Current through Register Vol. 50, No. 9, September 20, 2024
A. Requests for
enhancements to existing statewide vendor products, policies or service plans
must be submitted to OSUP for review and approval by April 1 and October 1
annually.
1. Enhancements to policies occur
when:
a. a vendor requests to broaden an
existing, solicited policy's benefits/coverage;
b. a vendor requests the existing, solicited
policy to be replaced by the enhanced policy;
c. the vendor stops soliciting the existing
policy;
d. current policyholders
may choose to keep the existing policy or convert to the enhanced policy;
and
e. new policyholders must
purchase the enhanced policy.
2. OSUP and the EPBC will review the request
and notify the vendor of approval or denial by June 1 and December 1 annually.
a. If approved, OSUP will include in the
approval notification the procedures for implementing the enhancement for July
1 and January 1 annually.
b. If
denied, OSUP will add the vendor to the file of vendors for new applications.
(See §106 for new
application process).
B. Notification of policy changes must be
submitted to OSUP by July 1 annually.
1.
Changes, including but not limited to, rate changes, co-payment changes and
reduction in benefits occur when:
a. a vendor
requests an existing, solicited policy to be changed;
b. current policyholders must choose to
either accept the changed policy or terminate the policy; and
c. new policyholders must purchase the
changed policy.
2. OSUP
will review the information submitted and notify the vendor by September 30
annually and provide procedures for implementing the policy change for January
1 annually.
3. Policy changes not
submitted to OSUP will not be allowed.
C. Requests that do not meet an enhancement
or a change classification, will be reviewed by OSUP to determine what
procedures the request will follow.
D. Requests for exceptions to this policy
shall be justified, documented and submitted in writing to OSUP for
consideration.
E. OSUP will
coordinate procedures with vendors on all policy changes that are mandated by
law.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
42:455.
