La. Admin. Code tit. 32 § III-105

Current through Register Vol. 50, No. 11, November 20, 2024

Section III-105 - [Effective until 1/1/2025] Out of Pocket Maximums

Out-of-Pocket Maximum Per Benefit Period (Includes All Eligible Copayments, Coinsurance Amounts and Deductibles)
Individual:	Network	Non-Network
Active Employee/Retirees on or after March 1, 2015	$3,500	No Coverage
Retirees prior to March 1, 2015 (With and Without Medicare)	$2,000	No Coverage
Individual, Plus One Dependent:
Active Employee/Retirees on or after March 1, 2015	$6,000	No Coverage
Retirees prior to March 1, 2015 (With and Without Medicare)	$3,000	No Coverage
Individual, Plus Two or More Dependents:
Active Employee/Retirees on or after March 1, 2015	$8,500	No Coverage
Retirees prior to March 1, 2015 (With and Without Medicare)	$4,000	No Coverage

La. Admin. Code tit. 32, § III-105

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, Amended LR 43:2153 (11/1/2017), (effective 1/1/2018).

AUTHORITY NOTE: Promulgated in accordance with R.S. 42:801(C) and 802(B)(1).