Georgia Administrative Code

If any provision of this Regulation Chapter or the application thereof to any person or circumstance is for any reason held to be invalid by a court of competent jurisdiction, the remainder of the Regulation Chapter or the applicability of such provision to other persons or circu…

This Regulation Chapter is issued pursuant to the authority vested in the Commissioner of Insurance by O.C.G.A. §§ 33-2-9 and 33-24-59.2.

The purpose of this Regulation Chapter is to implement O.C.G.A. Section 33-24-59.2 regarding minimum coverage provisions for medically necessary diabetes related equipment, supplies, pharmacologic agents, and outpatient self-management training and education including medical nut…

On or after July 1, 2002 health insurance policies and plans, except limited benefit insurance policies, shall provide coverage for medically necessary equipment, supplies, pharmacologic agents, and outpatient self-management training and education including medical nutrition the…

For the purposes of this Regulation Chapter, the following definitions shall apply: (1) "ADA" means the American Diabetes Association; (2) "Certification" means the review, approval and assignment of a program site number of an outpatient diabetes education program that meets min…

Health insurance policies and plans, except limited benefit insurance policies, shall provide coverage for the following pharmacologic agents when prescribed by a physician licensed to practice medicine pursuant to Title 43: (1) Insulin of each class approved by the federal Food …

Health insurance policies and plans, except limited benefit insurance policies, shall provide coverage for the following medical equipment, non-disposable and durable medical equipment when prescribed by a physician licensed to practice medicine pursuant to Title 43: (1) Blood gl…

Health insurance policies and plans, except limited benefit insurance policies, shall provide coverage for the following single-use medical supplies when prescribed by a physician licensed to practice medicine pursuant to Title 43: (1) Test strips for glucose monitors, which incl…

Health insurance policies and plans, except limited benefit insurance policies, shall provide coverage for diabetes self-management training and medical nutrition therapy when prescribed by a physician licensed to practice medicine pursuant to Title 43. Minimum standards for diab…

Any insurer failing to comply with the requirements of this Regulation Chapter shall be subject to penalties and enforcement actions as may be appropriate under the insurance laws of the state of Georgia.

If any provision of this Regulation Chapter or the application thereof to any person or circumstance is for any reason held to be invalid by a court of competent jurisdiction, the remainder of the Regulation Chapter or the applicability of such provision to other persons or circu…

This Regulation Chapter is adopted and promulgated pursuant to the authority granted to the Commissioner of Insurance pursuant to O.C.G.A. §§ 33-2-9 and 33-20A-9.1. The purpose and intent of this Regulation Chapter is to provide for the implementation of the consumer choice optio…

(a) For purposes of this Regulation Chapter and O.C.G.A. § 33- 20A-9.1: (1) "Accepted provider" shall mean a provider that has been nominated by an enrollee and either accepted by a managed care entity which has chosen not to credential nominated providers or accepted by a manage…

(a) Notification of the option's availability and explanatory materials regarding the option shall be provided to enrollees at least annually at open enrollment, renewal, time of solicitation or by direct mail advertising, or upon request. Such information shall be provided to pr…

(a) Managed care entities shall create, and make readily available to nominated providers, a nomination package which shall include, if applicable: (1) Information regarding credentialing procedures pursuant to Rule . This includes, but is not limited to, all forms required to be…

(a) Nothing in this Regulation Chapter shall require managed care entities to credential as to nominated providers. (b) As provided for in O.C.G.A. § 33-20A-9.1(c)(1)(C), managed care entities are permitted to implement credentialing procedures that meet minimum requirements set …

(a) Rate and form filings for the option shall be deemed original filings. (b) Managed care entities may seek approval of acceptable group master contract language which describes administrative procedures and limits changes to or withdrawals from the option election by an enroll…

Any insurer, or any agent, counselor, representative, officer, or employee of such insurer failing to comply with the requirements of this Regulation Chapter shall be subject to such penalties as may be appropriate under the insurance laws of this State.

If any provision of this Regulation Chapter or the application of it to any person or circumstance is held invalid, such invalidity shall not affect the provisions or applications of the rules herein which can be given effect without the invalid portion. To that end, the provisio…

The purpose of this regulation is to implement the provisions of Chapter 39 of Title 33 of the Official Code of Georgia Annotated and to provide an interpretive ruling to carry out the responsibilities of the Office of the Commissioner concerning the collection, use, and disclosu…

This regulation applies to all insurance institutions, agents, insurance support organizations, producers, unauthorized insurers who place business through a licensed excess line broker in this state pursuant to Chapter 5 of Title 33, and other persons or entities licensed or req…

This regulation is issued pursuant to the authority vested in the Commissioner of Insurance under O.C.G.A. § 33-2-9 to implement Chapter 39 of Title 33 and to provide an interpretive ruling to carry out the responsibilities of his office under Sections 505 and 507 of Subtitle A o…

Any person or entity subject to this regulation shall comply with Chapter 39 of Title 33 and all other applicable Georgia laws; and shall further comply with Title V of the Gramm-Leach-Bliley Act (15 U.S.C. 6801et seq.) and other applicable federal laws to the extent said federal…

The Commissioner of Insurance has the authority to enforce Title V of the Gramm-Leach-Bliley Act (15 U.S.C. § 6801et seq.) and has all of the enforcement powers otherwise available to the Commissioner under Chapter 39 of Title 33 and all other applicable Georgia laws.

