Louisiana Administrative Code
Title 37 - INSURANCE Part
Part XI - Rules
Chapter 49 - Emergency Rule 49-Suspension of Certain Statutes Regarding Cancellations, Terminations, Non-Renewals and Nonreinstatements, Premium Payments, Claim Filings and Related Provisions Regarding Any and All Insurance Matters Affecting Insureds in Louisiana Caused by the State of Emergency Declared by Governor Jeff Landry on September 9, 2024, Due to Hurricane Francine
Section XI-4921 - Nonpayment of Health Claims
Current through Register Vol. 50, No. 9, September 20, 2024
A. In the event a health insurance issuer pends a claim, as permitted pursuant to Emergency Rule 49, and is subsequently entitled to cancel or terminate a policy for nonpayment of premium, the health insurance issuer shall pay any remaining claims for which payment is required under Emergency Rule 49. After the first month of the grace period has lapsed, the health insurance issuer may deny payment on pended claims for services rendered to the insured during the period of nonpayment.
AUTHORITY NOTE: Promulgated in accordance with Executive Order Number JML 24-142, R.S. 22:2, R.S. 22:11, and R.S. 22:1961 et seq, R.S. 49:950 et seq.
