La. Admin. Code tit. 37 § XIII-9101
Current through Register Vol. 50, No. 6, June 20, 2024
Section XIII-9101 - PurposeA. The purpose of this regulation is to clarify the rights of insureds and requirements for health insurance coverage approved under Title 22 of the Louisiana Revised Statutes of 1950. Title 22 of the Louisiana Revised Statutes of 1950 establishes the statutory requirements that health insurance coverage must meet to be issued for delivery in Louisiana. The statutory requirements also establish the intent of the legislature to afford patients with health insurance coverage, basic rights to access covered benefits without undue delays or denials based on arbitrary determinations of medical necessity. The statutory requirements also establish the legislative intent to prohibit the use of a health insurance coverage requirement or procedure that impinges on the ability of the insured patient to receive appropriate medical advice and/or treatment from a health care provider.B. To carry out the intent of the legislature and assure full compliance with the provisions of applicable statutory requirements, this regulation sets forth the patient rights under health insurance coverage policies or plans issued for delivery in this state.La. Admin. Code tit. 37, § XIII-9101
Promulgated by the Department of Insurance, Office of the Commissioner, LR 26:324 (February 2000).AUTHORITY NOTE: Promulgated in accordance with R.S. 22:3 and R.S. 22:2014