NOTICE TO ALL HEALTH INSURANCE ISSUERS, HMOs, PPOs, MCOs, TPAs AND ANY OR ALL OTHER HEALTH ENTITIES LICENSED OR DOING BUSINESS IN LOUISIANA
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Following the original issuance of Emergency Rule 20 on October 16, 2005 there have been
numerous requests from persons affected by this action regarding the need for the Department to
provide some additional guidance as to how health insurance issuers, HMOs, PPOs, MCOs,
TPAs and any and all other health insurance entities licensed or doing business in Louisiana and
health care providers and/or health care professionals should apply Emergency Rule 20.
Accordingly, pursuant to these requests, the Department hereby issues Directive 189. All
affected persons are to conduct themselves in accordance with the purpose and intent of
Emergency Rule 20 and are to be guided by the overriding principle that the insured is to be
protected to the maximum extent possible.
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