This bill amends and reenacts R.S. 22:41.2 and 572.1(F) to enhance the requirements for licensed persons and risk-bearing entities under the jurisdiction of the commissioner of insurance in Louisiana. It mandates that every licensed individual and authorized risk-bearing entity must provide accurate contact information to the commissioner, including details for individuals responsible for handling consumer complaints and regulatory communications. Additionally, the bill requires these entities to inform the commissioner of any changes to this information within thirty days. The previous language that specified "risk-bearing entity authorized" has been replaced with "every person licensed," and certain responsibilities have been consolidated and clarified.

Furthermore, the bill updates the requirements for insurance anti-fraud plans by stipulating that insurers and health maintenance organizations must file a summary report detailing material changes to their anti-fraud plans annually. This report must include comprehensive data on claims, policies, and fraud investigations, such as the number of claims received, referred for investigation, and the estimated dollar amounts related to fraudulent activities. The commissioner is also granted the authority to prescribe the format for these summary reports. The changes aim to improve transparency and accountability in the insurance sector, particularly concerning consumer protection and fraud prevention.

Statutes affected:
HB399 Original: 22:1(F)
HB399 Engrossed: 22:1(F)
HB399 Enrolled: 22:1(F)
HB399 Act 614: 22:1(F)