1710 search results for Out
- IndividualHealthInsurance
- https://ldi.la.gov/docs/default-source/documents/health/qualitymgmt/individualhealthinsurance.pdf?sfvrsn=444c7c52_0
-
with your health insurer, while outlining your appeal rights in the event
of a dispute with your, you from being singled out, but it doesnt protect you
totally from losing coverage.
Before you buy, for. To find out about individual health
insurance plans, you can call insurance companies and HMOs, .
To receive payment for fee-for-service claims, you may have to fill out
forms and send them to your, experience much higher
out-of-pocket expenses than anticipated because they will be responsible
- Terrebonne
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/terrebonnea25c232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=48c54852_6
- Yes No
Chemo Drugs 20% 20% 20% 20%
Out-of-Pocket
Maximum
$6,700 In-Network;
$10,000 Combined, PPO HMO
Total Monthly
Premium
$0 $53 $87 $0
Health Plan
Deductible
$1000 Out-of-Network $1,000,
$415 $400 $0
Additional Coverage
in the Gap
No No Yes
Chemo Drugs 20% 20% 20% 20%
Out,
Premium
$33.10 $169 $0 $59
Health Plan
Deductible
$500 Out-of-Network $500 Out-of-Network $500 Out-of-Network $500 Out-of-Network
PCP Co-Pay $10 $10 $15 $15
Specialist Co-Pay
20% (after Pt B
- Evangeline
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/evangeline4a59232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=9ec64852_6
- ;
$1,000 Out-of-Network
PCP Co-Pay $5 $5 $0 $0
Specialist Co-Pay $35 $35 $40 $40
ER $90 $90 $90 $90,
Additional Coverage
in the Rx Gap
Yes Yes Yes
Chemo Drugs 20% 20% 20% 20%
Out-of-Pocket
Maximum, $87
Health Plan
Deductible
$185 - some In &
Out-of-Network
$1000 Out-of-Network $1,000 $1000 Out, % 20%
Out-of-Pocket
Maximum
$6,700 In-Network;
$10,000 Combined
$6,700 In-Network;
$10,000,
Health Plan
Deductible
$1,000 Out-of-Network $1,500 Out-of-Network $0 $0
PCP Co-Pay $0 In-Network
- Bienville
- https://ldi.la.gov/docs/default-source/documents/shiip/medicare-advantage-plans/bienvillee557232a8b9e6b8a94f4ff0000585bf2.pdf?sfvrsn=5c94852_6
- ;
$1,000 Out-of-Network
PCP Co-Pay $5 $5 $0 $0 In-Network
Specialist Co-Pay $35 $35 $50 $40, % 20%
Out-of-Pocket
Maximum
$6,700 In-Network;
$10,000 Combined
$6,700 In-Network;
$10,000, $87
Health Plan
Deductible
$185 for some In-Network
& Out-of-Network services
$1,000 $1,000,
No No No No
Chemo Drugs 20% 20% 20% 20% 20%
Out-of-Pocket
Maximum
$5,000 In-Network;
$10,000 Combined,
Total Monthly
Premium
$59 $169 $33.10 $0
Health Plan
Deductible
$500 Out-of-Network $500 Out
- Ethics Training for Producers
- https://ldi.la.gov/docs/default-source/documents/ethics-training-for-producers.pdf?sfvrsn=77817752_6
-
•
Gifts and Incentives
•
Food and Drink Restrictions
•
Travel Related Matters
•
Outside, , non-profit or political organization.
LDI Louisiana
Department of
Insurance
Outside Employment
•
Generally Prohibited
–
If the outside employment is with a person who does or is
seeking to do,
performance of the employee’s official duties
–
If the outside employment is related to official duties
–
If there is an appearance of impropriety.
–
In several states, any outside employment must
- Ethics Training for Producers
- https://ldi.la.gov/docs/default-source/documents/compliance-seminar/2016-compliance-seminar/ethics-training-for-producers.pdf?sfvrsn=a8e47652_6
- Related Matters
• Outside Employment
• Conflict of Interest
• Other Considerations
• Disciplinary, agency approval. Must be invited by a civic, non-profit or political organization.
Outside Employment
• Generally Prohibited
• If the outside employment is with a person who does or is
seeking to do, performance of the
employee’s official duties
• If the outside employment is related to official duties
• If there is an appearance of impropriety
• In several states, any outside employment must
- ethics training for producers
- https://ldi.la.gov/docs/default-source/documents/diversityopportunity/ethics-training-for-producers.pdf?sfvrsn=e1c54b52_6
-
•
Gifts and Incentives
•
Food and Drink Restrictions
•
Travel Related Matters
•
Outside, , non-profit or political organization.
LDI Louisiana
Department of
Insurance
Outside Employment
•
Generally Prohibited
–
If the outside employment is with a person who does or is
seeking to do,
performance of the employee’s official duties
–
If the outside employment is related to official duties
–
If there is an appearance of impropriety.
–
In several states, any outside employment must
- Reg70-Cur-ReplacementOfLifeIns
- https://ldi.la.gov/docs/default-source/documents/legaldocs/regulations/reg70-cur-replacementoflifeins.pdf?sfvrsn=5bc37352_18
- dividend; application of current dividend; and
amount of outstanding loan;
2. for universal life policies, ; and
f. the amount of outstanding loans, if any, as of the
end of the current report period, of
this regulation, notify the producer and applicant and fulfill
the outstanding requirements;
6, of insurers in carrying out the fiduciary
obligations owed to their insureds.
AUTHORITY N O T E
- Property & Casualty Forms
- https://ldi.la.gov/docs/default-source/documents/compliance-seminar/2016-compliance-seminar/property-amp-casualty-forms.pdf?sfvrsn=74e57652_6
- separately
Frequent S u b m i s s i o n Errors
Adoptions
ADOPTION FILINGS – W/OUT FILING AUTHORITY, out of the ownership, maintenance, or use of any
motor vehicle”
La. R.S. 22:1295, Southern, of
disapproval, provide
copy of disposition
letter with outlined
changes
▪
Ensure data
- NOI Amend Regulation 90
- https://ldi.la.gov/docs/default-source/documents/legaldocs/regulations/noi/noi-amend-regulation-90.pdf?sfvrsn=26155b52_6
- the opportunity to opt out of the contract, evergreen contracts, or rollover
contracts and therefore, as enumerated above as of the first renewal date, first opt out date, first rollover date or first, . – 5. …
Paid Date
―
…
Prohibited Billing Activities
―
those activities outlined in R.S. 22