reglab/housing_qa huggingface dataset:
LA Rev Stat § 22:458 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§458. Self-insured trusts

RS 458 - Self-insured trusts The following requirements shall be met in addition to all other provisions of this Subpart where any self-insurance plan is effected, maintained, and operated under a trust agreement: (1) A self-insurer shall maintain at all times unimpaired net assets of not less than one million dollars. The net assets required to be maintained pursuant to this Section shall be in the form of cash, cash equivalents, or bonds or evidences of indebtedness which are direct general obligations or which are secured or guaranteed as to principal and interest by the government of the United States, or any state of the United States. (2) The employers in the self-insurance plan shall be members of an association or group of five or more businesses that are in the same trade or industry, including closely related businesses that provide support, services, or supplies primarily to that trade or industry. (3) A board of trustees elected by participating employers shall serve as fund managers on behalf of participants. Trustees shall be plan participants. No participating employer may be represented by more than one trustee. A minimum of three and a maximum of seven trustees may be elected. Trustees may not receive compensation but may be reimbursed for actual expenses incurred in connection with duties as trustee. (4) Trustees shall be bonded in an amount not less than one hundred fifty thousand dollars from a licensed surety company. (5) Investment of plan funds is subject to the same restrictions which are applicable to insurers under this Title. Acts 1984, No. 857, §1; Acts 1990, No. 902, §1; Redesignated from R.S. 22:3008 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2012, No. 680, §1, eff. June 7, 2012.
LA Rev Stat § 22:459 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§459. Excess stop-loss coverage

RS 459 - Excess stop-loss coverage  A. Each self-insurance plan shall include aggregate excess stop-loss coverage and specific excess stop-loss coverage provided by an insurer licensed by the state of Louisiana. Aggregate excess stop-loss coverage shall include provisions to cover incurred, unpaid claims liability in the event of plan termination. A plan shall submit its proposed excess or stop-loss insurance contract to the commissioner at least thirty days prior to the proposed self-insurance plan's effective date and at least thirty days prior to any subsequent renewal date. The commissioner shall review the contract to determine whether it meets the standards established by this Section and shall respond within thirty days of its submission to him. Any excess or stop-loss insurance plan must provide coverage with rates not subject to adjustment by the insurer during the first twelve months.  B. The self-insurer shall possess a written commitment, binder, or policy for stop-loss insurance issued by an insurer authorized to do business in this state and that the commitment, binder, or policy provides all of the following items:  (1) At least thirty days' notice to the commissioner of any cancellation or nonrenewal of coverage.  (2) Both specific and aggregate coverage with an aggregate retention of not more than one-hundred twenty-five percent of the amount of expected claims for the next plan year and a specific retention amount annually determined by the actuarial opinion required by R.S. 22:463(B).  (3) Both the specific and aggregate coverage required in Paragraph (2) of this Subsection shall require all claims to be submitted within ninety days after the claim is incurred and provide a twelve-month claims incurred period and at least a fifteen-month paid claims period for each policy year.  C. On the application of a self-insurer, the commissioner may waive or reduce the requirement for aggregate stop-loss insurance coverage required by this Section on a determination that the interests of the participating employers and employees are adequately protected based on the level of aggregate stop-loss insurance recommended by the actuary as required by R.S. 22:463(B).  Acts 1984, No. 857, §1; Acts 1990, No. 902, §1; Redesignated from R.S. 22:3009 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2012, No. 680, §1, eff. June 7, 2012; Acts 2015, No. 455, §1.
LA Rev Stat § 22:460 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§460. Disclosures

RS 460 - Disclosures A. No contract, certificate, policy, schedule of benefits, or other evidence or agreement of insurance shall be delivered or issued for delivery in this state under any self-insurance plan unless there is prominently printed on the front thereof in ten-point type a notice to the insured that the plan pursuant to which the coverage is issued or provided is uninsured. B. Each application for coverage under a self-insurance plan and any and all advertisements or marketing pieces or material disseminated in relation to any self-insured plan shall contain a statement prominently printed thereon or therein in ten-point type that the self-insurance plan for which coverage is being solicited is uninsured. C. Any entity, including but not limited to a production agency or third party or other administrator, that advertises, sells, transacts, or administers coverage for health care services in this state, shall inform any purchaser or prospective purchaser of coverage under a self-insurance plan or person covered under a self-insurance plan of the lack of insurance for the coverage issued or provided or to be issued or provided. Any administrator that advertises or administers coverage for health care services in this state that is provided by a self-insurer shall inform its appointed producers of the elements of coverage, including the amount of any reinsurance or "stop-loss" insurance in effect. Acts 1990, No. 902, §1; Redesignated from R.S. 22:3010 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2009, No. 503, §1.
LA Rev Stat § 22:463 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§463. Annual reports; actuarial opinions

