As used in this chapter, the term “accident and sickness policy” means any policy insuring against loss resulting from sickness or from bodily injury or death by accident, or both, or any contract to furnish ambulance service in the future. Nothing in this chapter shall apply to or affect: Any policy of workers’ compensation insurance […]
If any accident and sickness policy delivered or issued for delivery in this state contains a provision establishing, as an age limit or otherwise, a date after which the coverage provided by the policy will not be effective and, if the date falls within a period for which premium is accepted by the insurer or […]
Every individual accident and sickness policy or contract, except single premium nonrenewable policies or contracts, issued for delivery in this state by an insurer shall have printed on or attached to the policy or contract a notice stating in substance that the person to whom the policy or contract is issued shall be permitted to […]
Any policy of a foreign or alien insurer, when delivered or issued for delivery to any person in this state, may contain any provision which is not less favorable to the insured or the beneficiary than those provisions contained in this chapter and which is prescribed or required by the law of the state under […]
Every insurer shall furnish to any applicant for accident and sickness insurance in this state a written outline showing the major coverage of the policy applied for, the major exclusions of the policy applied for, the renewal provisions of the policy applied for, and a reference to the policy with respect to further provisions. The […]
This chapter shall not be construed as preventing a person other than the insured with a proper insurable interest from making application for and owning a policy covering the insured or from being entitled under such policy to any indemnities, benefits, and rights provided in the policy. History. Code 1933, § 56-3012, enacted by Ga. […]
The proceeds or avails of all accident and sickness policies and of provisions providing benefits on account of the insured’s disability which are supplemental to life insurance or annuity contracts, except credit accident and sickness policies and credit life policies, shall be exempt from all liability for any debt of the insured and from any […]
The requirements of this chapter may be complied with by the insurer by attaching to the policy such rider or endorsement as may be necessary for the purpose. History. Code 1933, § 56-3017, enacted by Ga. L. 1960, p. 289, § 1.
No policy provision which is not subject to this chapter shall make a policy, or any portion thereof, less favorable in any respect to the insured or the beneficiary than the provisions thereof which are subject to this chapter. A policy delivered or issued for delivery to any person in this state in violation of […]
As used in this Code section, the term “employees” means the officers, managers, and employees and retired employees of the employer and the individual proprietor or partners if the employer is an individual proprietor or partnership. Accident and sickness insurance on a franchise plan is that form of accident and sickness insurance issued to: Two […]
This Code section shall apply only to the filing of rate modifications for individual accident and sickness policies which provide for an optional loss ratio guarantee. As used in this Code section, the term: “Expected loss ratio” in an experience period means the ratio of: (A) the sum of expected claims in the experience period […]
No policy of accident and sickness insurance shall be delivered or issued for delivery in this state unless it meets the following requirements: The entire money and other considerations for the policy are expressed in such policy; The time at which the insurance takes effect and terminates is expressed in such policy; It purports to […]
As used in this Code section, the term: “Functional deformity” means a deformity of the bone or joint structure of the maxilla or mandible such that the normal character and essential function of such bone structure is impeded. “Policy” means any major medical benefit plan, contract, or policy except a credit insurance policy, disability income […]
Pursuant to the provisions of the federal Health Insurance Portability and Accountability Act of 1996, P.L. 104-191, and subject to applicable rules and regulations as issued by the Centers for Medicare and Medicaid Services, all insurers which issue, issue for delivery, deliver, or renew existing individual policies, certificates, or contracts of accident and sickness insurance […]
Every policy which contains a provision for termination of coverage of a dependent upon the reaching of a certain age shall contain a provision to the effect that, upon the date of the dependent reaching the age at which coverage would terminate under the provisions of the policy, the dependent shall be entitled to have […]
Notice of any premium increase shall be mailed or delivered to each holder of an individual accident and sickness insurance policy not less than 60 days prior to the effective date of such increase. History. Code 1981, § 33-29-22 , enacted by Ga. L. 1999, p. 289, § 4; Ga. L. 2013, p. 1100, § […]
Each accident and sickness policy delivered or issued for delivery in this state shall contain the provisions specified in subsection (b) of this Code section in the words in which the same appear in subsection (b) of this Code section, except that the insurer may, at its option, substitute for one or more of such […]
Every insurer authorized to issue individual accident and sickness insurance plans, policies, or contracts shall be required to make available, either as a part of or as an optional endorsement to all such policies providing major medical insurance coverage which are issued, delivered, issued for delivery, or renewed coverage for human heart transplants, including any […]
As used in this Code section, the term: “Female at risk” means a woman: Who has a personal history of breast cancer; Who has a personal history of biopsy proven benign breast disease; Whose grandmother, mother, sister, or daughter has had breast cancer; or Who has not given birth prior to age 30. “Mammogram” means […]
Every insurer authorized to issue individual accident and sickness insurance plans, policies, or contracts shall be required to make available, either as a part of or as an optional endorsement to all such policies providing major medical insurance coverage which are issued, delivered, issued for delivery, or renewed coverage for bone marrow transplants for the […]
