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 |
La. Admin. Code tit. 32, § V-301