Loading Requirements

Reference

LRS-22:ยง1026
Policies shall include coverage for the treatment and correction of cleft lip and cleft palate. Such coverage shall also include benefits for secondary conditions and treatment attributable to that primary medical condition.
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Comments

Reference to "franchise" coverage was redesignated to "association" coverage pursuant to ACT No. 129 of the 2003 Regular Session of the Louisiana Legislature.

Products

Name LA Product CodeDepartmentDescription 
Conversion H-Ind02.MM-07 Health Major Medical or Hospital Surgical Medical Expense Plan issued to an Individual Family Group under a guaranteed issue right to convert from group health and accident insurance coverage for specified reasons.
Hospital Surgical Medical Expense H-Ind01.MM-04 Health Hospital Surgical and Medical Expense Plan issued to Individual Members of an Assn - Insurance coverage of hospital, surgical and medical expenses for in-patient services and with limited benefits for out-patient services. This plan does not include PPO or POS options.
Hospital Surgical Medical Expense H-Ind02.MM-04 Health Hospital Surgical Medical Expense Plan issued to an Individual Family Group - Insurance coverage of hospital, surgical and medical expenses for in-patient services and with limited benefits for out-patient services. This plan does not include PPO or POS options.
Hospital Surgical Medical Expense H-Ind07.ST-02 Health Hospital Surgical Medical Expense Plan issued to a college, school, or other institution of learning or to the head or principal thereof, covering students or teachers for hospital, surgical and medical expenses for in-patient services and with limited benefits for out-patient services
Hospital Surgical Medical Expense / Any Size Group H-Ind03.MM-05 Health Hospital Surgical Medical Expense Plan issued to Employer Members of a Bona Fide Association who employ any number of employees. This plan does not include PPO or POS options.
Hospital Surgical Medical Expense / Any Size Group H-Ind04.MM-05 Health Hospital Surgical Medical Expense Plan issued to Employer Members of a Multiple Employer Trust who employ any number of employees. This plan does not include PPO or POS options.
Hospital Surgical Medical Expense / Any Size Group H-Ind05.MM-05 Health Hospital Surgical Medical Expense Plan issued to an Employer who employs any number of employees. This plan does not include PPO or POS options.
Hospital Surgical Medical Expense / Large Group On H-Ind03.MM-05B Health Hospital Surgical Medical Expense Plan issued to Employer Members of a Bona Fide Association who employ at least fifty-one employees. This plan does not include PPO or POS options.
Hospital Surgical Medical Expense / Large Group On H-Ind04.MM-05B Health Hospital Surgical Medical Expense Plan issued to Employer Members of a Multiple Employer Trust who employ at least fifty-one employees. This plan does not include PPO or POS options.
Hospital Surgical Medical Expense / Large Group On H-Ind05.MM-05B Health Hospital Surgical Medical Expense Plan issued to an Employer who employs at least fifty-one employees. This plan does not include PPO or POS options.
Hospital Surgical Medical Expense / POS H-Ind01.MM-06 Health Hospital Surgical and Medical Expense POS Plan issued to Individual Members of an Assn - Includes the option of seeking covered services at the point-of-service.
Hospital Surgical Medical Expense / POS H-Ind02.MM-06 Health Hospital Surgical Medical Expense POS Plan issued to an Individual Family Group - Includes the option of seeking covered services at the point-of-service.
Hospital Surgical Medical Expense / POS - Any Size H-Ind03.MM-07 Health Hospital Surgical Medical Expense POS Plan issued to Employer Members of a Bona Fide Association who employ any number of employees - Includes the option of seeking covered services at the point-of-service.
Hospital Surgical Medical Expense / POS - Any Size H-Ind04.MM-07 Health Hospital Surgical Medical Expense POS Plan issued to Employer Members of a Multiple Employer Trust who employ any number of employees - Includes the option of seeking covered services at the point-of-service.
Hospital Surgical Medical Expense / POS - Any Size H-Ind05.MM-07 Health Hospital Surgical Medical Expense POS Plan issued to an Employer who employs any number of employees - Includes the option of seeking covered services at the point-of-service.
Hospital Surgical Medical Expense / POS - Large Gr H-Ind03.MM-07B Health Hospital Surgical Medical Expense POS Plan issued to Employer Members of a Bona Fide Association who employ at least fifty-one employees - Includes the option of seeking covered services at the point-of-service.
Hospital Surgical Medical Expense / POS - Large Gr H-Ind04.MM-07B Health Hospital Surgical Medical Expense POS Plan issued to Employer Members of a Multiple Employer Trust who employ at least fifty-one employees - Includes the option of seeking covered services at the point-of-service.
