As used in this chapter, the term “multiple employer self-insured health plan” means any plan or arrangement which is established or maintained for the purpose of offering or providing health, dental, or short-term disability benefits to employees of two or more employers but which is not fully insured. A plan or arrangement is considered fully […]
The Commissioner may promulgate rules or regulations which are necessary to implement the provisions of this chapter and to ensure the safe and proper operation of multiple employer self-insured health plans in this state. History. Code 1981, § 33-50-10 , enacted by Ga. L. 1991, p. 1021, § 1.
If the Commissioner is of the opinion that a multiple employer self-insured health plan is in an unsound condition, that it has failed to comply with the law or any applicable rule or regulations or orders issued by the Commissioner, or that it is in a condition which renders its proceedings hazardous to the public […]
It is the intent of the General Assembly that a multiple employer self-insured health plan be created and maintained by and for the benefit of participating employers and operated under their exclusive management and control. This chapter is not intended to permit third-party administrators or other entrepreneurial promoters to establish a trust or plan and […]
All multiple employer self-insured health plans who have member employees in this state shall make all filings necessary to comply with this chapter. History. Code 1981, § 33-50-13 , enacted by Ga. L. 1991, p. 1021, § 1; Ga. L. 2019, p. 533, § 1-13/HB 99. The 2019 amendment, effective July 1, 2019, deleted “as […]
A multiple employer self-insured health plan which covers lives in other states may cover lives in this state only if the Commissioner deems the plan to be in compliance with the requirements of this chapter. History. Code 1981, § 33-50-14 , enacted by Ga. L. 2010, p. 757, § 6/SB 310; Ga. L. 2011, p. […]
It is unlawful for any multiple employer self-insured health plan to transact business in this state without a license issued by the Commissioner. Any of the acts described as the transaction of insurance in Code Section 33-1-2, effected by mail or otherwise, by or on behalf of a multiple employer self-insured health plan constitutes the […]
Application for a license shall be made on forms prescribed by the Commissioner. Every multiple employer self-insured health plan shall pay to the Commissioner annual license fees, as established by rule or regulation of the Commissioner. Every multiple employer self-insured health plan shall be exempt from the payment of premium taxes on the plan’s net […]
At the time application for a license is made, the multiple employer self-insured health plan shall file with the Commissioner a copy of the plan’s bylaws, all schedules of benefits, and all management, administration, and trust agreements which the plan had made or proposes to make for the conduct of its business and affairs. Any […]
No multiple employer self-insured health plan shall be licensed unless it shall possess and thereafter maintain a minimum surplus of at least $200,000.00. A multiple employer self-insured health plan shall be subject to and comply with the applicable regulatory action level risk-based capital requirements prescribed by Chapter 56 of this title. Every multiple employer self-insured […]
Funds collected from the participating employers under multiple employer self-insured health plans shall be held in trust subject to the following requirements: A board of trustees elected by participating employers shall serve as fund managers on behalf of participants. Trustees shall be plan participants or be an employee or owner of a participating employer or […]
Every application for benefits and every benefit plan issued by a multiple employer self-insured health plan shall contain in contrasting color, in not less than ten-point type, the following statements: The plan is a self-insured plan, and benefits are not guaranteed by a licensed insurer; The plan is not covered by the Georgia Life and […]
Every multiple employer self-insured health plan shall be subject to examination in accordance with Chapter 2 of this title. History. Code 1981, § 33-50-8 , enacted by Ga. L. 1991, p. 1021, § 1.
A plan that desires to cease existence shall apply to the Commissioner for authority to dissolve. Applications to dissolve must be on forms prescribed by the Commissioner and must be approved or disapproved by the Commissioner within 60 days of receipt. Dissolution without authorization is prohibited and does not absolve a plan or its participants […]
