Regulation 53―Basic Health Insurance Plan Pilot Program | Midpage

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Louisiana Administrative Code

Chapter 31

Regulation 53―Basic Health Insurance Plan Pilot Program

State of Louisiana

3101Purposes 3103Applicability and Scope 3105Definitions 3107Pilot Plan in General 3109Pilot Plan Authorized Carrier 3111Application Process 3113Authorization of Pilot Plan 3115Revocation of an Authorized Carrier's Authority 3117Evaluation and Reporting Requirements 3119Premium Taxes 3121Guaranty Association 3123Health Insurance Producers 3125Eligibility 3127Benefits 3129Hospital Services 3131Emergency Room Benefits 3133Provider Services 3135Limitations 3137Exclusions 3139Outpatient Prescription Rider 3141Premium Maximums, Method for Calculating 3143Payment of Benefits 3145General Provisions 3147Termination of Coverage