LA SB16

Health stop-loss insurance policies for small employers issued on or after January 1, 2026 must cap renewal rate increases at the medical care CPI change plus 50%, unless actuarially justified, and guarantee rates for at least 12 months

Policies must include specific or aggregate attachment points, align benefit limitations with the employer's health plan, and cover claims incurred during the contract period if paid within 24 months after expiration

Employers with fewer than 5 employees cannot be issued stop-loss policies that allow adjustment of deductibles or attachment points based on individual plan members or specific diseases/conditions

All stop-loss policies issued after January 1, 2026 must include a standardized disclosure form explaining coverage limitations, employer risk, and claims impact on renewals, which employers must sign before purchase

The Louisiana Commissioner of Insurance must develop the standardized disclosure form by January 1, 2026; existing policies in effect before this date are exempt from the new requirements