La. Admin. Code tit. 37 § XIII-301

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

Section XIII-301 - Purpose and Applicability

A. The purpose of this regulation is to:

1. establish a uniform order of benefit determination under which plans pay claims;

2. reduce duplication of benefits by permitting a reduction of the benefits to be paid by plans that, pursuant to rules established by this regulation, do not have to pay their benefits first; and

3. provide greater efficiency in the processing of claims when a person is covered under more than one plan.

B. This regulation applies to all plans which includes all accident and health products and health maintenance organization products that are issued on or after the effective date of this regulation. The effective date of this regulation is upon final publication, January 20, 2018.

La. Admin. Code tit. 37, § XIII-301

Promulgated by the Department of Insurance, Office of the Commissioner, LR 17:67 (January 1991), amended LR 20:52 (January 1994), LR 23:415 (April 1997), Amended LR 411095 (7/1/2016), Amended LR 4464 (1/1/2018).

AUTHORITY NOTE: Promulgated in accordance with R.S. 22:3.2014.