RS 463 - Annual reports; actuarial opinions A. Any plan established or maintained in the state to offer or provide health care services, indemnification, or payment for health care services, or health and accident benefits to employees under the provisions of the Employee Retirement Income Security Act of 1974 (29 U.S.C. §1001 et seq.) shall file, through the administrator or his designee, within two hundred ten days after the close of such year a certified copy of the annual report required pursuant to 29 U.S.C. §1023 with the commissioner. The filing required herein shall in no way purport to regulate or affect the plan or its benefits. B.(1) Each self-insurer shall file, within ninety days of the end of the fiscal year, an actuarial opinion prepared and certified by an actuary who meets the following requirements: (a) The actuary is not an employee of the self-insurer. (b) The actuary is a fellow of the Society of Actuaries, a member of the American Academy of Actuaries, or an enrolled actuary under the Employee Retirement Income Security Act of 1974 (29 U.S.C. §1001 et seq.). (2) The actuarial opinion required under this Subsection shall include the following items: (a) A description of the actuarial soundness of the self-insurer, including any actions recommended to improve the actuarial soundness of the arrangement. (b) The amount of reserves recommended to be maintained by the arrangement. (c) The level of specific and aggregate stop-loss insurance recommended to be maintained by the arrangement. C.(1) Reserves required by this Section shall be computed with proper actuarial regard for the following items: (a) Known claims, paid and outstanding. (b) A history of incurred but not reported claims. (c) Claims handling expenses. (d) Unearned premium. (e) An estimate for bad debts. (f) A trend factor. (g) A margin for error. (2) Reserves required by this Section shall be maintained in cash, cash equivalents, or bonds or evidences of indebtedness which are direct general obligations or which are secured or guaranteed as to principal and interest by the government of the United States, or any state of the United States. Acts 1990, No. 902, §1; Acts 1992, No. 775, §1; Redesignated from R.S. 22:3013 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2012, No. 680, §1, eff. June 7, 2012.
LA Rev Stat § 22:464 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§464. Dissolution

RS 464 - Dissolution  A. A self-insurer that desires to dissolve a self-insurance plan shall apply to the commissioner for authority to dissolve. Applications to dissolve shall be on forms prescribed by the commissioner and shall be approved or disapproved by the commissioner within sixty days of receipt. Dissolution of a self-insurer or a self-insurance plan without authorization is prohibited and shall not absolve a plan, a self-insurer, or its participants from fulfilling the plan's continuing obligations. B. An application to dissolve shall be granted if either of the following conditions is met:  (1) The plan has no outstanding liabilities including incurred but not reported liabilities. (2) The plan is covered by an irrevocable commitment from a licensed insurer which provides for payment of all outstanding liabilities and for providing all related services, including payment of claims, preparation of reports, and administration of transactions associated with the period during which the plan provided coverage. C. Upon dissolution of any self-insured trust, after payment of all outstanding liabilities and indebtedness, the assets of the plan shall be distributed to all employers participating in the plan during the last five years immediately preceding dissolution. The distributive share of each employer shall be in the proportion that all contributions made by the employer during the five-year period bear to the total contributions made by all participating employers during such five-year period. Acts 1990, No. 902, §1; Redesignated from R.S. 22:3014 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
LA Rev Stat § 22:465 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§465. Insolvency of plan

RS 465 - Insolvency of plan When the commissioner, after examination or review of the audit statement required under R.S. 22:463, finds that a self-insurance plan is nearing an insolvent condition or is insolvent, he may issue such orders as he deems necessary to rehabilitate the plan, or he may petition a court of competent jurisdiction for an injunction and rehabilitation as provided for in R.S. 22:73 and 96, Subpart H of Part III of this Chapter, R.S. 22:731 et seq., and Chapter 9 of this Title, R.S. 22:2001 et seq. Acts 1990, No. 902, §1; Redesignated from R.S. 22:3015 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2009, No. 503, §1.
LA Rev Stat § 22:466 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§466. Transaction of business

RS 466 - Transaction of business A. No self-insurer shall transact business in this state or shall issue or provide any coverage for health and accident benefits under any self-insurance plan until it has complied with all applicable requirements of this Subpart and of any other applicable provisions of this Title, including R.S. 22:1824. B. Each self-insurer shall pay fees in advance in the amount specified in R.S. 22:821 for its filings, certificates, copies, and other services specified therein which are applicable to self-insurers. C. The commissioner may take any action available to him under this Title to ensure compliance with and to enforce the provisions of this Subpart. Acts 1990, No. 902, §1; Acts 1993, No. 653, §1; Redesignated from R.S. 22:3016 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2009, No. 503, §1.
LA Rev Stat § 22:467 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§467. Duties of commissioner; rules and regulations

