1710 search results for Out
- LPCIC Annual Report 2017-2018
- https://ldi.la.gov/docs/default-source/documents/propertycasualty/lpcic/Documents/lpcic-annual-report-2017-2018.pdf?sfvrsn=3d747452_0
- Management and Insurance
outlined the Challenges in the Cyber Insurance Market:
1
As cyber risks have, results in more lawsuits, fewer out-of-court
settlements, and higher and more frequent plaintiff, Law—La. R.S. 32:141(D)
§141. Stopping, standing, or parking outside business or residence districts
A. Upon any highway outside of a business or residence district, no person shall
stop, park, that insurance
companies tend to resist mandates. Commissioner St. Germain pointed out the limited
- SHIIP-Care-Drugs-Disaster-Emergency
- https://ldi.la.gov/docs/default-source/documents/publicaffairs/event-documents/shiip-care-drugs-disaster-emergency.pdf?sfvrsn=19ba7452_6
- out if your area is afected.
• Te Secretary of HHS has declared a public health emergency. Visit PHE.gov,
or call 1-800-MEDICARE (1-800-633-4227) to fnd out if your area is afected.
TTY users should, . If you
have problems using an out-of-network provider, contact your plan for help.
• Won’t require you to follow your plan’s prior authorization rules for out-of-
network services.
2
Seeing doctors or other providers (continued)
• If you usually pay more for out-of-network or out-of-area care
- Project River - Amended and Restated Bylaws of BCBSLA (Exhibit B to Plan) (Draft 1.10.24)-134934334-v4
- https://ldi.la.gov/docs/default-source/documents/legaldocs/public-comments-dec23/phnpv/project-river---amended-and-restated-bylaws-of-bcbsla-(exhibit-b-to-plan)-(draft-1-10-24)-134934334-v4.pdf?sfvrsn=484e4652_6
- or outside of the State of Louisiana, as
the Board of Directors may designate or as the Company’s, by the Board of Directors, and at the time and place,
if any, within or outside the State of Louisiana, on the dates, at the times, and at the places, if any, within or outside of the State of
Louisiana, of the then-issued and outstanding shares
of capital stock of the Company and who are entitled to vote must
- Consumer Advocacy Newsletter
- https://ldi.la.gov/consumers/resources-publications/consumer-advocacy/newsletters/january-2016-volume-7-issue-1
-
Document
Volume 7, Issue 1 January 2016
Our monthly newsletter addresses consumer insurance topics as well as timely information on issues affecting senior citizens in Louisiana.
To find out if Consumer Advocacy will be in your area or to request, ’re safe from flooding. In fact, consumers outside of high-risk flood areas account for more than, exclusions or contact your agent or insurer to find out more about what your policy currently covers
- November 2017- Volume 8, Issue 11
- https://ldi.la.gov/consumers/resources-publications/consumer-advocacy/newsletters/november-2017-volume-8-issue-11
- more if you use providers who are out of the network. If you are provided services from outside,
Document
Volume 8, Issue 11 November 2017
Our monthly newsletter addresses consumer insurance topics as well as timely information on issues affecting senior citizens in Louisiana. To find out if Consumer Advocacy will be in your area or to request a speaker for your organization or group, call (225) 219-0619 or send an email
- Other Types
- https://ldi.la.gov/consumers/insurance-type/other-types
- is generally not accepted outside of the United States. To find out more about the extent of your, before benefits begin.
Insurance policies are usually broken out by the type of pet being insured
- U217 - Fifth Amending Petition - LAHC - 4 1 21
- https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/louisiana-health-cooperative/lahc/u217---fifth-amending-petition---lahc---4-1-21.pdf?sfvrsn=f17b4352_6
- ")
that
LAHC needed to be successful. Rather than decline
taking on a
job
that was outside of its,
member benefits
(maximum
out-of-pockets exceeded);
x. Failed to
pay
interest on claims,
to a subscriber's
maximum out-of-pocket limit;
hh. Paid claims for members that never, herein.
Milliman
39.
At all relevant
times, Milliman held itself
out as having expertise to provide, that
the loss ratio in nearly every modeled
year would be 85% (an
outlier loss ratio was never higher
- W232-1 - Buck's Opposition to MPSJ Exhibits A-G
- https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/louisiana-health-cooperative/lahc/w232-1---buck's-opposition-to-mpsj-exhibits-a-g.pdf?sfvrsn=71744352_6
-
that was outside of its
capabilities, GRI wrongly agreed to replace CGI and
serve as TPA for LAHC. GRI's,
to
administer
member benefits
(maximum
out-of-pockets exceeded);
x. Failed to
pay
interest, , especially as it pertains
to a subscriber's
maximum out-of-pocket limit;
hh. Paid claims for members,
as if fully set forth herein.
Milliman
39.
At all relevant
times, Milliman held itself
out as having, assumed that
the loss ratio in nearly every modeled
year would be 85% (an
outlier loss ratio
- West Carroll
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/west-carroll.pdf?sfvrsn=35f27452_12
- Talk with Plan
Chemo Drugs 20% 20%/30% 20% / 30% 20% / 17%-20%
Out-of-Pocket Maximum $6,700 $6,700, Contact Plan $500 Out-of network $500 Out-of network $500 Out-of network
PCP Co-Pay $10 or 0%- 20, % / 50% 20% / 50%
Out of Pocket Maximum $6,700 $5,500 $3,000 $6,700
2018 Medicare Advantage Plans
West, Local HMO
Monthly Consolidated
Premium
$245
Health Plan Deductible $500 Out-of-network
PCP Co,
$0 In Network per stay
50% Out of Network per stay
Inpatient Hospital
$0 In Network per stay
50
- Rapides
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/rapides.pdf?sfvrsn=9cf57452_12
-
Health Plan Deductible $0
$1,000
out-of-network
$1,000 annual deductible
$1,000
out, (days 1-20)
$164.50 per day (days 21-100)
30% out-of-network
Inpatient Hospital
$225 per day (days, % / 30%
Out-of-Pocket Maximum $6,700 $6,700 / $10,000 $6,700 / $10,000 $6,700 / $10,000
2018 Medicare,
$31.00 $59 $169 $0
Health Plan Deductible Contact Plan
$500 Out-of-Network
deductible
$500 annual deductible
out-of-network
$500 annual deductible
out-of-network
PCP Co-Pay $10 or 20%
$20 or 0