§ 33-64-8. Electronic Prior Authorization Drug Requests With Health Care Providers
As used in this Code section, “electronic prior authorization” or “e-prior authorization” means a requirement that a prescriber obtain approval via electronic media from a health plan to prescribe a specific medication prior to dispensing. Facsimiles shall not be considered an electronic submission under this Code section except in the event that such electronic media […]
§ 33-63-2. Purpose; Exemptions From Applicability of Chapter; Guaranteed Asset Protection Waivers Exempt From State’s Insurance Laws
The purpose of this chapter is to provide a framework within which guaranteed asset protection waivers are defined and may be offered within this state. This chapter shall not apply to: An insurance policy offered by an insurer under the insurance laws of this state; or A debt cancellation or debt suspension contract being offered […]
§ 33-64-9. Requirements for Use of Maximum Allowable Cost Pricing by Pharmacy Benefits Managers; Appeals; Enforcement Authority
Upon each contract execution or renewal between a pharmacy benefits manager and a pharmacy or between a pharmacy benefits manager and a pharmacy’s contracting representative or agent, such as a pharmacy services administrative organization, a pharmacy benefits manager shall, with respect to such contract or renewal: Include in such contract or renewal the sources utilized […]
§ 33-63-3. Definitions
The following terms are defined for purposes of this chapter and are not intended to provide actual terms required in guaranteed asset protection waivers: “Administrator” means a person, other than an insurer or creditor, that performs administrative or operational functions pursuant to guaranteed asset protection waiver programs. “Borrower” means a debtor, retail buyer, or lessee […]
§ 33-64-9.1. Reimbursement Methodologies Utilized by Pharmacy Benefits Managers
Any methodologies utilized by a pharmacy benefits manager in connection with reimbursement pursuant to Code Section 33-64-9 shall be filed with the Commissioner for use in determining maximum allowable cost appeals; provided, however, that methodologies not otherwise subject to disclosure under Article 4 of Chapter 18 of Title 50 shall be treated as confidential and […]
§ 33-63-4. Offering, Selling, or Providing to Borrowers Guaranteed Asset Protection Waivers
Guaranteed asset protection waivers may be offered, sold, or provided to borrowers in this state in compliance with this chapter. Guaranteed asset protection waivers may, at the option of the creditor, be sold for a single payment or may be offered with a monthly or periodic payment option. Notwithstanding any other provision of law, any […]
§ 33-63-5. Contractual Liability or Other Insurance Policies
Contractual liability or other insurance policies insuring guaranteed asset protection waivers must state the obligation of the insurer to reimburse or pay to the creditor any sums the creditor is legally obligated to waive under the guaranteed asset protection waivers issued by the creditor and purchased or held by the borrower. Coverage under a contractual […]
§ 33-63-6. Required Disclosures
Guaranteed asset protection waivers must disclose, as applicable, in writing and in clear, understandable language that is easy to read, the following: The name and address of the initial creditor and the borrower at the time of sale and the identity of any administrator if different from the creditor; The purchase price and the terms […]
§ 33-63-7. Cancellation
Guaranteed asset protection waiver agreements may be cancelable or noncancelable after the free look period. Guaranteed asset protection waivers must provide that if a borrower cancels a waiver within the free look period, the borrower will be entitled to a full refund of the purchase price, provided no benefits have been paid; or in the […]
§ 33-63-8. Exempted Commercial Transactions
Subsection (c) of Code Section 33-63-4 and Code Sections 33-63-6 and 33-63-9 shall not be applicable to a guaranteed asset protection waiver offered in connection with a lease or retail installment sale associated with a commercial transaction. History. Code 1981, § 33-63-8 , enacted by Ga. L. 2008, p. 1097, § 1/SB 470. Code Commission […]