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Volume 15, Issue 3 September 2024

https://ldi.la.gov/consumers/resources-publications/consumer-advocacy/newsletters/volume-15-issue-3-september-2024

Medicare beneficiaries during open enrollment. Our counselors advise you to ignore unsolicited calls

Reg86-Cur-DependentCoverageOfN

https://ldi.la.gov/docs/default-source/documents/legaldocs/regulations/reg86-cur-dependentcoverageofn.pdf?sfvrsn=3fc27352_6

Statutes, unless preempted as a qualified employee benefit plan under the Employee Retirement Income, a determination of the benefit limits with regard to the newborn child; 3. make a determination of any, of benefits, including, but not limited to, an itemization of all covered benefits and applicable co, (September 2005). Chapter 113. Regulation 88— Standardization of Health Benefits and Compliance, for the standardization of health benefits and compliance requirements. This program and the applicable

Reg116-cur-Stop-LossOrExcessPolicies

https://ldi.la.gov/docs/default-source/documents/legaldocs/regulations/reg116-cur-stop-lossorexcesspolicies.pdf?sfvrsn=41624f52_6

. Definitions Group Health Plan—an employee welfare benefit plan as defined in Section 3(1, for health care services, or health and accident benefits to employees of two or more employers, but which, fully insured only if said services, indemnification, payment, or benefits are guaranteed under, in R.S. 22:463, the Office of Group Benefits, plans of political subdivisions, health maintenance, this Title. A plan of a fraternal benefit society or a labor organization shall not be considered

Press Releases

https://ldi.la.gov/news/press-releases

January 23, 2023 - Cease-and-Desist Orders Issued to Express Scripts and Office of Group Benefits, of Cold Calls Encouraging Medicare Beneficiaries to Switch Plans November 19, 2021 - MEDIA ADVISORY, Fraud Scheme Targeting Medicare Beneficiaries June 17, 2019 - Insurance Commissioner Donelon, During Tax Season March 4, 2016 - LDI Helps Medicare Beneficiaries Save Nearly $1 Million February 24, Beneficiaries Offered Free Help During Medicare Open Enrollment September 12, 2014 - Department of Insurance

HR 197 Effect of Dashboard Camera Installation Incentives on Automobile Insurance Rates

https://ldi.la.gov/docs/default-source/documents/publicaffairs/annualreports/hr-197-effect-of-dashboard-camera-installation-incentives-on-automobile-insurance-rates.pdf?sfvrsn=2d5a4052_0

1 Dash Cams: A Safety Incentive for Auto Insurers An overview of the benefits of dash cams, - Availability and prices - Legality of use in the US - Dash cam’s consumer benefits B. Dash cam use in commercial fleets - Professional features - Fleet specific benefits - Ride hailing drivers benefits - Legality of use in the US - The evolution of Dash cams C. The eyewitness account problem - How do people see and identify D. Insurance and legal benefits - Dash cams to reduce

NOI to Amend Regulation 85 FINAL

https://ldi.la.gov/docs/default-source/documents/legaldocs/regulations/noi/noi-to-amend-regulation-85-final.pdf?sfvrsn=de3f4552_6

no impact on state or local governmental revenues. III. ESTIMATED COSTS AND/OR ECONOMIC BENEFITS, repeal of the rule will have no costs and/or economic benefits to directly affected persons, small, value of future death benefits, calculated using the mortality rates resulting from the application of X; ii. the actuarial present value of future death benefits calculated using anticipated, the payment of benefits and expenses and the establishment of statutory reserves during one

2014MCAS-LifeHybfidLongtermCare

https://ldi.la.gov/docs/default-source/documents/financialsolvency/marketconduct/schedules/2014mcas-lifehybfidlongtermcare.pdf?sfvrsn=ab097152_0

>.90-1.0 >1.0 26 5 0 0 0 0 0 0 0 0 0 0 HERE Ratio 6: Percentage of benefit payment requests denied State, % >70-80% >80-90% >90-100% >100% 0 0 0 0 0 0 0 0 0 0 0 0 HERE Ratio 7: Percentage of benefit, : Percentage of benefit request denials made 60+ days from request notice State Ratio: 0.00 % 0% >0-10

2014MCAS-AnnuityHybridLongtermCare

https://ldi.la.gov/docs/default-source/documents/financialsolvency/marketconduct/schedules/2014mcas-annuityhybridlongtermcare.pdf?sfvrsn=9e097152_0

>7.0 7 0 0 0 0 0 0 0 0 0 0 0 HERE Ratio 6: Percentage of benefit payment requests denied State, - Overall Industry Statistics for Louisiana HERE Ratio 7: Percentage of benefit request payments made more, % >60-70% >70-80% >80-90% >90-100% >100% 1 0 0 0 0 0 0 0 0 0 0 0 DIV/0 Ratio 8: Percentage of benefit

2014MCAS-LongtermCare

https://ldi.la.gov/docs/default-source/documents/financialsolvency/marketconduct/schedules/2014mcas-longtermcare.pdf?sfvrsn=81097152_0

% >70-80% >80-90% >90-100% >100% 14 3 6 5 4 7 0 2 2 1 3 0 HERE Ratio 6: Percentage of benefit, Term Care - Overall Industry Statistics for Louisiana HERE Ratio 7: Percentage of benefit request, : Percentage of benefit request denials made 60+ days from request notice State Ratio: 3.04 % 0% >0-10

Minutes 18May2018

https://ldi.la.gov/docs/default-source/documents/health/lhcc/minutes/minutes-18may2018.pdf?sfvrsn=1c634952_0

–Provides relative to Medicaid payments for pharmacy benefit manager services; provides relative, to pharmacy benefit managers; provides for internet publication of formularies; provides for transparency, for identification of a health benefit plan insurer and sponsor; requires information regarding