Hospital Surgical Medical Expense / POS - Large Gr H-Ind05.MM-07B Health Hospital Surgical Medical Expense POS Plan issued to an Employer who employs at least fifty-one employees - Includes the option of seeking covered services at the point-of-service.
Hospital Surgical Medical Expense / POS - Small Gr H-Ind03.MM-07A Health Hospital Surgical Medical Expense POS Plan issued to Employer Members of a Bona Fide Association who employ at least two but not more than fifty employees - Includes the option of seeking covered services at the point-of-service.
Hospital Surgical Medical Expense / POS - Small Gr H-Ind04.MM-07A Health Hospital Surgical Medical Expense POS Plan issued to Employer Members of a Multiple Employer Trust who employ at least two but not more than fifty employees - Includes the option of seeking covered services at the point-of-service.
Hospital Surgical Medical Expense / POS - Small Gr H-Ind05.MM-07A Health Hospital Surgical Medical Expense POS Plan issued to an Employer who employs at least two but not more than fifty employees - Includes the option of seeking covered services at the point-of-service.
Hospital Surgical Medical Expense / PPO H-Ind01.MM-05 Health Hospital Surgical and Medical Expense PPO Plan issued to Individual Members of an Assn - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Hospital Surgical Medical Expense / PPO H-Ind02.MM-05 Health Hospital Surgical Medical Expense PPO Plan issued to an Individual Family Group - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Hospital Surgical Medical Expense / PPO - Any Size H-Ind03.MM-06 Health Hospital Surgical Medical Expense PPO Plan issued to Employer Members of a Bona Fide Association who employ any number of employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Hospital Surgical Medical Expense / PPO - Any Size H-Ind04.MM-06 Health Hospital Surgical Medical Expense PPO Plan issued to Employer Members of a Multiple Employer Trust who employ any number of employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Hospital Surgical Medical Expense / PPO - Any Size H-Ind05.MM-06 Health Hospital Surgical Medical Expense PPO Plan issued to an Employer who employs any number of employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Hospital Surgical Medical Expense / PPO - Large Gr H-Ind03.MM-06B Health Hospital Surgical Medical Expense PPO Plan issued to Employer Members of a Bona Fide Association who employ at least fifty-one employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Hospital Surgical Medical Expense / PPO - Large Gr H-Ind04.MM-06B Health Hospital Surgical Medical Expense PPO Plan issued to Employer Members of a Multiple Employer Trust who employ at least fifty-one employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Hospital Surgical Medical Expense / PPO - Large Gr H-Ind05.MM-06B Health Hospital Surgical Medical Expense PPO Plan issued to an Employer who employs at least fifty-one employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Hospital Surgical Medical Expense / PPO - Small Gr H-Ind03.MM-06A Health Hospital Surgical Medical Expense PPO Plan issued to Employer Members of a Bona Fide Association who employ at least two but not more than fifty employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Hospital Surgical Medical Expense / PPO - Small Gr H-Ind04.MM-06A Health Hospital Surgical Medical Expense PPO Plan issued to Employer Members of a Multiple Employer Trust who employ at least two but not more than fifty employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Hospital Surgical Medical Expense / PPO - Small Gr H-Ind05.MM-06A Health Hospital Surgical Medical Expense PPO Plan issued to an Employer who employs at least two but not more than fifty employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Hospital Surgical Medical Expense / Small Group On H-Ind03.MM-05A Health Hospital Surgical Medical Expense Plan issued to Employer Members of a Bona Fide Association who employ at least two but not more than fifty employees. This plan does not include PPO or POS options.
Hospital Surgical Medical Expense / Small Group On H-Ind04.MM-05A Health Hospital Surgical Medical Expense Plan issued to Employer Members of a Multiple Employer Trust who employ at least two but not more than fifty employees. This plan does not include PPO or POS options.
Hospital Surgical Medical Expense / Small Group On H-Ind05.MM-05A Health Hospital Surgical Medical Expense Plan issued to an Employer who employs at least two but not more than fifty employees. This plan does not include PPO or POS options.
Major Medical H-Ind01.MM-01 Health Major Medical Plan issued to Individual Members of an Association - Insurance coverage of hospital, surgical and medical expenses for both in-patient and out-patient services. This plan does not include PPO or POS options.
Major Medical H-Ind02.MM-01 Health Major Medical Plan issued to an Individual Family Group - Insurance coverage of hospital, surgical and medical expenses for both in-patient and out-patient services. This plan does not include PPO or POS options.
