0 chapters · 2,651 sections in this title.
La. Rev. Stat. § 22:2652 Purposes; public purpose
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§2652. Purposes; public purpose A. The purpose of this Chapter is to provide a nonadversarial alternative dispute resolution procedure that is prompted by the need for effective, fair, and timely handling of residential property insurance claims for residential properties that ar…
La. Rev. Stat. § 22:2653 Conditions to request mediation
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§2653. Conditions to request mediation A. Every insured may request mediation involving a residential property insurance claim for property damage that involves disputed amounts up to one hundred fifty thousand dollars in situations that the governor declares a state of emergency…
La. Rev. Stat. § 22:2654 Firm and department mediation requirements
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§2654. Firm and department mediation requirements A. A mediation firm, hereinafter referred to as the "firm", that elects to participate in the program provided in this Chapter shall comply with all of the following: (1) The firm contacts the department regarding participation in…
La. Rev. Stat. § 22:2655 Insurer and insured requirements for mediation
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§2655. Insurer and insured requirements for mediation The insurer and insured that elects to participate in mediation under the provisions of this Chapter shall agree to the following conditions: (1) The insurer shall bear the reasonable costs necessary to conducting mediation co…
La. Rev. Stat. § 22:2656 Alternative dispute resolution disclosure notice
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§2656. Alternative dispute resolution disclosure notice A. If the governor declares a state of emergency pursuant to R.S. 29:724 for a named windstorm event, an insurer writing residential property insurance in this state shall send a hurricane mediation program disclosure form t…
La. Rev. Stat. § 22:2657 Rules and regulations
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§2657. Rules and regulations The commissioner shall promulgate rules and regulations necessary to implement this Chapter. Acts 2022, No. 591, §1, eff. Jan. 1, 2023.
La. Rev. Stat. § 22:266 Medical necessity review
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§266. Medical necessity review Every health maintenance organization shall assure full compliance with Subpart F of Part III of Chapter 4 of this Title, R.S. 22:1121 et seq., in establishing procedures for continuous review of quality of care, performance of providers, utilizatio…
La. Rev. Stat. § 22:267 Enrollee grievance procedure
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§267. Enrollee grievance procedure A. Every health maintenance organization shall establish and maintain a grievance system approved by the commissioner under which enrollees may submit their grievances to the health maintenance organization. Each system shall provide reasonable …
La. Rev. Stat. § 22:268 Reports to the governor
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§268. Reports to the governor The secretary and the commissioner each shall report annually to the governor on the activities of his office with respect to health maintenance organizations and shall make such suggestions for change or improvement as may be in the best interest of…
La. Rev. Stat. § 22:269 Fees
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§269. Fees A. The following fees shall be collected in advance by the secretary of state for health maintenance organization: (1) For filing a charter, other documents, and amendments thereto, per page $ 2.50 (2) For certified copies of any document, per page $ 2.00 B. The follow…
La. Rev. Stat. § 22:270 Repealed by 2016 2nd Ex
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§270. Repealed by 2016 2nd Ex. Sess., No. 1, §2, eff. June 22, 2016.
