only be available to large employers, defined as those that employ an average of at least 51 employees during the previous calendar year. This directly impacts the landscape of health insurance available to smaller businesses and their employees in Louisiana.

Sentiment

The general sentiment surrounding SB 16 seems to recognize the need for clarity in the issuance of health stop-loss insurance while also reflecting concerns regarding the implications for smaller employers. Supporters argue that it streamlines insurance offerings and benefits larger workforce groups, enhancing stability in the market. However, critics are likely to raise alarms about the limitations this bill places on smaller employers, which could adversely affect their ability to provide competitive health benefits.

Contention

The main points of contention lie in the balance between protecting large employers through tailored health insurance options while potentially alienating smaller employers from the market. Opponents could argue that by limiting stop-loss insurance to just large employers, the bill disregards the needs of small to mid-sized businesses and their employees, who may now find themselves with insufficient coverage options. This could lead to further disparities in health coverage across different employer sizes and might create concerns regarding overall employee wellness and satisfaction.

Companion Bills

No companion bills found.

Previously Filed As

LA SB173

Provides for release of certain group information to the group policyholder or his agent prior to renewal of a group policy. (8/15/11) (RE1 NO IMPACT See Note)

LA SB138

Provides for health insurance coverage for retired employees of district attorneys' offices. (8/1/25)

LA SB230

Provides relative to recovery of past medical expenses. (1/1/26)

LA SB108

Provides for the collection of co-insurance and deductibles by health insurance issuers. (8/1/15)

LA SB119

Provides relative to health insurance coverage for mammography. (1/1/22)

LA SB173

Provides for reimbursement rates paid by Pharmacy Benefit Managers. (8/1/25)

LA SB188

Provides for utilization review and approval procedures of claims for healthcare provider services. (gov sig)

LA SB164

Provides relative to the administration of prescription drug benefits. (8/1/19)

Similar Bills

No similar bills found.