Major Medical H-Ind07.ST-01 Health Major Medical Plan issued to a college, school, or other institution of learning or to the head or principal thereof, covering students or teachers for hospital, surgical and medical expenses for both in-patient and out-patient services.
Major Medical / Any Size Group H-Ind03.MM-01 Health Major Medical Plan issued to Employer Members of a Bona Fide Association who employ any number of employees. This plan does not include PPO or POS options.
Major Medical / Any Size Group H-Ind04.MM-01 Health Major Medical Plan issued to Employer Members of a Multiple Employer Trust who employ any number of employees. This plan does not include PPO or POS options.
Major Medical / Any Size Group H-Ind05.MM-01 Health Major Medical Plan issued to an Employer who employs any number of employees. This plan does not include PPO or POS options.
Major Medical / High Ded Reim Acct - Any Size Grp H-Ind03.MM-04 Health Major Medical Plan issued to Employer Members of a Bona Fide Association who employ any number of employees. A portion of the deductible is an amount reimbursable as a covered benefit and any unused amounts may be carried over into the next calendar year. This plan does not include PPO or POS options.
Major Medical / High Ded Reim Acct - Any Size Grp H-Ind04.MM-04 Health Major Medical Plan issued to Employer Members of a Multiple Employer Trust who employ any number of employees. A portion of the deductible is an amount reimbursable as a covered benefit and any unused amounts may be carried over into the next calendar year. This plan does not include PPO or POS options.
Major Medical / High Ded Reim Acct - Any Size Grp H-Ind05.MM-04 Health Major Medical Plan issued to an Employer who employs any number of employees. A portion of the deductible is an amount reimbursable as a covered benefit and any unused amounts may be carried over into the next calendar year. This plan does not include PPO or POS options.
Major Medical / High Ded Reim Acct - Large Group O H-Ind03.MM-04B Health Major Medical Plan issued to Employer Members of a Bona Fide Association who employ at least fifty-one employees. A portion of the deductible is an amount reimbursable as a covered benefit and any unused amounts may be carried over into the next calendar year.
Major Medical / High Ded Reim Acct - Large Group O H-Ind04.MM-04B Health Major Medical Plan issued to Employer Members of a Multiple Employer Trust who employ at least fifty-one employees. A portion of the deductible is an amount reimbursable as a covered benefit and any unused amounts may be carried over into the next calendar year. This plan does not include PPO or POS options.
Major Medical / High Ded Reim Acct - Large Group O H-Ind05.MM-04B Health Major Medical Plan issued to an Employer who employs at least fifty-one employees. A portion of the deductible is an amount reimbursable as a covered benefit and any unused amounts may be carried over into the next calendar year. This plan does not include PPO or POS options.
Major Medical / High Ded Reim Acct - Small Group O H-Ind03.MM-04A Health Major Medical Plan issued to Employer Members of a Bona Fide Association who employ at least two but not more than fifty employees. A portion of the deductible is an amount reimbursable as a covered benefit and any unused amounts may be carried over into the next calendar year. This plan does not include PPO or POS options.
Major Medical / High Ded Reim Acct - Small Group O H-Ind04.MM-04A Health Major Medical Plan issued to Employer Members of a Multiple Employer Trust who employ at least two but not more than fifty employees. A portion of the deductible is an amount reimbursable as a covered benefit and any unused amounts may be carried over into the next calendar year. This plan does not include PPO or POS options.
Major Medical / High Ded Reim Acct - Small Group O H-Ind05.MM-04A Health Major Medical Plan issued to an Employer who employs at least two but not more than fifty employees. A portion of the deductible is an amount reimbursable as a covered benefit and any unused amounts may be carried over into the next calendar year. This plan does not include PPO or POS options.
Major Medical / Large Group Only H-Ind03.MM-01B Health Major Medical Plan issued to Employer Members of a Bona Fide Association who employ at least fifty-one employees. This plan does not include PPO or POS options.
Major Medical / Large Group Only H-Ind04.MM-01B Health Major Medical Plan issued to Employer Members of a Multiple Employer Trust who employ at least fifty-one employees. This plan does not include PPO or POS options.
Major Medical / Large Group Only H-Ind05.MM-01B Health Major Medical Plan issued to an Employer who employs at least fifty-one employees. This plan does not include PPO or POS options.
Major Medical / POS H-Ind01.MM-03 Health Major Medical POS Plan issued to Individual Members of an Assn - Includes the option of seeking covered services at the point-of-service.
Major Medical / POS H-Ind02.MM-03 Health Major Medical POS Plan issued to an Individual Family Group - Includes the option of seeking covered services at the point-of-service.
