Deductible Amount Per Benefit Period | ||
Individual: | Network | Non-Network |
Active Employee/Retirees on or after March 1, 2015 | $900 | $900 |
Retirees prior to March 1, 2015 (With and Without Medicare) | $300 | |
Individual, Plus One Dependent (Spouse or Child): | ||
Active Employee/Retirees on or after March 1, 2015 | $1,800 | $1,800 |
Retirees prior to March 1, 2015 (With and Without Medicare) | $600 | |
Individual, Plus Two or More Dependents: | ||
Active Employee/Retirees on or after March 1, 2015 | $2,700 | $2,700 |
Retirees prior to March 1, 2015 (With and Without Medicare) | $900 |
La. Admin. Code tit. 32, § V-201