1425 search results for Ben
- St.Bernard
- https://ldi.la.gov/docs/default-source/documents/shiip/2022-medicare-advantage-plans/st-bernard.pdf?sfvrsn=6a7b4c52_6
-
Plan Name
Medicare Plan
Type
Contract ID Phone Number
Total Monthly
Premium
PCP Co-Pay
Specialist
Co-Pay
Inpatient Hospital Pt D Coverage
Additional
Benefits
Out-of-Pocket
Maximum
Aetna Medicare Eagle
PPO H5521-235 855-275-6627 $0 $0/$30 $30/$50 $225 days 1-7 No Yes $6,400/$11,300
Aetna Medicare Freedom
PPO H5521-178 855-275-6627 $0 $5/$25 $40/$50
$245 days 1-7
Yes Yes,
Premium
PCP Co-Pay
Specialist
Co-Pay
Inpatient Hospital Pt D Coverage
Additional
Benefits
Out
- Regulation 18 Repeal Final
- https://ldi.la.gov/docs/default-source/documents/legaldocs/regulations/repeal/regulation-18-repeal-final.pdf?sfvrsn=518e5b52_6
- . the actuarial present 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
- Directive225-cur-CoverageForFertility
- https://ldi.la.gov/docs/default-source/documents/legaldocs/directives/directive225-cur-coverageforfertility.pdf?sfvrsn=f0875a52_18
- plans in this state
that provide hospital, medical, or surgical benefits for individuals covered, ; however, a health coverage plan
may contain provisions for maximum benefits and may apply
- 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
-
deductibles
and benefit
accumulators, monitoring all claims, submitting
all claims, tracking,
member benefits
(maximum
out-of-pockets exceeded);
x. Failed to
pay
interest on claims, for
Health
Benefits,
Accident & Health Insurance,
and
Entities
Providing
Health
Benefits, Standard
of Practice
(ASOP) No. 8 - Regulatory Filings for
Health
Benefits, Accident & Health Insurance,
and
Entities
Providing Health Benefits. The following sections of ASOP No. 8
- 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
- records
regarding
deductibles
and benefit
accumulators, monitoring all claims, submitting
all,
to
administer
member benefits
(maximum
out-of-pockets exceeded);
x. Failed to
pay
interest,
Filings for
Health
Benefits,
Accident & Health Insurance,
and
Entities
Providing
Health
Benefits. The
following
paragraphs
are
applicable :
.
Paragraph3.4.2
of ASOP No. 8 states, be
guided
by Actuarial Standard
of Practice
(ASOP) No. 8 - Regulatory Filings for
Health
Benefits
- MNRO Application
- https://ldi.la.gov/docs/default-source/documents/licensing/companies/mnro-application.pdf?sfvrsn=4dbd7c52_0
- or control a health insurance issuer, health benefit plan, a national,
state or local trade association of health benefit plans, or a national, state, or local trade
association of health care providers?
YES NO
12) Is the applicant owned or controlled by a health insurance issuer, health benefit plan, a
national, state or local trade association of health benefit plans, or a national, state, activities performed for one or more health benefit plans. The
description shall include all
- MNROApplication
- https://ldi.la.gov/docs/default-source/documents/licensing/companies/mnroapplication.pdf?sfvrsn=770a7c52_0
- or control a health insurance issuer, health benefit plan, a national,
state or local trade association of health benefit plans, or a national, state, or local trade
association of health care providers?
YES NO
12) Is the applicant owned or controlled by a health insurance issuer, health benefit plan, a
national, state or local trade association of health benefit plans, or a national, state, activities performed for one or more health benefit plans. The
description shall include all
- S193-1 - Exhibits A - E
- https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/louisiana-health-cooperative/lahc/s193-1---exhibits-a---e.pdf?sfvrsn=50ba4c52_2
- Z260 - Rule NISI - Motion to Compel Milliman - 9 10 21
- https://ldi.la.gov/docs/default-source/documents/financialsolvency/receivership/louisiana-health-cooperative/lahc/z260---rule-nisi---motion-to-compel-milliman---9-10-21.pdf?sfvrsn=48714352_6
- IN
COURT.
IF YOU FAIL TO
APPEAR,
A BENCH
WARRANT MAY ISSUE
FOR YOUR
ARREST.
This Rule
- Regulation 113
- https://ldi.la.gov/docs/default-source/documents/legaldocs/regulations/reg113-noi.pdf?sfvrsn=f6094852_0
- BENEFITS TO
DIRECTLY AFFECTED PERSONS OR NONGOVERNMENTAL
GROUPS (Summary)
The proposed rule change will not result in any costs and/or
economic benefits to health insurers. The purpose, pursuant to LA R.S. 22:821.
III. ESTIMATED COSTS AND/OR ECONOMIC BENEFITS TO
DIRECTLY AFFECTED PERSONS OR NONGOVERNMENTAL
GROUPS (Summary)
The proposed rules will benefit insurers by codifying