reglab/housing_qa huggingface dataset:
LA Rev Stat § 22:1648 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1648. Administrator; compensation

RS 1648 - Administrator; compensation A. An administrator shall not enter into any agreement or understanding with an insurer in which the effect is to make the amount of the administrator's commissions, fees, or charges contingent upon savings effected in the adjustment, settlement, and payment of losses covered by the insurer's obligations. This provision shall not prohibit an administrator from receiving performance-based compensation for providing hospital or other auditing services. B. This Section shall not prevent the compensation of an administrator from being based on premiums or charges collected or the number of claims paid or processed. Acts 1993, No. 144, §1; Redesignated from R.S. 22:3038 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
LA Rev Stat § 22:1649 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1649. Notice to covered individuals; disclosure of charges and fees

RS 1649 - Notice to covered individuals; disclosure of charges and fees A. When the services of an administrator are utilized, the administrator shall provide a written notice approved by the insurer to covered individuals advising them of the identity of, and relationship among, the administrator, the policyholder, and the insurer. B. When an administrator collects funds, the reason for collection of each item must be identified to the insured party and each item must be shown separately from any premium. The insured or participant of the plan shall not be charged for the same services by both the insurer and the administrator. C. The administrator shall disclose to the insurer all charges, fees, and commissions received from all services in connection with the provision of administrative services for the insurer, including any fees or commissions paid by insurers providing reinsurance. Acts 1993, No. 144, §1; Redesignated from R.S. 22:3039 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
LA Rev Stat § 22:1650 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1650. Coverage; notice to individuals

RS 1650 - Coverage; notice to individuals Any policies, certificates, booklets, termination notices, or other written communications delivered by the insurer to the administrator for delivery to insured parties or covered individuals shall be delivered by the administrator promptly, after receipt of instructions from the insurer to deliver them. Acts 1993, No. 144, §1; Redesignated from R.S. 22:3040 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
LA Rev Stat § 22:1652 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1652. Waiver of application for certification

RS 1652 - Waiver of application for certification Upon request from an administrator, the commissioner may waive the application requirements in this Part if the administrator has a valid license as an administrator issued in a state which has standards for administrators that are at least as stringent as those contained in the model statute for third-party administrators of the National Association of Insurance Commissioners. Acts 1993, No. 144, §1; Redesignated from R.S. 22:3042 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2011, No. 94, §1, eff. Jan. 1, 2012.
LA Rev Stat § 22:1653 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1653. Annual report; filing fee

RS 1653 - Annual report; filing fee A. Each administrator shall file an annual report for the preceding calendar year with the commissioner on or before March first of each year, or within such extension of time therefor as the commissioner may grant for good cause. The report shall be in the form and contain all information as the commissioner requires and shall be verified by at least two officers of the administrator. B. The annual report shall include the complete names and addresses of all insurers with which the administrator had an agreement during the preceding fiscal year. C. At the time of filing its annual report, the administrator shall pay a filing fee in the amount set forth in R.S. 22:821. Acts 1993, No. 144, §1; Redesignated from R.S. 22:3043 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
LA Rev Stat § 22:1655 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1655. Rules and regulations

RS 1655 - Rules and regulations  The commissioner may adopt those rules and regulations as are necessary to implement this Chapter. Acts 1993, No. 144, §1; Redesignated from R.S. 22:3045 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
LA Rev Stat § 22:1656 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1656. Confidentiality; documents, information

RS 1656 - Confidentiality; documents, information The terms and conditions of any contract between an administrator and an insurer, except for the identity of the contracting parties, and such other proprietary information as specifically identified by the administrator shall be given confidential treatment, shall not be subject to subpoena, and shall not be made public by the commissioner, the National Association of Insurance Commissioners (NAIC), or any other person, except to the insurance departments of other states or in any adjudicatory hearing or court proceeding invoked by the commissioner in accordance with the provisions of this Chapter. Acts 1993, No. 144, §1; Redesignated from R.S. 22:3046 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2009, No. 99, §1.
LA Rev Stat § 22:1657 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1657. Pharmacy benefit managers

