§ 33-64-4. Pharmacy Benefits Manager Shall Not Engage in the Practice of Medicine; Recommended Use of Licensed Physician
No pharmacy benefits manager shall engage in the practice of medicine, except as otherwise provided in subsection (b) of this Code section. Any physician employed by or contracted with a pharmacy benefits manager advising on or making determinations specific to a Georgia insured in connection with a prior authorization or step therapy appeal or determination […]
§ 33-64-5. Audit Requirements Applicable to Pharmacy Benefits Managers
Pharmacy benefits managers, whether licensed pursuant to this chapter or exempt from licensure pursuant to subsection (l) of Code Section 33-64-2, shall be subject to Code Section 26-4-118, “The Pharmacy Audit Bill of Rights,” to the same extent and in the same manner as pharmacies. History. Code 1981, § 33-64-5 , enacted by Ga. L. […]
§ 33-64-6. Pharmacy Benefits Manager Shall Not Have to Be Licensed as an Administrator
A pharmacy benefits manager licensed pursuant to this chapter shall not be required to obtain a license as an administrator pursuant to Article 2 of Chapter 23 of this title to perform any function as a pharmacy benefits manager pursuant to this chapter. History. Code 1981, § 33-64-6 , enacted by Ga. L. 2010, p. […]
§ 33-62-3. Submission of Supporting Documentation; Confidentiality; Disclosure
The statement of actuarial opinion shall be provided with the annual statement in accordance with rules and regulations promulgated by the Commissioner regarding property and casualty annual statement instructions and shall be treated as a public document. Documents, materials, or other information in the possession or control of the department that are considered an actuarial […]
§ 33-64-7. Commissioner’s Authority Over Rules and Regulations
The Commissioner shall enforce the provisions of this chapter and may promulgate rules and regulations to implement the provisions of this chapter to ensure the safe and proper operations of pharmacy benefits managers in this state. In addition to all other authority granted by this title, the Commissioner may: Conduct financial examinations and compliance audits […]
§ 33-59-14. Violations; Required Statement; Reporting of Fraudulent Acts to the Commissioner; Immunity for Providing Information Concerning Fraudulent Acts; Confidentiality of Documents and Evidence; Mandatory Adoption of Antifraud Initiatives by Providers
It shall be illegal for a person to commit a fraudulent life settlement act. A person shall not knowingly and intentionally interfere with the enforcement of the provisions of this chapter or investigations of suspected or actual violations of this chapter. A person in the business of life settlements shall not knowingly or intentionally permit […]
§ 33-59-15. Remedies and Penalties for Violations; Procedural Issues
In addition to the penalties and other enforcement provisions of this chapter, if any person violates this chapter or any rule or regulation implementing this chapter, the Commissioner may seek an injunction in a court of competent jurisdiction in the county where the person resides or has a principal place of business and may apply […]
§ 33-59-16. Fraudulent Life Settlement Acts Prohibited; Criminal and Civil Penalties; Revocation of License
It is a violation of this chapter for any person, provider, life settlement broker, or any other party related to the business of life settlements to commit a fraudulent life settlement act. For criminal liability purposes, a person that commits a fraudulent life settlement act shall be guilty of committing insurance fraud and shall be […]
§ 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