1710 search results for Out

project-river---deloitte-actuarial-opinion-response---final (1)

https://ldi.la.gov/docs/default-source/documents/legaldocs/public-comments-dec23/project-river---deloitte-actuarial-opinion-response---final-(1).pdf?sfvrsn=8f9a4552_0

for allocation of consideration among eligible members as provided by BCBSLA and as outlined, actuarial financial statement items, as such items were outside the scope of the Original Opinion. OUR, this response, as previously outlined in the Scope section, our analysis included review of the Hause, broadly on matters outside the scope of the referenced actuarial guidance including, but not limited, , we believe this is a legal matter outside the actuarial component of review, i.e. the review

LDI 16 Chaffe 9.11.23 Response to Hause (000289-000297)

https://ldi.la.gov/docs/default-source/documents/legaldocs/public-comments-dec23/ldi/ldi-16-chaffe-9-11-23-response-to-hause-(000289-000297).pdf?sfvrsn=fdae4552_0

as provided by BCBSLA and as outlined in Exhibit E in BCBSLA's Plan of Reorganization. While we reference, actuarial financial statement items, as such items were outside the scope of the Original Opinion, this response, as previously outlined in the Scope section, our analysis included review of the Hause, outside the scope of the referenced actuarial guidance including, but not limited to, the total, conferred to policyholders under such definition, we believe this is a legal matter outside

LDI 52 Deloitte Actuarial Response 9.11.23 (000777-000785)

https://ldi.la.gov/docs/default-source/documents/legaldocs/public-comments-dec23/ldi/ldi-52-deloitte-actuarial-response-9-11-23-(000777-000785).pdf?sfvrsn=84ac4552_0

for allocation of consideration among eligible members as provided by BCBSLA and as outlined, related actuarial financial statement items, as such items were outside the scope of the Original Opinion, In developing this response, as previously outlined in the Scope section, our analysis included review, , the Hause Report opines broadly on matters outside the scope of the referenced actuarial guidance, conferred to policyholders under such definition, we believe this is a legal matter outside

Exh. FF - Collender Rebuttal to Hause Opinion dated September 11, 2023

https://ldi.la.gov/docs/default-source/documents/legaldocs/public-comments-dec23/bcbsla/exh-ff---collender-rebuttal-to-hause-opinion-dated-september-11-2023.pdf?sfvrsn=cea94552_0

for allocation of consideration among eligible members as provided by BCBSLA and as outlined, related actuarial financial statement items, as such items were outside the scope of the Original, Page 3 In developing this response, as previously outlined in the Scope section, our analysis, to the Original Opinion, the Hause Report opines broadly on matters outside the scope of the referenced, believe this is a legal matter outside the actuarial component of review, i.e. the review

Winn

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/winn.pdf?sfvrsn=3df27452_12

PCP Co-Pay $5 30% (out-of-network) $10 $35 (out-of-network) $15 30% (out-of-network) $15 Specialist Co-Pay $45 30% (out-of-network) $35 $50 (out-of-network) $50 30% (out-of-network) $50 $40 - $60 (out of network) ER $80 per visit (always covered) $80 per visit (always covered, No No Chemo Drugs 20% 20% 30% (out-of-network) 20% 30% (out-of-network) 20% 17%-20% (out-of-network) Out-of-Pocket Maximum $6,700 / $10,000 $6,700 / $10,000 $6,700 / $10,000 $6,700 / $10,000

Plaquemines

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/plaquemines0229242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=55b64f52_6

Consolidated Premium $0 $75 $21.00 $0 Health Plan Deductible $0 $1,000 $0.00 $1000 Out-of Network PCP Co, in the Gap Yes Yes No Out-of-Pocket Maximum $4,900 $3,500 In-Network; $7,000 Combined $6,700.00 $6,700, $1000 out of network $1000 Out-of-Network $1000 out of network $1000 out of network PCP Co-Pay, No No No Out-of-Pocket Maximum $6,700 in network; $10,000 combined $6,700 In-Network; $10,000, - POS Monthly Consolidated Premium $110.00 $0.00 $0.00 $32.20 Health Plan Deductible $1000 out

Richland

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/richland5229242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=4ab64f52_6

; $1,000 Out-of-Network $0 $0.00 $1,000 Out-of-Network PCP Co-Pay $0 $0 $10.00 $0 In-Network, day: Days 1-6 Annual Drug Deductible $0 $0 $0.00 Additional Coverage in the Gap Yes Yes No Out, Consolidated Premium $82 $110 $0 $44.00 Health Plan Deductible $1,000 Out-of-Network $1,000 Out-of-Network $1000 Out-of Network $1000 out of network PCP Co-Pay $15 In-Network $15 In-Network $0 $5.00, No No No Out-of-Pocket Maximum $6,700 In-Network; $10,000 Combined $6,700 In-Network; $10,000

St.John the Baptist

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/st-john-the-baptistca29242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=29b64f52_6

Monthly Consolidated Premium $0 $75 $44.00 $0 Health Plan Deductible $0 $1000 Out-of-Network $1000 out of network $1000 Out-of Network PCP Co-Pay $0 $0 $5.00 $0 Specialist Co-Pay $35 $35 $45.00 $35, $0 $400.00 Additional Coverage in the Gap Yes Yes No Out-of-Pocket Maximum $5,500 In-Network, Monthly Consolidated Premium $78 $21 $0.00 $82.00 Health Plan Deductible $1000 Out-of-Network $0 $1000 out of network $1000 out of network PCP Co-Pay $15 $5 $0 in network $15 in network Specialist

West Carroll

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/west-carrollb42a242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=dcb64f52_6

Monthly Consolidated Premium $75 $0 $0.00 $0 Health Plan Deductible $0 In-Network; $1,000 Out-of Network $0 $0.00 $1000 Out-of Network PCP Co-Pay $0 $0 $10.00 $0 Specialist Co-Pay $40 $50 $40.00, $0 $0 $0.00 Additional Coverage in the Gap Yes Yes No Out-of-Pocket Maximum $3,700 In-Network, $44.00 $23.90 $0 Health Plan Deductible $1000 Out-of-Network $1000 out of network $0 $1,000 Out, $400.00 $435 Additional Coverage in the Gap No No No Out-of-Pocket Maximum $6,700 In-Network

Vernon

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/vernon782a242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=e6b64f52_6

$0 $150 $0 In-Network; $1,000 Out-of-Network $0 PCP Co-Pay $5 $5 $0 $0 Specialist Co-Pay $35, $6,000 In-Network; $10,000 Combined $3,500 In-Network; $7,000 Combined $4,900 In-Network Out, $1000 Out-of Network $0 $1000 out of network $1000 Out-of-Network PCP Co-Pay $0 20% $5.00 $15, Coverage in the Gap No No No Out-of-Pocket Maximum $6,700 In-Network; $10,000 Combined $6,700 $6,700, Premium $0 $82 $110 $0.00 Health Plan Deductible $1,000 Out-of-Network $1,000 Out-of-Network