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Home » US Law » 2022 Georgia Code » Title 33 - Insurance » Chapter 43 - Medicare Supplement Insurance

§ 33-43-1. Definitions

As used in this chapter, the term: “Applicant” means: In the case of an individual medicare supplement policy or subscriber contract, the person who seeks to contract for insurance benefits; and In the case of a group medicare supplement policy, the proposed certificate holder. (1.1) “Bankruptcy” means when a Medicare+Choice organization that is not an […]

§ 33-43-2. Applicability of Chapter

Except as otherwise specifically provided, this chapter shall apply to: All medicare supplement policies delivered or issued for delivery in this state; and All certificates issued under group medicare supplement policies, which certificates have been delivered or issued for delivery in this state. This chapter shall not apply to a policy of one or more […]

§ 33-43-3. Duplicate Benefits Prohibited; Establishment of Standards

No medicare supplement insurance policy or certificate in force in this state shall contain benefits which duplicate benefits provided by medicare. Notwithstanding any other provision of Georgia law, a medicare supplement policy or certificate shall not exclude or limit benefits for losses incurred more than six months from the effective date of coverage because it […]

§ 33-43-4. Reasonable Return of Benefits Required; Minimum Standards for Loss Ratios

Medicare supplement policies shall return to policyholders benefits which are reasonable in relation to the premium charged. The Commissioner shall issue reasonable regulations to establish minimum standards for loss ratios of medicare supplement policies on the basis of incurred claims experience, or incurred health care expenses where coverage is provided by a health maintenance organization […]

§ 33-43-5. Outline of Coverage; Informational Brochures; Captions or Notice Requirements; Disclosure of Information Regarding Replacement of Policies, Contracts, or Certificates

In order to provide for full and fair disclosure in the sale of medicare supplement policies, no medicare supplement policy or certificate shall be delivered in this state unless an outline of coverage is delivered to the applicant at the time application is made. The Commissioner shall prescribe the format and content of the outline […]

§ 33-43-6. Notice of Right to Return Policy and of Right to Refund

Medicare supplement policies or certificates shall have a notice prominently printed on the first page of the policy or certificate stating in substance that the applicant shall have the right to return the policy or certificate within 30 days of its delivery and to have the premium refunded if, after examination of the policy or […]

§ 33-43-7. Review and Approval of Medicare Supplement Advertisements

Every issuer of medicare supplement insurance in this state shall provide a copy of any medicare supplement advertisement intended for use in this state whether through written, radio, or television medium to the Commissioner for review and approval by the Commissioner. History. Code 1981, § 33-43-7 , enacted by Ga. L. 1992, p. 1395, § […]

§ 33-43-8. Regulations

Regulations adopted pursuant to this chapter shall be subject to the provisions of this chapter and Code Section 33-2-9. History. Code 1981, § 33-43-8 , enacted by Ga. L. 1992, p. 1395, § 1.

§ 33-43-9. Enforcement

In addition to any other applicable penalties for violations of this title, the Commissioner may require issuers violating any provision of this chapter or regulations promulgated pursuant to this chapter to cease marketing any medicare supplement policy or certificate in this state which is related directly or indirectly to a violation or may require such […]