RS 1657 - Pharmacy benefit managers  A. A pharmacy benefit manager shall be deemed to be a third-party administrator for purposes of this Part. As such, all provisions of this Part shall apply to pharmacy benefit managers; however, notwithstanding the provisions of R.S. 22:1651(F), every pharmacy benefit manager shall be required to be licensed by the commissioner of insurance.  B.(1) No pharmacy benefit manager or other entity that administers prescription drug benefits in Louisiana shall prohibit, by contract, a pharmacy or pharmacist from informing a patient of all relevant options when acquiring their prescription medication, including but not limited to the cost and clinical efficacy of a more affordable alternative if one is available and the ability to pay cash if a cash payment for the same drug is less than an insurance copayment or deductible payment amount.  (2) On or after August 1, 2018, any contract provision prohibiting the communication provided for in this Subsection shall be severable from the contract and considered void and not enforceable in Louisiana.  NOTE: Subsections C and D eff. Jan. 1, 2020. See Acts 2018, No. 371.  C. The commissioner of insurance shall provide a dedicated location on the department's website for pharmacy benefit manager information and links.  D. For each of a pharmacy benefit manager's contractual or other relationships with a health benefit plan or health insurance issuer, the pharmacy benefit manager shall provide the department with the health benefit plan's formulary and provide timely notification of formulary changes and product exclusions. The information provided pursuant to this Subsection shall be made available in a centralized location on the department's website in a format that allows for consumer access, including links to pharmacy benefit manager websites.  Acts 2008, No. 386, §1, eff. Jan. 1, 2009; Acts 2011, No. 94, §1, eff. Jan. 1, 2012; Acts 2018, No. 317, §1; Acts 2018, No. 371, §1, eff. Jan. 1, 2020.
LA Rev Stat § 22:1660.1 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1660.1. Short title; definitions

RS 1660.1 - Short title; definitions  A. This Part may be cited as the "Louisiana Pharmacy Services Administrative Organization Licensing Act".  B. As used in this Part, the following definitions apply:  (1) "Pharmacy services administrative organization" means an entity that provides a contracted pharmacy with administrative, contracting, or payment services relating to prescription drug benefits.  (2) "Pharmacy services administrative organization contract" means a contractual agreement between a pharmacy services administrative organization and a pharmacy under which a pharmacy services administrative organization agrees to negotiate with pharmacy benefit managers or third-party payers on behalf of one or more pharmacies.  Acts 2021, No. 192, §1.
LA Rev Stat § 22:1660.3 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1660.3. Annual report; filing fee

RS 1660.3 - Annual report; filing fee  A. Each pharmacy services administrative organization shall file an annual report for the preceding calendar year with the commissioner on or before March first of each year, or within such extension of time as the commissioner may grant for good cause. The report shall be in the form and contain all information as the commissioner requires and shall be verified by at least two officers of the pharmacy services administrative organization.  B. The annual report shall include the number of pharmacists or pharmacies with which the pharmacy services administrative organization has an agreement with in the state.  C. At the time of filing its annual report, the pharmacy services administrative organization shall pay a filing fee in the amount set forth in R.S. 22:821.  Acts 2021, No. 192, §1.
LA Rev Stat § 22:1660.4 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1660.4. Grounds for denial, suspension, or revocation of license

RS 1660.4 - Grounds for denial, suspension, or revocation of license  A. The commissioner shall suspend or revoke the license of a pharmacy services administrative organization, deny the application for a license, or, in lieu thereof, impose a fine for each separate violation not to exceed five hundred dollars per violation if the pharmacy services administrative organization has failed to pay any judgment rendered against it in this state within sixty days after the judgment has become final.  B. The commissioner may suspend or revoke the license of a pharmacy services administrative organization, deny the application for a license, or, in lieu thereof, impose a fine not to exceed five hundred dollars per violation if the commissioner finds that any of the following apply to a pharmacy services administrative organization:  (1) Has violated any lawful rule or order of the commissioner or any provision of the insurance laws of this state that is within the sole authority of the pharmacy services administrative organization.  (2) Has refused to be examined or to produce its accounts, records, and files for examination or if any of its officers have refused to give information with respect to its affairs or has refused to perform any other legal obligations as to such examination, when required by the commissioner.  (3) Is affiliated with or under the same general management or interlocking directorate or ownership as another pharmacy services administrative organization which unlawfully transacts business in this state without having a license.  (4) At any time fails to meet any qualification for which issuance of the license could have been refused had such failure then existed and been known to the commissioner.  (5) Has been convicted of, or has entered a plea of guilty or nolo contendere to, a felony without regard to whether adjudication was withheld.  (6) Is under suspension or revocation in another state.  (7) Has provided incorrect, misleading, incomplete, or materially false information or omitted material information in the license application.  C. The commissioner may, in his discretion and without advance notice or hearing, immediately suspend the license of any pharmacy services administrative organization if the commissioner finds that either of the following circumstances exists:  (1) A proceeding for receivership, conservatorship, rehabilitation, or other delinquency proceeding regarding the pharmacy services administrative organization has been commenced in any state.  (2) The financial condition or business practices of the pharmacy services administrative organization otherwise pose an imminent threat to the public health, safety, or welfare of the residents of this state.  Acts 2021, No. 192, §1.
LA Rev Stat § 22:1660.5 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1660.5. Maintenance of information; exceptions

