Louisiana Revised Statutes 22:1136 – Program parameters
Terms Used In Louisiana Revised Statutes 22:1136
- Commissioner: means the commissioner of insurance. See Louisiana Revised Statutes 22:1132
- Program: means the Louisiana Guaranteed Benefits Pool. See Louisiana Revised Statutes 22:1132
In establishing the program, the commissioner shall provide for all of the following:
(1) The criteria for individuals to be eligible for participation in the program.
(2) The development and use of health status statements with respect to eligible individuals.
(3) The standards for qualification, including but not limited to all of the following:
(a) The identification of health conditions that automatically qualify individuals as eligible individuals at the time of application for health insurance coverage.
(b) A process pursuant to which health insurance issuers may voluntarily qualify individuals who do not automatically qualify as eligible individuals at the time of application for coverage.
(4) The percentage of the premiums paid to health insurance issuers for health insurance coverage by eligible individuals that shall be collected and deposited to the credit and available for the use of the program.
(5) The threshold dollar amount of claims for eligible individuals after which the program will provide payments to health insurance issuers and the proportion of the claims above the threshold dollar amount that the program will pay.
Acts 2019, No. 412, §1, eff. June 11, 2019.