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      LAC 37:XIII.16907     

  

§16907. Eligible Claims

           A. Stop-loss or excess policies are required to contain a provision that eligible claims incurred under the group health plan during the initial contract period shall be covered, provided that proof of payment of the eligible claims by the group health plan is furnished to the stop-loss or excess insurer within ninety days after the expiration of the stop-loss or excess policy or any later period that is provided in the contract or stop-loss or excess policy.

           AUTHORITY NOTE: Promulgated by the Department of Insurance, Office of the Commissioner, in accordance with R.S. 22:2 and 22:883.

           HISTORICAL NOTE: Promulgated by the Department of Insurance, Office of the Commissioner, LR 46:698 (May 2020).



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