Major Medical / POS - Any Size Group H-Ind03.MM-03 Health Major Medical POS Plan issued to Employer Members of a Bona Fide Association who employ any number of employees - Includes the option of seeking covered services at the point-of-service.
Major Medical / POS - Any Size Group H-Ind04.MM-03 Health Major Medical POS Plan issued to Employer Members of a Multiple Employer Trust who employ any number of employees - Includes the option of seeking covered services at the point-of-service.
Major Medical / POS - Any Size Group H-Ind05.MM-03 Health Major Medical POS Plan issued to an Employer who employs any number of employees - Includes the option of seeking covered services at the point-of-service.
Major Medical / POS - Large Group Only H-Ind03.MM-03B Health Major Medical POS Plan issued to Employer Members of a Bona Fide Association who employ at least fifty-one employees - Includes the option of seeking covered services at the point-of-service.
Major Medical / POS - Large Group Only H-Ind04.MM-03B Health Major Medical POS Plan issued to Employer Members of a Multiple Employer Trust who employ at least fifty-one employees - Includes the option of seeking covered services at the point-of-service.
Major Medical / POS - Large Group Only H-Ind05.MM-03B Health Major Medical POS Plan issued to an Employer who employs at least fifty-one employees - Includes the option of seeking covered services at the point-of-service.
Major Medical / POS - Small Group Only H-Ind03.MM-03A Health Major Medical POS Plan issued to Employer Members of a Bona Fide Association who employ at least two but not more than fifty employees - Includes the option of seeking covered services at the point-of-service.
Major Medical / POS - Small Group Only H-Ind04.MM-03A Health Major Medical POS Plan issued to Employer Members of a Multiple Employer Trust who employ at least two but not more than fifty employees - Includes the option of seeking covered services at the point-of-service.
Major Medical / POS - Small Group Only H-Ind05.MM-03A Health Major Medical POS Plan issued to an Employer who employs at least two but not more than fifty employees - Includes the option of seeking covered services at the point-of-service.
Major Medical / PPO H-Ind01.MM-02 Health Major Medical PPO Plan issued to Individual Members of an Association - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Major Medical / PPO H-Ind02.MM-02 Health Major Medical PPO Plan issued to an Individual Family Group - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Major Medical / PPO - Any Size Group H-Ind03.MM-02 Health Major Medical PPO Plan issued to Employer Members of a Bona Fide Association who employ any number of employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Major Medical / PPO - Any Size Group H-Ind04.MM-02 Health Major Medical PPO Plan issued to Employer Members of a Multiple Employer Trust who employ any number of employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Major Medical / PPO - Any Size Group H-Ind05.MM-02 Health Major Medical PPO Plan issued to an Employer who employs any number of employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Major Medical / PPO - Large Group Only H-Ind03.MM-02B Health Major Medical PPO Plan issued to Employer Members of a Bona Fide Association who employ at least fifty-one employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Major Medical / PPO - Large Group Only H-Ind04.MM-02B Health Major Medical PPO Plan issued to Employer Members of a Multiple Employer Trust who employ at least fifty-one employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Major Medical / PPO - Large Group Only H-Ind05.MM-02B Health Major Medical PPO Plan issued to an Employer who employs at least fifty-one employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Major Medical / PPO - Small Group Only H-Ind03.MM-02A Health Major Medical PPO Plan issued to Employer Members of a Bona Fide Association who employ at least two but not more than fifty employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Major Medical / PPO - Small Group Only H-Ind04.MM-02A Health Major Medical PPO Plan issued to Employer Members of a Multiple Employer Trust who employ at least two but not more than fifty employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Major Medical / PPO - Small Group Only H-Ind05.MM-02A Health Major Medical PPO Plan issued to an Employer who employs at least two but not more than fifty employees - Includes an incentive to receive covered services through a Preferred Provider Organization, while still providing lesser coverage if a non-participating provider is utilized.
Major Medical / Small Group Only H-Ind03.MM-01A Health Major Medical Plan issued to Employer Members of a Bona Fide Association who employ at least two but not more than fifty employees. This plan does not include PPO or POS options.
Major Medical / Small Group Only H-Ind04.MM-01A Health Major Medical Plan issued to Employer Members of a Multiple Employer Trust who employ at least two but not more than fifty employees. This plan does not include PPO or POS options.
Major Medical / Small Group Only H-Ind05.MM-01A Health Major Medical Plan issued to an Employer who employs at least two but not more than fifty employees. This plan does not include PPO or POS options.