§ 33-52-6. Approval or Disapproval by Commissioner
The Commissioner shall approve or disapprove the entire assumption reinsurance transaction. The following items shall be submitted to the Commissioner: A detailed statement explaining the reason or reasons for the transfer; The assumption reinsurance agreement; The certificate of assumption; If either the ceding company or the assuming company is not domiciled in Georgia, copies of […]
§ 33-50-12. Legislative Intent
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 […]
§ 33-50-13. Multiple Employer Self-Insured Plans to Make Necessary Filings
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 […]
§ 33-50-14. Commissioner Approval of Plans Offering Coverage in Other States
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. […]
§ 33-51-1. Short Title
This chapter shall be known and may be cited as the “Georgia Affordable HSA Eligible High Deductible Health Plan.” History. Code 1981, § 33-51-1 , enacted by Ga. L. 2008, p. 292, § 3/HB 977.
§ 33-51-2. Legislative Intent
It is the intent of the General Assembly: To authorize the Commissioner to establish flexible guidelines for health savings account eligible high deductible plan designs which will be affordable to Georgians and to increase the availability of these types of plans by accident and sickness insurers licensed to transact such insurance in this state; To […]
§ 33-51-3. Development of Guidelines; Promotion by Commissioner; Authority of Commissioner
The Commissioner shall develop flexible guidelines for coverage and approval of health savings account eligible high deductible plans which are designed to qualify under federal and state requirements as high deductible health plans for use with health savings accounts which comply with federal requirements under the applicable provisions of the federal Internal Revenue Code for […]
§ 33-51-4. Programs Not Considered Unfair Trade Practice
Insurers that include and operate wellness and health promotion programs, disease and condition management programs, health risk appraisal programs, and similar provisions in their high deductible health policies in keeping with federal requirements shall not be considered to be engaging in unfair trade practices under Code Section 33-6-4 with respect to references to the practices […]
§ 33-51-5. Nonpreferred Provider Reimbursement
There shall be no required relationship between preferred provider and nonpreferred provider plan reimbursements for health savings account eligible high deductible plans using nonpreferred provider reimbursements. Such plans, however, shall not: Unfairly deny health benefits for medically necessary covered services; Have differences in benefit levels payable to preferred providers compared to other providers that unfairly […]
§ 33-51-6. Incentives for Preferred Providers
Notwithstanding the provisions of paragraphs (2) and (3) of Code Section 33-51-5, health benefit plans providing incentives for covered persons to use pharmaceutical or dental services of preferred providers shall provide, and clearly indicate, that the payment or reimbursement for a noncontracting provider of covered pharmaceutical or dental services shall be the same as the […]