1710 search results for Out

Reg98-Cur-AnnualFinancialRepor

https://ldi.la.gov/docs/default-source/documents/legaldocs/regulations/reg98-cur-annualfinancialrepor.pdf?sfvrsn=f6c27352_12

is necessary for the commissioner to carry out statutory responsibilities. Insurers having assumed premiums, audit outsourcing services; f. management functions or human resources; g. broker or dealer, of the audit committee ceases to be independent for reasons outside the member's reasonable control

N143 - Receiver's Reply Report re Status of Risk Corridor - 7 31 20

https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/louisiana-health-cooperative/lahc/n143---receiver's-reply-report-re-status-of-risk-corridor---7-31-20.pdf?sfvrsn=13804c52_2

outlined in "Receiver's Status Report Regarding Risk Conidor Expectations" filed herein on June 15,2020, would satisfy all of LAHC's creditors and, in effect, wipe out all of LAHC's losses, be dismissed out of hand. a been unavailable to them. This is simply incorrect. With the exception, rapid movement in Health Republic. Defendants also fail to point out that the events they "learned, and supports the reduction in outstanding liabilities from the Receiver's last report. -4- time

W232 - Opposition to MPSJ re Fault Defenses or Motion to Strike - Buck - 6 2 21

https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/louisiana-health-cooperative/lahc/w232---opposition-to-mpsj-re-fault-defenses-or-motion-to-strike---buck---6-2-21.pdf?sfvrsn=70744352_6

that follow. II. BACKGROUND A. Relevant Procedural History This lawsuit arises out of the failure, (A) to take the D&O’s fault out of this case. To hold otherwise would impermissibly permit, open the door to allocation of fault to the “empty chairs.” “By agreeing to an out-of-court settlement, ). See also Caruso v. Acad. Sports & Outdoors, 18-496 (La. App. 5 Cir. 4/24/19), 271 So. 3d 355, 361, out discovery and to present their claim.” Welch v. East Baton Rouge Parish Metro. Council, 2010-1532

East Carroll

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/east-carroll4659232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=a3c64852_6

* Total Monthly Premium $15 $68 $0 $0 Health Plan Deductible $0 $0 In-Network; $1,000 Out-of-Network $0 $1000 Out-of-Network PCP Co-Pay $0 $0 $10 $0 In-Network Specialist Co-Pay $50 $40 $40 $35, No Chemo Drugs $0 $0 $0 20% Out-of-Pocket Maximum $6,700 In-Network $5,000 In-Network; $10,000 Out-of-Network $6,700 In-Network $6,700 In-Network; $10,000 Combined *No Drugs Covered 2019, Deductible $1000 Out-of-Network $1000 Out-of-Network $500 Out-of Network $500 Out-of Network PCP Co

Claiborne

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/claiborne6223242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=58bc4f52_6

Monthly Premium $0 $0 $0 $75 Health Plan Deductible $150 $150 $0 $0 In-Network; $1,000 Out, in the Rx Gap Yes Yes Yes Out-of-Pocket Maximum $6,700 In-Network; $10,000 Combined $5,900 In-Network, Humana, Local PPO Total Monthly Premium $0 $78 $21.30 $44 Health Plan Deductible $1000 Out-of-Network $1000 Out-of-Network TBD $1,000 Out-of-Network PCP Co-Pay $0/$35 $15 In-Network 20% $5, Additional Coverage in the Rx Gap No No No Out-of-Pocket Maximum $6,700 In-Network; $10,000

Caldwell

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/caldwell2623242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=63bc4f52_6

Monthly Premium $0 $75 $0 $0 Health Plan Deductible $0 $1,000 Out-of-Network $0 $1000 Out, In-Network $3,700 In-Network; $7,400 Combined No Out-of-Pocket Maximum $6,700 In-Network $5,000, Premium $23.90 $44 $78 $0 Health Plan Deductible *Coming Soon $1,000 Out-of-Network $1000 Out-of-Network $1,000 Out-of-Network PCP Co-Pay 20% $5 In-Network $15 In-Network $5 In-Network, Additional Coverage in the Rx Gap No No No No Out-of-Pocket Maximum $6,700 In-Network

Assumption

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/assumptiona022242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=64bc4f52_6

, PPO Total Monthly Premium $0 $0 $0 $75 Health Plan Deductible $150 Out-of-Network $150 Out-of-Network $0 $1000 Out-of-Network PCP Co-Pay $5/$30 $5/$30 $0 $0 Specialist Co-Pay $35/$50 $35/$50 $35, $100 $0 $0 Additional Coverage in the Gap Yes Yes Yes Out-of-Pocket Maximum $6,400 In-Network, in the Gap No Out-of-Pocket Maximum $6,700 In-Network $6,700 $6,700 $6,700 *No Drugs Covered, , Regional PPO MSA Total Monthly Premium $0 $82 $0 $0 Health Plan Deductible $1000 Out-of-Network

Beauregard

https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/beauregard9f22242a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=8fbf4f52_6

Plan Deductible $150 Out-of-Network $150 Out-of-Network $0 $0 In-Network; $1,000 Out-of-Network, Yes Yes Out-of-Pocket Maximum $6,400 In-Network; $10,000 Combined $6,000 In-Network; $10,000, Plan Deductible $1,000 $1000 Out-of-Network $0 $0 PCP Co-Pay $0 $5 In-Network $5 $5 Specialist Co, day: Days 1-10 Annual Drug Deductible $435 Additional Coverage in the Gap No Out-of-Pocket, , Regional PPO MSA Total Monthly Premium $0 $82 $110 $0 Health Plan Deductible $1000 Out

Post Disaster Guide

https://ldi.la.gov/docs/default-source/documents/publicaffairs/consumerpublications/post-disaster-guide.pdf?sfvrsn=4b8f7c52_45

of these problems can be worked out to everyone’s satisfaction. There are some limits to what the Department, and five percent. Keep in mind that a higher d e d u c t i b l e means higher out-of-pocket expense, deductible, you would pay $3,000 out of pocket before the company would pay towards the damage, the entire claim out of pocket, make sure to document the damage with photographs and keep receipts, by an intentional act of the insured. Figuring Out the Costs The settlement amount the insurance company ofers

Amending Petition (filed 11-29-16)

https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/Louisiana-Health-Cooperative/amending-petition-(filed-11-29-16).pdf?sfvrsn=644a7552_0

inadequate oversight of contracts with outside vendors, including CGI and GRI; e. Lack of regularly, and timely; k. Gross failure to properly calculate member out-of-pocket responsibilities resulting, was woefully not prepared for its roll-out to the public on January 1, 2014. 34. By approximately March 2014, just three (3) months after its ill-advised roll-out, the D&O Defendants compounded, as may be later discovered. 45. As of March 2014, just three (3) months after its roll-out, LAHC