RS 1660.5 - Maintenance of information; exceptions  The commissioner may access the books and records maintained by a pharmacy services administrative organization for the purposes of examination, audit, and inspection. The commissioner shall keep any trade secrets contained in such books and records confidential; however, the commissioner may use such information in any proceeding instituted against the pharmacy services administrative organization.  Acts 2021, No. 192, §1.
LA Rev Stat § 22:1660.6 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1660.6. Examination authority

RS 1660.6 - Examination authority  The commissioner may cause an examination, as prescribed by the provisions of Chapter 8 of this Title, of any pharmacy services administrative organization when in the opinion of the commissioner it is necessary for such an examination to be made.  Acts 2021, No. 192, §1.
LA Rev Stat § 22:1660.7 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1660.7. Confidentiality; documents and information; exceptions

RS 1660.7 - Confidentiality; documents and information; exceptions  Information provided to the commissioner by a pharmacy services administrative organization pursuant to R.S. 22:1660.2(B) and 1660.3, as well as the terms and conditions of any contract between a pharmacy services administrative organization and a pharmacy benefit manager, a pharmacist, or a pharmacy except for the identity of the contracting parties, and such other proprietary information as specifically identified by the pharmacy services administrative organization shall be given confidential treatment, shall not be subject to subpoena, and shall not be made public by the commissioner, the National Association of Insurance Commissioners, or any other person, except to the insurance departments of other states or in any adjudicatory hearing or court proceeding invoked by the commissioner in accordance with the provisions of this Part.  Acts 2021, No. 192, §1.
LA Rev Stat § 22:1660.8 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1660.8. Rules and regulations

RS 1660.8 - Rules and regulations  The commissioner may adopt rules and regulations in accordance with the Administrative Procedure Act as are necessary to implement this Part.  Acts 2021, No. 192, §1.
LA Rev Stat § 22:1660.9 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1660.9. Duties and responsibilities; nonimposition of liability; rulemaking authority

RS 1660.9 - Duties and responsibilities; nonimposition of liability; rulemaking authority  A. A pharmacy services administrative organization that contracts with a pharmacy to perform any activity related to prescription drug benefits or to act as the pharmacy's agent is obligated to that pharmacy for the duties of care, competence, good faith and fair dealing, and loyalty.  B. A pharmacy services administrative organization is not responsible for any of the activities that are solely within the purview of a pharmacy benefits manager.  C. The commissioner of insurance shall promulgate rules that define the roles and responsibilities solely within the purview of both of the following:  (1) Pharmacy benefits managers.  (2) Pharmacy services administrative organizations.  D. A pharmacy services administrative organization shall notify the contracted pharmacy in writing of any activity, policy, or practice that presents a conflict of interest that interferes with the duties imposed by this Section.  E. A pharmacy services administrative organization shall not engage in any acts, methods, or practices prohibited by Part IV of Chapter 7 of this Title.  Acts 2021, No. 192, §1.
LA Rev Stat § 22:1661 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1661. Definitions

