LAC 32:V.301
| Deductible Amount Per Benefit Period | ||
|---|---|---|
| Individual: | Network | Non-Network |
| Active Employee/Retirees on or after March 1, 2015 | $400 | No Coverage |
| Retirees prior to March 1, 2015 (With and Without Medicare) | $0 | No Coverage |
| Individual, Plus One Dependent: | ||
| Active Employee/Retirees on or after March 1, 2015 | $800 | No Coverage |
| Retirees prior to March 1, 2015 (With and Without Medicare) | $0 | No Coverage |
| Individual, Plus Two or More Dependents: | ||
| Active Employee/Retirees on or after March 1, 2015 | $1,200 | No Coverage |
| Retirees prior to March 1, 2015 (With and Without Medicare) | $0 | No Coverage |
AUTHORITY NOTE: Promulgated in accordance with R.S. 42:801(C) and 802(B)(1).
HISTORICAL NOTE: Promulgated by the Office of the Governor, Division of Administration, Office of Group Benefits, LR 41:358 (February 2015), effective March 1, 2015.