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HPM 98-01 Statutory Obligations of Health Maintenance Organizations

https://ldi.la.gov/docs/default-source/documents/legaldocs/hpm/hpm-98-01-statutory-obligations-of-health-maintenance-organizations.pdf?sfvrsn=e8007352_9

" means any certificate, agreement, or contract issued to an enrollee setting out the coverage to which the enrollee is entitled by reason of payment of a prepaid charge." LSA-RS. 22:2002(8) states, necessary services, and/or delaying other contractual services to enrollees. Further, some HMOs, for the provision of basic health care services to enrollees in return for a prepaid charge. The health, to enrollees on a prepayment Qr other financial basis. A health maintenance organization is deemed

E48 - Reply Memorandum in Support of Exception - Buck - 5 25 17

https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/louisiana-health-cooperative/lahc/e48---reply-memorandum-in-support-of-exception---buck---5-25-17.pdf?sfvrsn=60884c52_2

the engagement agreement between Buck and LAHC, the Receiver is bound to the entire contract, , forum selection clauses are presumptively valid and enforceable. Id. Refusal to enforce them “would, the engagement letter, the arbitration provision is enforceable against the liquidator.”) (dissent); see, for enforcement of the forum selection clause at issue in this case. Here, the Receiver explicitly, ” contract, enforcing some provisions while 1 James J. Donelon, Commissioner of Insurance for the State

Reg65-Cur-BailBondLicensingReq

https://ldi.la.gov/docs/default-source/documents/legaldocs/regulations/reg65-cur-bailbondlicensingreq.pdf?sfvrsn=53c37352_12

and Notification Requirement A. In order to engage in bail enforcement, the following shall be done, is to determine and ensure that a domestic regulated entity continues to meet minimum standards with regard, for persons engaging in the apprehension or surrender of a bail bond principal. AUTHORITY NOTE, —a person who holds an insurance producer license for the line of bail bonds and engages, Enforcement—the apprehension or surrender of a principal who is released on bail or who has failed to appear

Jolie Matthews, National Association of Insurance Commissioners

https://ldi.la.gov/docs/default-source/documents/health/lhcc/presentations/jolie-matthews-national-association-of-insurance-commissioners.pdf?sfvrsn=3ce07252_0

& Multistate Plans 2015 Open Enrollment Ended Feb. 15. The Numbers:  Nearly 8.84 million selected plans or were auto‐ enrolled in plans through the FFMs.  Nearly 2.8 million enrolled in plans through the SBMs.  About 2 million were auto‐enrolled in the same plan they had in 2014, will enter the market during the year through special enrollment periods?  What are the numbers in each, during the 2 nd open enrollment had also done so during the 1 st open enrollment. About 4.7

LPCIC 2021-2022 Report to the Legislature

https://ldi.la.gov/docs/default-source/documents/propertycasualty/lpcic/documents/lpcic-2021-2022-report-to-the-legislature.pdf?sfvrsn=c9c04752_0

Program. 3. FORTIFIED Roof Endorsement Alabama enacted legislation in 2019 to require homeowners, that the legislature enact a requirement for homeowners’ insurers to offer an endorsement that would upgrade a roof, in this state; (3) “Litigation financer” means a person, group of persons, or legal entity, engaged, and law enforcement. Our goal is to improve the state’s insurance market by reviewing and examining, Louisiana District Attorneys Association Law Enforcement (Sheriff of St. Charles) Michael Guy Ron

Annual Report 10-11

https://ldi.la.gov/docs/default-source/documents/publicaffairs/annualreports/annual-report-10-11.pdf?sfvrsn=75267c52_8

business in the state of Louisiana during the ϔiscal year ending June 30, 2011. 2010-2011 FĎĘĈĆđ YĊĆė, /AnnualReports.html. 2010 - 2011 AēēĚĆđ RĊĕĔėę I The mission of the Department of Insurance is to enforce the insurance laws and regulations of the state impartially, honestly and expeditiously. To this end, was able to maintain services to both regulated entities and the general public, and with few, Department of Insurance reverted $16.3 million to the state’s general fund at year end. A major goal

Dir208-Cur-ApplicabilityOfTheFe

https://ldi.la.gov/docs/default-source/documents/legaldocs/directives/dir208-cur-applicabilityofthefe.pdf?sfvrsn=87427752_6

AUTHORIZED IN LA. R.S. 46:2625; ENFORCEMENT ACTIONS AGAINST ENTITIES FOR VIOLATIONS OF LA. R.S., out-of-state pharmacies. The Medicaid Program is a means-tested entitlement program that finances, Medicaid spending. However, many states entered into hold-harmless P.0.Box94214, 2 of 5 agreements with health care providers to ensure that providers that were taxed or subject, , Congress enacted the Medicaid Voluntary Contribution and Provider-Specific Tax Amendments (Public Law

Rule3A-Cur-AdvertisementOfMedic-amended

https://ldi.la.gov/docs/default-source/documents/legaldocs/rules/rule3a-cur-advertisementofmedic-amended.pdf?sfvrsn=27fc7452_10

is disclosed. If the entity making the endorsement or testimonial has been formed by the insurer, can increase the awareness of beneficial forms of coverage and thereby encourage product, for a specified hazard is entirely eliminated. It is a statement of a risk not assumed under, service corporation, prepaid health plan, and any other legal entity which is defined as an insurer in the Insurance Code of this state and is engaged in the advertisement of itself, or Medicare

HCR 203-14

https://ldi.la.gov/docs/default-source/documents/legaldocs/hcr-203-14.pdf?sfvrsn=18c7252_9

decrease in enrollment in grandfathered plans and shows a close distribution of enrollees, of Louisiana residents enrolled in individual or employer- sponsored health benefit plans. Issue 2. The proliferation of health benefit plans containing high enrollee cost-sharing provisions. Issue 3. The effects of health benefit plans with high cost-sharing provisions on the enrollee’s ability to pay, of coverage of Louisiana residents enrolled in individual or employer- sponsored health benefit

SoftwareDevelopmentStandards

https://ldi.la.gov/docs/default-source/documents/publicaffairs/softwaredevelopmentstandards.pdf?sfvrsn=c51d7552_46

environment for operations. LDI staff, maintenance personnel, working in conjunction with the entity, M E N T, TEST AND PRODUCTION ENVIRONMENTS ............... 2 3 M E THODS AND PROCEDURES TO MOVE NEW SYSTEMS AND UPDATES INTO THE PRODUCTION ENVIRONMENT, of these standards is to ensure and verify proper integration and consistency across the automated system, into Department’s database paradigm. New systems working in concert will ensure that special data