Louisiana Revised Statutes 22:1062.1 – Special enrollment period
Terms Used In Louisiana Revised Statutes 22:1062.1
- Dependent: A person dependent for support upon another.
- Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
A. Every group health plan issued by a health insurer or a health maintenance organization shall provide for a special enrollment period for employees or dependents if either of the following apply:
(1) The employee or dependent loses eligibility for Medicaid or coverage under the Louisiana Children’s Health Insurance Program and the employee requests, not later than sixty days after the date of termination of such coverage, coverage under a group health plan for which the employee or dependent is eligible.
(2) The employee or dependent becomes eligible to participate in a premium assistance program under Medicaid or the Louisiana Children’s Health Insurance Program and the employee requests, not later than sixty days after the date of determination of eligibility, coverage under a group health plan for which the employee or dependent is eligible. In the event of such eligibility, the Louisiana Department of Health shall ensure that each eligible enrollee, or, in the case of an enrollee in the Louisiana Children’s Health Insurance Program, the child’s parent or guardian, receives information regarding the special enrollment period. The department shall provide consistent communication and facilitation for everyone eligible to enroll in a group health plan during the special enrollment period.
B. The Department of Insurance may promulgate rules and regulations, pursuant to the Administrative Procedure Act, as necessary to assure compliance with the provisions of this Section and Section 311 of the Children’s Health Insurance Program Reauthorization Act of 2009.
Acts 2009, No. 243, §1.