§ 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 […]
§ 33-59-17. Unfair Trade Practice
A violation of this chapter shall be considered an unfair trade practice pursuant to state law and subject to the penalties provided by state law. History. Code 1981, § 33-59-14 , enacted by Ga. L. 2005, p. 998, § 1/SB 217; Code 1981, § 33-59-17 , as redesignated by Ga. L. 2009, p. 370, § […]
§ 33-59A-1. Compact Enacted and Entered Into by the State of Georgia; Text of Compact
The Interstate Insurance Product Regulation Compact is enacted into law and entered into by this state with all other jurisdictions legally joining therein in the form substantially as follows: INTERSTATE INSURANCE PRODUCT REGULATION COMPACT
§ 33-59A-2. Membership on Interstate Insurance Product Regulation Commission; Commissioner of Insurance to Be State’s Representative
Pursuant to terms and conditions of this chapter, the State of Georgia seeks to join with other states and establish the Interstate Insurance Product Regulation Compact, and thus become a member of the Interstate Insurance Product Regulation Commission. The Commissioner of Insurance is hereby designated to serve as the representative of the State of Georgia […]
§ 33-60-1. Short Title
This chapter shall be known and may be cited as the “Small Business Employee Choice of Benefits Health Insurance Plan Act.” History. Code 1981, § 33-60-1 , enacted by Ga. L. 2005, p. 1229, § 1/SB 174.
§ 33-60-2. Legislative Intent
The General Assembly recognizes the need for employers and individuals in this state to have the opportunity to choose among group and individual health insurance plans that are more affordable and flexible than standard market policies of accident and sickness insurance and the need to increase the availability of health insurance coverage by authorizing the […]