La. Admin. Code tit. 37 § XI-4921

Current through Register Vol. 50, No. 9, September 20, 2024
Section XI-4921 - [Effective until 11/11/2024] Nonpayment of Health Claims
A. In the event a health insurance issuer pends a claim, as permitted pursuant to Emergency Rule 49, and is subsequently entitled to cancel or terminate a policy for nonpayment of premium, the health insurance issuer shall pay any remaining claims for which payment is required under Emergency Rule 49. After the first month of the grace period has lapsed, the health insurance issuer may deny payment on pended claims for services rendered to the insured during the period of nonpayment.

La. Admin. Code tit. 37, § XI-4921

Promulgated by the Department of Insurance, Office of the Commissioner, LR 50, exp. 11/11/2024 (Emergency).
AUTHORITY NOTE: Promulgated in accordance with Executive Order Number JML 24-142, R.S. 22:2, R.S. 22:11, and R.S. 22:1961 et seq, R.S. 49:950 et seq.