La. Admin. Code tit. 32 § III-103

Current through Register Vol. 50, No. 11, November 20, 2024
Section III-103 - Deductibles

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, § III-103

Promulgated by the by the Office of the Governor, Division of Administration, Office of Group Benefits, LR 41:350 (February 2015), effective March 1, 2015.
AUTHORITY NOTE: Promulgated in accordance with R.S. 42:801(C) and 802(B)(1).