If any regulation or portion thereof contained in this Chapter is held invalid by a court of competent jurisdiction, the remainder of the regulation herein and the applicability of such provisions to other circumstances shall not be affected thereby.

This Regulation is made and promulgated by the Insurance Commissioner pursuant to the authority set forth in Section 33-2-9 and Section 33-5-26 of the Georgia Insurance Code.

The purpose of this Regulation is to establish rules for the delivery of a standard disclosure form or brochure explaining surplus lines coverage, which shall be attached to or made a part of any surplus line policy in which the policy premium is $5,000.00 per annum or less.

Pursuant to Code Section 33-5-26(b), no surplus lines policy or certificate with an annual premium of $5,000.00 per annum or less, shall be delivered in this state without being accompanied by a standard form explaining surplus lines insurance. (a) The standard form referred to i…

Any insurer or surplus lines broker failing to comply with the requirements of this Regulation Chapter shall be subject to such penalties as may be appropriate under the insurance laws of this State.

If any provision of this Regulation Chapter or the application of it to any person or circumstance is held invalid, such invalidity shall not affect the provisions or applications of the rules herein which can be given effect without the invalid portion. To that end, the provisio…

(1) Initial Filing. Every person who is directly or indirectly the beneficial owner of more than ten percent of any class of any equity security of a domestic stock insurer, or who is a director or an officer of such insurer, shall file in the office of the Commissioner within 30…

This regulation is promulgated by the Commissioner of Insurance pursuant to O.C.G.A. §§ 33-2-9, 33-10-13(b.1)(2), 33-10-13(d)(1)(B)(iii) and 33-25-4(e)(8)(F).

The purpose of this regulation is to recognize, permit and prescribe the use of the 2001 Commissioners Standard Ordinary (CSO) Mortality Table in accordance with O.C.G.A. §§ 33-10-13(d)(1)(B)(iii) and 33-25-4(e)(8)(F) and Georgia Insurance Department Regulation Chapter 120-2-90 a…

(1) As used in this regulation: (a) "2001 CSO Mortality Table" means that mortality table, consisting of separate rates for mortality for male and female lives, developed by the American Academy of Actuaries CSO Task Force from the Valuation Basic Mortality Table developed by the…

(1) At the election of the company for any one of more specified plans of insurance and subject to the conditions stated in this regulation, the 2001 CSO Mortality Table may be used as the minimum standard for policies issued on or after the effective date of this regulation and …

(1) For each plan of insurance with separate rates for smokers and nonsmokers an insurer may use: (a) Composite mortality tables to determine minimum reserve liabilities and minimum cash surrender values and amounts of paid-up nonforfeiture benefits; (b) Smoker and nonsmoker mort…

(1) The 2001 CSO Mortality Table and 2001 CSO Preferred Class Structure Mortality Table may be used in valuing a life policy pursuant to Appendix A-830 in the following manner, subject to the transition dates for use of the 2001 CSO Mortality Table in §120-2-90-04; (a) In determi…

(1) For any ordinary life insurance policy delivered or issued for delivery in this state on and after the effective date of this regulation, that utilizes the same premium rates and charges for male and female lives or is issued in circumstances where applicable law does not per…

If any provision of this regulation or its application to any person or circumstance is for any reason held to be invalid, the remainder of the regulation and the application of the provision to other persons or circumstances shall not be affected.

The effective date of this regulation regarding the recognition of the use of the 2001 CSO Preferred Class Structure Mortality Table in determining reserve liabilities shall be January 1, 2007.

This Regulation is adopted and promulgated by the Commissioner of Insurance pursuant to the authority set forth in O.C.G.A. Sections 33-2-9 and 33-28-3.

The purpose of this Regulation is to set forth the minimum values of any paid-up annuity, cash surrender, or death benefits available under an annuity contract pursuant to O.C.G.A. Section 33-28-3(e) through (h) and (j).

The minimum values of any paid-up annuity, cash surrender or death benefits available under an annuity contract shall be based upon minimum nonforfeiture amounts as defined in this Regulation Chapter.

(1) The minimum nonforfeiture amount at any time at or prior to the commencement of any annuity payments shall be equal to an accumulation up to such time at rates of interest as indicated in Subsection (3) of the net considerations (as hereinafter defined) paid prior to such tim…

If an provision of this Regulation chapter or the application thereof to any person or circumstance is held invalid by a court of competent jurisdiction, the remainder of the chapter or the applicability of such provision to other persons or circumstances shall not be affected.

The Commissioner shall establish a list of approved accreditation organizations for purposes of this regulation. A health maintenance organization which is accredited on a continuing basis by an organization on the Approved Accrediting Organizations List and meeting the other req…

(1) An organization may become an approved accrediting organization for purposes of this regulation when it meets the following requirements: (a) The organization has been in existence for a minimum of 10 years. An organization in existence for less than 10 years may petition the…