RS 467 - Duties of commissioner; rules and regulations The commissioner shall promulgate such rules and regulations in accordance with the Administrative Procedure Act as are necessary to effectuate the provisions and purposes of this Subpart. Acts 1990, No. 902, §1; Redesignated from R.S. 22:3017 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2009, No. 503, §1.
LA Rev Stat § 22:468 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§468. Covered claim; prohibition of cancellation

RS 468 - Covered claim; prohibition of cancellation No self-insurer may unilaterally cancel a self-insurance plan or reduce the benefits provided by such plan after receipt or notice of any covered claim. The self-insurer may cancel the plan, as otherwise provided by law, after the claimant has been discharged from treatment for that condition and no further claims for that condition are expected, provided there has been no other receipt or notice of claim by that claimant under that plan. Acts 1993, No. 944, §1; Redesignated from R.S. 22:3018 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
LA Rev Stat § 22:469 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§469. Inherited metabolic diseases; coverage for food products

RS 469 - Inherited metabolic diseases; coverage for food products A. Every self-insurer and self-insurance plan, as defined in this Subpart, which are subject to the jurisdiction of the commissioner under this Title shall provide coverage, subject to applicable deductibles, coinsurance, and copayments, for low protein food products for treatment of inherited metabolic diseases, if the low protein food products are medically necessary and, if applicable, are obtained from a source approved by the self-insurer or self-insurance plan, provided coverage will not be denied if the self-insurer or self-insurance plan does not approve a source. B. As used in this Section, the following words shall have the following meanings: (1) "Inherited metabolic disease" shall mean a disease caused by an inherited abnormality of body chemistry. Such diseases shall be limited to: (a) Glutaric Acidemia. (b) Isovaleric Acidemia (IVA). (c) Maple Syrup Urine Disease (MSUD). (d) Methylmalonic Acidemia (MMA). (e) Phenylketonuria (PKU) (f) Propionic Acidemia. (g) Tyrosinemia. (h) Urea Cycle Defects. (2) "Low protein food products" shall mean a food product that is especially formulated to have less than one gram of protein per serving and is intended to be used under the direction of a physician for the dietary treatment of an inherited metabolic disease. Low protein food products shall not include a natural food that is naturally low in protein. C. Coverage provided pursuant to this Section shall not exceed eligible benefits of two hundred dollars per month. D. Repealed by Acts 2009, No. 503, §2. Acts 2003, No. 829, §1; Redesignated from R.S. 22:3018.1 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2009, No. 503, §§1, 2.
LA Rev Stat § 22:481 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§481. Purpose; title

RS 481 - Purpose; title A. The purpose of this Subpart shall be to regulate the formation and operation of risk retention groups in Louisiana, formed pursuant to the provisions of the federal Risk Retention Amendments of 1986, as amended. B. This Subpart shall be known and may be cited as the "Risk Retention Group Law". Acts 1987, No. 462, §1, eff. Sept. 1, 1987; Redesignated from R.S. 22:2071 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2009, No. 503, §1.
LA Rev Stat § 22:483 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§483. Risk retention groups chartered in Louisiana

RS 483 - Risk retention groups chartered in Louisiana A. A risk retention group seeking to be chartered in this state shall be chartered and licensed as a liability insurance company authorized by the insurance laws of this state and, except as provided elsewhere in this Subpart, shall comply with all of the laws, rules, regulations, and requirements applicable to such insurers chartered and licensed in this state and with R.S. 22:484 to the extent such requirements are not a limitation on laws, rules, regulations, or requirements of this state. Before it may offer insurance in any state, each risk retention group shall also submit for approval to the department of insurance a plan of operation or a feasibility study. B. A risk retention group shall submit an appropriate revision in the event of any subsequent material change in any item of the plan of operation or a feasibility study, on the fifteenth day of the month following the material change. The group shall not offer any additional kinds of liability insurance, in this state or in any other state, until a revision of the plan or study is approved by the department. Acts 1987, No. 462, §1, eff. Sept. 1, 1987; Acts 1995, No. 1203, §1, eff. June 29, 1995; Redesignated from R.S. 22:2073 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2009, No. 503, §1.
LA Rev Stat § 22:485 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§485. Additional authority; risk retention groups

