1710 search results for Out

Changes on the Hill - NAIC's Perspective on the Effect of Recent Federal Initiatives on the Health Insurance Market

https://ldi.la.gov/docs/default-source/documents/health/lhcc/2018-lhcc-presentations/joe-touschner.pdf?sfvrsn=3644952_0

Conditions Not required Va r i e s Only for children Not required Maximum Out-of-Pocket, with out-of-network provider at in- network facility • States can regulate for some plans

Drug Costs: Perspectives from the Pharmacy Benefit Managers

https://ldi.la.gov/docs/default-source/documents/health/lhcc/2018-lhcc-presentations/barbara-levy.pdf?sfvrsn=dc644952_0

Through the use of drug tiers, health plans generally require higher out-of-pocket costs for more, on plan design. 1 Not all health plans are designed the same way. By capping patient out-of- pocket

Joe Touschner - NAIC Federal Health Update

https://ldi.la.gov/docs/default-source/documents/ldi-convention/2020-presentations/joe-touschner---naic-federal-health-update.pdf?sfvrsn=dd004f52_6

term care in 2020  Financing through:  Medicaid  Medicare  Private LTCI  Out-of-pocket, too little to make lowest silver plan affordable AND  Employee opts out of receiving any

Reg88-Cur-TheStandardizationOf

https://ldi.la.gov/docs/default-source/documents/legaldocs/regulations/reg88-cur-thestandardizationof.pdf?sfvrsn=26c27352_6

Statutes of 1950; and 2. to carry out the intent of the Legislature and assure full compliance, price and maximum allowable cost. B. To carry out the intent of the legislature and assure full, to opt out of the contract, evergreen contracts, or rollover contracts and therefore these contracts, as enumerated above as of the first renewal date, first opt out date, first rollover date or first annual, provision that allows a party the opportunity to opt out of the contract, any and all contracts shall

L120-1 - CGI Settlement Agreement - Final (5-16-19) (00912129xC312F)

https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/louisiana-health-cooperative/lahc/l120-1---cgi-settlement-agreement---final-(5-16-19)-(00912129xc312f).pdf?sfvrsn=69824c52_2

expenses), or for any other payments of any nature whatsoever, arising out of, or which are in any, out of, or which are in any way related to LAHC and the Litigation. The release stated, is commenced) against CGI that arises out of or is related to: i) L A H C , ii) the Rehabilitation, but not limited to CMS and/or HHS and/or LDI, assert any type of claim against CGI that arises out, that arises out of CGI’s activities in connection with: i) LAHC; ii) the Rehabilitation Proceeding

M134 - Risk Corridor Status Report - 6 15 20

https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/louisiana-health-cooperative/lahc/m134---risk-corridor-status-report---6-15-20.pdf?sfvrsn=e2804c52_2

(4127 12020). Backsround The instant case arises out of the failure of Louisiana Health, insurer settled out pursuant to a"Gasquet release" several years ago; the D&O Defendants, insurers. Beam Partners and CGI have also settled out of the case and are no longer parties, of existence, the Risk Corridors program netted out with a dehcit of approximately $12 Billion, , and therefore, that the solvency loan may be repaid only out of LAHC's surplus earnings. Since

NOI Promulgate Reg 133 LR April 2025 WEBSITE

https://ldi.la.gov/docs/default-source/documents/legaldocs/regulations/noi/noi-promulgate-reg-133-lr-april-2025-website.pdf?sfvrsn=99035a52_0

the acquisition cost for covered drugs, devices, or services. To carry out the intent, the acquisition cost for covered drugs, devices, or services. To carry out the intent of the legislature, or local governmental units. The proposed rule change is being implemented to carry out the intent, persons by carrying out the intent of the legislature based on Act 768 of the 2024 Regular Session, authority and carry out the duties and responsibilities of the commissioner for implementation

F54 - Reply Memo of GCI on MSJ - CGI - 8 21 17

https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/louisiana-health-cooperative/lahc/f54---reply-memo-of-gci-on-msj---cgi---8-21-17.pdf?sfvrsn=5f884c52_2

may have against the other arising out of or relating to the Original Agreement. Exhibit B to MSJ, and does not release claims against CGI arising out of acts or omissions occurring after April 30, 2014, .. . from any and all claims that either may have against the other arising out of or relating, that he has numerous claims against CGI arising out of the Amendment and the "obligations assumed, out of the Amendment, nor has he offered any evidence of such claims. After extinguishing all

L125 - Reply to Joint Status Report - 5 14 20

https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/louisiana-health-cooperative/lahc/l125---reply-to-joint-status-report---5-14-20.pdf?sfvrsn=59824c52_2

’ numerous exceptions argued in August 2017, it took the parties more than three (3) months to work out, with undersigned counsel and attempt to work out mutually acceptable dates and deadlines in advance, if Milliman and Buck cannot work out this discovery dispute and produce these important documents

Catalytic Converter Theft

https://ldi.la.gov/docs/default-source/documents/ldi-convention/2022-presentations/catalytic-converter-theft.pdf?sfvrsn=ef854252_0

& model • Aftermarket installation • Many made out of stainless steel/galvanized metal, • Many made out of stainless steel • Shield costs vary from ~$200 up to ~$500 • Typically requires, in cutting them out of a car. • A similar program is being tested in St. Paul, Minnesota which began