§ 33-30B-1. Short Title
This chapter shall be known and may be cited as the “Spending Account and Consumer Driven Health Plan Advancement Act.” History. Code 1981, § 33-30B-1 , enacted by Ga. L. 2003, p. 912, § 1.
§ 33-30B-2. Purpose
The purposes of this chapter are to provide enabling provisions for spending accounts and consumer driven health plans, provide statutory authorization for the establishment of such plans, and facilitate the advancement of such plans as a response to escalating costs of health care plans in this state. This chapter shall be construed and interpreted liberally […]
§ 33-30B-3. Definitions
As used in this chapter, the term: “Consumer driven health plan” means a plan for the provision or reimbursement of health care services that makes available to enrolled individuals information on health, health care, the pricing of health care, and the pricing of health care services by particular providers. Such plan may, but is not […]
§ 33-30B-4. Group or Individual Participation; Administration of Plan
A spending account plan or consumer driven health plan may be written in this state for a group or for an individual. Such plan may contain a spending account feature which will provide the first-dollar payments for health care services up to a designated amount. Group plans may, but are not required to, provide for […]
§ 33-30B-5. Relationship Between Spending Account and Attachment Point for Insurance Reimbursement
For any plan having a spending account feature, the amount of the spending account is not required to be the same as the attachment point for insurance reimbursements. If the attachment point for insurance reimbursements to the plan is higher than the amount contained in the spending account, a notice describing the monetary gap for […]
§ 33-30B-6. Requirements for Insurance Contract
The insurance contract providing reimbursements for expenditures for health care services incurred by the plan may be a stop-loss, specific excess and aggregate, or other similar contract. It may be written by an insurer licensed for life, accident, and sickness insurance under Code Section 33-7-2 or by an insurer licensed for casualty insurance under Code […]
§ 33-30B-7. Interpretation; Renewal of Policy
A stop-loss or specific excess and aggregate contract issued under this chapter shall not be construed or interpreted as an accident and sickness insurance policy. No stop-loss or specific excess and aggregate policy may be cancelled or nonrenewed because of the level of health care claims. History. Code 1981, § 33-30B-7 , enacted by Ga. […]