RS 42:801 – Administration A. The Office of Group Benefits is hereby created within the office of the governor, division of administration. B. As used in this Chapter, "office" means the Office of Group Benefits created in this Section. C. The general administration of all aspects of programs of benefits as authorized or provided for […]
RS 42:802 – Powers and duties; Office of Group Benefits A.(1) The Office of Group Benefits shall have the powers and privileges of a corporation and shall exercise all powers, duties, functions, and responsibilities provided or authorized for it by law. It shall directly exercise all powers, duties, functions, and responsibilities provided or authorized for […]
RS 42:802.1 – Benefit plans for provision of coverage through a fully insured product provided by a health maintenance organization domiciled in Louisiana A. In the development of contracts for health insurance plans intended to be offered in each of the office’s regions, the office shall utilize a solicitation for proposals or other competitive process […]
RS 42:803 – Chief executive officer; chief operating officer; powers and duties A. The commissioner of administration shall appoint a chief executive officer who shall be an unclassified employee and serve at the pleasure of the commissioner of administration and shall be subject to Senate confirmation. The chief executive officer shall be qualified in the […]
RS 42:804 – §804. Repealed by Acts 2018, No. 676, §2.
RS 42:805 – Collection and deposit of contributions A. The office shall be responsible for preparing and transmitting to each employer agency a monthly invoice premium statement delineating the participating employees of that agency, the class of coverage, total amount of employer and employee contributions due to the office, and such other items as are […]
RS 42:806 – Claims The office shall be responsible for the processing of all claims under policies for group benefits for state employees contracted for under the provisions of this Chapter. The office shall be responsible for the disbursement of all payments of such claims to program participants. Acts 2001, No. 1178, §5, eff. June […]
RS 42:807 – Retroactive cancellation of coverage A. The office is authorized to retroactively cancel coverage in programs offered through the office in the following instances: (1) To the extent the cancellation of coverage is attributable to a failure of the enrollee to timely pay required premiums or contributions toward the cost of coverage. (2) […]
RS 42:808 – Eligibility in group programs A. For the purposes of participating in life, health, or other programs sponsored by the Office of Group Benefits, an employee is defined as: (1) A classified or unclassified state civil service employee. (2) A retiree as defined by the rules and regulations of the Office of Group […]
RS 42:809 – Payroll deductions for payment of premiums, surcharges, and other voluntary contributions State boards, commissions, municipalities, and other public bodies may deduct from the employee’s pay, salary, or compensation, such parts of the premiums, surcharges, and other voluntary contributions for life, health, or other benefit programs offered by the office as are payable […]
RS 42:810 – Audit of program accounts The office shall have the accounts of the program audited annually by the legislative auditor or a certified public accountant as described by R.S. 24:513 and shall furnish, as of the end of each fiscal year, a report showing a statement of revenue and expenditures for the preceding […]
RS 42:811 – Termination provisions A. No state agency, local school board, political subdivision, or other entity participating in programs offered through the Office of Group Benefits shall terminate participation in those programs, unless each of the following conditions is met: (1) The head of the agency has notified the employees of the proposed termination. […]
RS 42:812 – Transparency in prior authorizations A. Beginning January 1, 2023: (1) The office shall require every health plan offered through the office to furnish in writing or provide electronically, within one business day of a written or oral request by a healthcare provider, the medical criteria and any other requirements that must be […]
