La. Admin. Code tit. 32 § V-201

Current through Register Vol. 50, No. 11, November 20, 2024
Section V-201 - Deductibles

Deductible Amount Per Benefit Period

Individual:

Network

Non-Network

Active Employee/Retirees on or after March 1, 2015

$900

$900

Retirees prior to March 1, 2015 (With and Without Medicare)

$300

Individual, Plus One Dependent (Spouse or Child):

Active Employee/Retirees on or after March 1, 2015

$1,800

$1,800

Retirees prior to March 1, 2015 (With and Without Medicare)

$600

Individual, Plus Two or More Dependents:

Active Employee/Retirees on or after March 1, 2015

$2,700

$2,700

Retirees prior to March 1, 2015 (With and Without Medicare)

$900

La. Admin. Code tit. 32, § V-201

Promulgated by the Office of the Governor, Division of Administration, Office of Group Benefits, LR 41:355 (February 2015), effective March 1, 2015.
AUTHORITY NOTE: Promulgated in accordance with R.S. 42:801(C) and 802(B)(1).