RS 485 - Additional authority; risk retention groups The commissioner may refuse, suspend, or revoke the registration of a risk retention group whenever he shall find that such risk retention group meets any one of the following conditions: (1) Is insolvent. (2) Is in such condition that its further transaction of business in this state would be hazardous to the policyholders, creditors, or the public. (3) Fails to pay any fees, taxes, or charges prescribed by this Title within sixty days after the same are due and payable. (4) Has had its corporate existence dissolved or its certificate of authority revoked or suspended in the state in which it was organized. (5) Refuses to remove or discharge an officer or director who has been convicted of any felony involving dishonesty or breach of trust, where the convicted person has not been granted a waiver under 18 USC 1033. The provisions of this Paragraph shall not apply to a risk retention group that is not domiciled in this state. Acts 1995, No. 935, §1; Acts 2004, No. 376, §1; Redesignated from R.S. 22:2074.1 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2009, No. 503, §1.
LA Rev Stat § 22:486 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§486. Compulsory associations

RS 486 - Compulsory associations  No risk retention group shall be permitted to join or contribute financially to any insurance insolvency guaranty fund, or similar mechanism, in this state, nor shall any risk retention group, its insureds, or any other claimant receive any benefit from any such fund for claims arising out of the operations of such risk retention group. Acts 1987, No. 462, §1, eff. Sept. 1, 1987; Redesignated from R.S. 22:2075 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
LA Rev Stat § 22:487 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§487. Repealed by Acts 2009, No. 503, §2.

RS 487 - Repealed by Acts 2009, No. 503, §2.
LA Rev Stat § 22:488 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§488. Purchasing groups exemption from certain laws relating to the group purchase of insurance

RS 488 - Purchasing groups exemption from certain laws relating to the group purchase of insurance  Any purchasing group meeting the criteria established under the laws of this state shall be exempt from any law of this state relating to the creation of groups for the purchase of insurance, prohibition of group purchasing or any law that would discriminate against a purchasing group or its members. In addition, an insurer shall be exempt from any law of this state which prohibits providing or offering to provide to a purchasing group or its members advantages based on their loss and expense experience not afforded to other persons with respect to rates, policy forms, coverages, or other matters. A purchasing group shall be subject to all other applicable laws of this state. Acts 1987, No. 462, §1, eff. Sept. 1, 1987; Redesignated from R.S. 22:2077 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
LA Rev Stat § 22:489 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§489. Notice and registration requirements of purchasing groups

RS 489 - Notice and registration requirements of purchasing groups A. A risk purchasing group which intends to do business in this state shall, prior to doing business, pay the registration fee required by R.S. 22:490 and furnish notice to the department on forms prescribed by the department which: (1) Identify the state in which the group is domiciled. (2) Specify the lines and classifications of liability insurance which the purchasing group intends to purchase. (3) Identify the insurance company from which the group intends to purchase its insurance and the domicile of such company. (4) Identify the principal place of business of the group. (5) Provide such other information as may be required by the commissioner to verify that the purchasing group is qualified under R.S. 22:482(10). B. The purchasing group shall register with and designate the commissioner or other appropriate authority as its agent solely for the purpose of receiving service of legal documents or process, except that such requirements shall not apply in the case of a purchasing group: (1) Which: (a) Was domiciled before April 2, 1986. (b) Is domiciled on and after October 27, 1986 in any state of the United States. (2) Which: (a) Before October 27, 1986, purchased insurance from an insurance carrier licensed in any state. (b) Since October 27, 1986, purchased its insurance from an insurance carrier licensed in any state. (3) Which was a purchasing group under the requirements of the federal Product Liability Retention Act of 1981 before October 27, 1986. (4) Which does not purchase insurance that was not authorized for purposes of an exemption under the federal Product Liability Retention Act of 1981, as in effect before October 27, 1986. C. A purchasing group shall notify the department of any alterations in any of the items required in Subsection A of this Section by the fifteenth day of the following month. Acts 1987, No. 462, §1, eff. Sept. 1, 1987; Acts 1995, No. 1203, §1, eff. June 29, 1995; Acts 1999, No. 299, §1, eff. June 11, 1999; Redesignated from R.S. 22:2078 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
LA Rev Stat § 22:490 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§490. Registration and annual renewal; fees

RS 490 - Registration and annual renewal; fees Upon registration with the department, each risk purchasing group shall pay the department the fee specified in R.S. 22:821(B)(18)(a). Such registration shall expire on the first day of March of each year, unless renewed, and shall be renewed by filing an annual report on a form prescribed by the commissioner and paying the renewal fee specified in R.S. 22:821(B)(18)(b) to the department. Acts 1999, No. 299, §1, eff. June 11, 1999; Redesignated from R.S. 22:20781 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2009, No. 503, §1.