RS 1661 - Definitions  As used in this Part, unless the context requires otherwise, the following definitions shall be applicable:  (1) "Adjuster" means an individual who investigates or adjusts losses on behalf of an insurer as an independent contractor or as an employee of:  (a) An adjustment bureau;  (b) An association;  (c) A property and casualty producer;  (d) An independent contractor;  (e) An insurer; or  (f) A managing general agent.  (2) "Business entity" means a corporation, association, partnership, limited liability company, limited liability partnership or other legal entity.  (3) "Fingerprints" means an impression of the lines on the finger taken for purpose of identification. The impression may be electronic or in ink converted to electronic format.  (4) "Home state" means the District of Columbia and any state or territory of the United States in which the adjuster's principal place of residence or principal place of business is located. If neither the state in which the adjuster maintains the principal place of residence nor the state in which the adjuster maintains the principal place of business has a substantially similar law governing adjusters, the adjuster may declare another state in which he becomes licensed and acts as an adjuster to be the "home state".  (5) "Individual" means a natural person.  (6) "Insurer" means any type of insurer, whether authorized or unauthorized, conducting business in this state.  (7) "Person" means an individual or a business entity.  (8) "Uniform individual application" means the current version of the National Association of Insurance Commissioners (NAIC) Uniform Individual Application for resident and nonresident individuals.  (9) "Uniform business entity application" means the current version of the National Association of Insurance Commissioners (NAIC) Uniform Business Entity Application for resident and nonresident business entities.  Acts 2006, No. 783, §1, eff. Jan. 1, 2007; Redesignated from R.S. 22:1210.71 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2015, No. 193, §1. NOTE: Former R.S. 22:1661 redesignated as R.S. 22:839 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
LA Rev Stat § 22:1663 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1663. License required

RS 1663 - License required A. A person shall not act or hold himself out as a claims adjuster in this state unless the person is licensed as a claims adjuster in accordance with this Part. B. A business entity acting as a claims adjuster is required to obtain a claims adjuster license. Application shall be made using the uniform business entity application. Before approving the application, the commissioner of insurance shall find that: (1) The business entity has paid the fees set forth in R.S. 22:821. (2) The business entity has designated a licensed adjuster responsible for the business entity's compliance with the insurance laws, rules, and regulations of this state. Acts 2006, No. 783, §1, eff. Jan. 1, 2007; Redesignated from R.S. 22:1210.73 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009. NOTE: Former R.S. 22:1663 redesignated as R.S. 22:841 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
LA Rev Stat § 22:1665 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1665. Resident license

RS 1665 - Resident license  A. Before issuing a claims adjuster license to an applicant pursuant to this Section, the commissioner of insurance shall find that the applicant:  (1) Is eligible to designate this state as his home state or is a nonresident who is not eligible for a license pursuant to R.S. 22:1670.  (2) Has not committed any act that is a ground for denial, suspension, or revocation of a license as set forth in R.S. 22:1672.  (3) Has paid the fees set forth in R.S. 22:821.  (4) Maintains an office in the home state of residence with public access by reasonable appointment or regular business hours.  (5) When applicable, has the written consent of the commissioner of insurance pursuant to 18 U.S.C. 1033, or any successor statute regulating crimes by or affecting persons engaged in the business of insurance whose activities affect interstate commerce.  B. In addition to satisfying the requirements of Subsection A, an individual shall:  (1) Be at least eighteen years of age.  (2) Have successfully passed the adjuster examination unless exempted pursuant to R.S. 22:1669.  C. In addition to satisfying the requirements of Subsection A, a business entity shall:  (1) Designate a licensed individual claims adjuster responsible for the business entity's compliance with the insurance laws, rules, and regulations of this state; and  (2) Designate only licensed individual claims adjusters to exercise the business entity's license.  D. A nonresident who is not eligible for a license pursuant to R.S. 22:1670 may designate Louisiana as his home state. Such person is required to successfully pass the adjuster examination and comply with the other provisions of this Section applicable to residents of this state.  E. No resident of Canada may be licensed pursuant to R.S. 22:1663, or may designate Louisiana as his home state, unless such person has successfully passed the adjuster examination and has complied with the other applicable provisions of this Section, except that such applicant shall not be required to comply with Paragraph (A)(4) of this Section.  F. The commissioner of insurance may require any documents reasonably necessary to verify the information contained in the application.  Acts 2006, No. 783, §1, eff. Jan. 1, 2007; Redesignated from R.S. 22:1210.75 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2010, No. 1007, §1; Acts 2011, No. 94, §1, eff. Jan. 1, 2012; Acts 2016, No. 174, §1.
LA Rev Stat § 22:1666 (2021)
2021 Louisiana Laws|Revised Statutes|Title 22 - Insurance|§1666. Limited claims adjuster license

RS 1666 - Limited claims adjuster license A. If considered necessary by the commissioner of insurance, the department may issue a limited claims adjuster license to an applicant in the manner otherwise provided for the issuance of a license under this Part. B. The claims adjuster license shall specifically limit the kinds of insurance that may be handled by the person. C. The claims adjuster shall not adjust insurance claims other than those for which the adjuster is specifically licensed. Acts 2006, No. 783, §1, eff. Jan. 1, 2007; Redesignated from R.S. 22:1210.76 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.