La. Rev. Stat. § 22:271 Enrollment application; required statement; annual notification and disclosure of information
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§271. Enrollment application; required statement; annual notification and disclosure of information A. Every application for enrollment in a health maintenance organization shall contain the following statement conspicuously displayed on the front of such application in at least …
La. Rev. Stat. § 22:272 Notice required for certain prepaid charge rate increases, cancellation or nonrenewal
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§272. Notice required for certain prepaid charge rate increases, cancellation or nonrenewal of service agreements; other requirements A.(1) Every health maintenance organization regulated by this Subpart shall notify each master contract group in writing at least forty-five days …
La. Rev. Stat. § 22:281 Fraternal benefit societies
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§281. Fraternal benefit societies A fraternal benefit society is any incorporated society, order, or supreme lodge, without capital stock, including one exempted under the provisions of R.S. 22:317(A)(2), whether incorporated or not, conducted solely for the benefit of its member…
La. Rev. Stat. § 22:282 Lodge system defined
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§282. Lodge system defined A. A society is operating on the lodge system if it has a supreme governing body and subordinate lodges into which members are elected, initiated, or admitted in accordance with its laws, rules, and ritual. Subordinate lodges shall be required by the la…
La. Rev. Stat. § 22:283 Representative form of government defined
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§283. Representative form of government defined A. A society has a representative form of government when all of the following requirements are met: (1) It has a supreme governing body constituted in one of the following ways: (a) Assembly. The supreme governing body is an assemb…
La. Rev. Stat. § 22:284 General definitions
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§284. General definitions As used in this Subpart, the following terms shall have the meanings herein given to each unless the context clearly indicates otherwise: (1) "Benefit contract" means the agreement for provision of benefits authorized by R.S. 22:296, as that agreement is…
La. Rev. Stat. § 22:285 Purposes and powers
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§285. Purposes and powers A. A society shall operate for the benefit of members and their beneficiaries by: (1) Providing benefits as specified in R.S. 22:296. (2) Operating for one or more social, intellectual, educational, charitable, benevolent, moral, fraternal, patriotic, or…
La. Rev. Stat. § 22:286 Qualifications for membership
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§286. Qualifications for membership A. A society shall specify in its laws or rules: (1) Eligibility standards for each class of membership, provided that if benefits are provided on the lives of children, the minimum age for adult membership shall be set at not less than age fif…
La. Rev. Stat. § 22:287 Location of office, meetings, communications to members, grievance procedures
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§287. Location of office, meetings, communications to members, grievance procedures A. The principal office of any domestic society shall be located in this state. The meetings of its supreme governing body may be held in any state, district, province, or territory wherein such s…
La. Rev. Stat. § 22:288 No personal liability
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§288. No personal liability A. The officers and members of the supreme governing body or any subordinate body of a society shall not be personally liable for any benefits provided by a society. B.(1) Any person who, by reason of the fact that he is or was a director, officer, emp…
La. Rev. Stat. § 22:289 Waiver
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§289. Waiver The laws of the society may provide that no subordinate body, nor any of its subordinate officers or members, shall have the power or authority to waive any of the provisions of the laws of the society. Such provision shall be binding on the society and every member …
La. Rev. Stat. § 22:290 Organization
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§290. Organization A domestic society organized pursuant to this Subpart shall be formed as follows: (1) Seven or more citizens of the United States, a majority of whom are citizens of this state, who desire to form a fraternal benefit society, may execute by authentic act or by …
La. Rev. Stat. § 22:291 Amendments to laws
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§291. Amendments to laws A. A domestic society may amend its laws in accordance with the provisions thereof by action of its supreme governing body at any regular or special meeting thereof or, if its laws so provide, by referendum. Such referendum may be held in accordance with …
La. Rev. Stat. § 22:292 Institutions
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§292. Institutions A society may create, maintain and operate, or may establish organizations to operate, not for profit institutions to further the purposes permitted by R.S. 22:285(A)(2). Such institutions may furnish services free or at a reasonable charge. Any real or persona…
La. Rev. Stat. § 22:293 Reinsurance
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§293. Reinsurance A. A domestic society may, by a reinsurance agreement, cede any individual risk or risks in whole or in part to an insurer, other than another fraternal benefit society, having the power to make such reinsurance and authorized to do business in this state, or if…
La. Rev. Stat. § 22:294 Consolidations and mergers
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§294. Consolidations and mergers A. A domestic society may consolidate or merge with any other society by complying with the provisions of this Section. It shall file with the commissioner of insurance the following documents: (1) A certified copy of the written contract containi…
