§ 33-64-1. Definitions
As used in this chapter, the term: “Affiliate pharmacy” means a pharmacy which, either directly or indirectly through one or more intermediaries: Has an investment or ownership interest in a pharmacy benefits manager licensed under this chapter; Shares common ownership with a pharmacy benefits manager licensed under this chapter; or Has an investor or ownership […]
§ 33-64-2. License Requirements and Filing Fees
No person, business entity, or other entity shall act as or hold itself out to be a pharmacy benefits manager in this state, other than an applicant licensed in this state for the kinds of business for which it is acting as a pharmacy benefits manager, unless such person, business entity, or other entity holds […]
§ 33-64-3. Requirements and Procedures Affecting Pharmacy Benefits Managers; Surety Bond
Every applicant for a pharmacy benefits manager’s license shall file with the application and shall thereafter maintain in force a bond in the amount of $100,000.00 in favor of the Commissioner executed by a corporate surety insurer authorized to transact insurance in this state. The terms and type of the bond shall be established by […]
§ 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. […]
§ 33-59-12. Determining Governing Law When Multiple Owners
If there is more than one owner on a single policy, and the owners are residents of different states, the life settlement contract shall be governed by the law of the state in which the owner having the largest percentage ownership resides or, if the owners hold equal ownership, the state of residence of one […]
§ 33-62-2. Submission of Annual Statement of Actuarial Opinion of Appointed Actuary by Property and Casualty Insurance Companies Licensed to Do Business in Georgia
Every property and casualty insurance company doing business in this state, unless otherwise exempted by the domiciliary commissioner, shall annually submit the opinion of an appointed actuary entitled “Statement of Actuarial Opinion.” This opinion shall be filed in accordance with rules and regulations promulgated by the Commissioner regarding property and casualty annual statement instructions. Every […]
§ 33-59-13. Unlawful Activities Deemed Fraudulent Life Settlement Act
It shall be unlawful for any person to: Enter into a life settlement contract if such person knows or reasonably should have known that the life insurance policy was obtained by means of a false, deceptive, or misleading application for such policy; Engage in any transaction, practice, or course of business if such person knows […]
§ 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 […]