La. Rev. Stat. § 22:295 Conversion of fraternal benefit society into mutual life insurance company
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§295. Conversion of fraternal benefit society into mutual life insurance company Any domestic fraternal benefit society may be converted and licensed as a mutual life insurance company by compliance with all the requirements of the Louisiana Insurance Code for mutual life insuran…
La. Rev. Stat. § 22:296 Benefits
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§296. Benefits A. A society may provide the following contractual benefits in any form: (1) Death benefits. (2) Endowment benefits. (3) Annuity benefits. (4) Temporary or permanent disability benefits. (5) Hospital, medical or nursing benefits. (6) Monument or tombstone benefits …
La. Rev. Stat. § 22:297 Beneficiaries
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§297. Beneficiaries A. The owner of a benefit contract shall have the right at all times to change the beneficiary or beneficiaries in accordance with the laws or rules of the society unless the owner waives this right by specifically requesting in writing that the beneficiary de…
La. Rev. Stat. § 22:298 Benefits not attachable
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§298. Benefits not attachable No money or other benefit, charity, relief, or aid to be paid, provided or rendered by any society, shall be liable to attachment, garnishment, or other process, or to be seized, taken, appropriated, or applied by any legal or equitable process or op…
La. Rev. Stat. § 22:299 The benefit contract
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§299. The benefit contract A. Every society authorized to do business in this state shall issue to each owner of a benefit contract a certificate specifying the amount of benefits provided thereby. The certificate, together with any riders or endorsements attached thereto, the la…
La. Rev. Stat. § 22:3 Composition of Department of Insurance
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§3. Composition of Department of Insurance The Department of Insurance shall be comprised of the office of the commissioner; the office of management and finance; the office of property and casualty; the office of licensing; the office of financial solvency; the office of consume…
La. Rev. Stat. § 22:300 Nonforfeiture benefits, cash surrender values, certificate loans, and other options
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§300. Nonforfeiture benefits, cash surrender values, certificate loans, and other options A. For certificates issued prior to one year after the effective date of this Subpart, the value of every paid-up nonforfeiture benefit and the amount of any cash surrender value, loan, or o…
La. Rev. Stat. § 22:3001 Redesignated as R.S
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§3001. Redesignated as R.S. 22:451 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
La. Rev. Stat. § 22:3002 Redesignated as R.S
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§3002. Redesignated as R.S. 22:452 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
La. Rev. Stat. § 22:3003 Redesignated as R.S
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§3003. Redesignated as R.S. 22:453 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
La. Rev. Stat. § 22:3004 Redesignated as R.S
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§3004. Redesignated as R.S. 22:454 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
La. Rev. Stat. § 22:3005 Redesignated as R.S
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§3005. Redesignated as R.S. 22:455 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
La. Rev. Stat. § 22:3006 Redesignated as R.S
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§3006. Redesignated as R.S. 22:456 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
La. Rev. Stat. § 22:3007 Redesignated as R.S
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§3007. Redesignated as R.S. 22:457 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
La. Rev. Stat. § 22:3008 Redesignated as R.S
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§3008. Redesignated as R.S. 22:458 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
La. Rev. Stat. § 22:3009 Redesignated as R.S
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§3009. Redesignated as R.S. 22:459 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
La. Rev. Stat. § 22:301 Investments
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§301. Investments A society shall invest its funds only in such investments as are authorized by the laws of this state for the investment of assets of life insurers and subject to the limitations thereon. Any foreign or alien society permitted or seeking to do business in this s…
La. Rev. Stat. § 22:3010 Redesignated as R.S
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§3010. Redesignated as R.S. 22:460 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
La. Rev. Stat. § 22:3011 Redesignated as R.S
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§3011. Redesignated as R.S. 22:461 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
La. Rev. Stat. § 22:3012 Redesignated as R.S
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§3012. Redesignated as R.S. 22:462 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
La. Rev. Stat. § 22:3013 Redesignated as R.S
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§3013. Redesignated as R.S. 22:463 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
La. Rev. Stat. § 22:3014 Redesignated as R.S
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§3014. Redesignated as R.S. 22:464 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
La. Rev. Stat. § 22:3015 Redesignated as R.S
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§3015. Redesignated as R.S. 22:465 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.