0 chapters · 1,218 sections in this title.
O.C.G.A. § 33-20-1 Short title
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This chapter shall be known and may be cited as the ‘‘Health Care Plan Act.’’ History. — Code 1933, § 56-1700a, enacted by Ga. L. 1976, p. 1461, § 1.
O.C.G.A. § 33-20-12 Mandatory refusal, revocation, or suspension
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The Commissioner shall refuse to issue or to renew or shall revoke or suspend a health care corporation’s certificate of authority: (1) If such action is required by any provision of this title; or (2) If the health care corporation no longer meets the requirements for the authori…
O.C.G.A. § 33-20-14 Acceptance of applications
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When organized, health care corporations shall be authorized to accept applicants individually or in groups who may become subscribers of the corporation furnishing health care services under a contract which shall entitle each subscriber, beneficiary, and covered dependent to the…
O.C.G.A. § 33-20-15 Issuance and contents of membership certificates
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(a) Every health care corporation shall issue to its subscribers a membership certificate which shall describe the health care plan under which the subscriber is enrolled and shall specify how the holder of such contract may obtain the name or names and addresses of participating …
O.C.G.A. § 33-20-19 Public policy declaration, §33-20-2
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Purpose of chapter, §33-20-2. Rates to be paid to providers of services, §33-20-21. Receipt of payments from governmental agencies, etc., §33-20-17. Regulation and supervision by commissioner. Approval of rates to be paid to providers of services, §33-20-21. Examination of books …
O.C.G.A. § 33-20-2 Purpose and construction of chapter
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It is the purpose and intent of this chapter and the policy of this state to promote and finance quality health care services of demonstrated need, efficiently provided and properly utilized at a reasonable cost, in order to maintain the standing and promote the progress of compre…
O.C.G.A. § 33-20-21 Approval of Commissioner of rates to be paid to providers of services
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Except for corporations subject to this chapter which are surviving corporations, the Commissioner shall first approve the rates of payment to be made by health care corporations to providers of health care services on behalf of said corporation, its subscribers, beneficiaries, and…
O.C.G.A. § 33-20-22 Investment of funds of corporations
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Health care corporations shall invest in or lend their funds on security of and shall hold as invested assets only such assets as are authorized by Articles 1 and 3 of Chapter 11 of this title for the investments of assets of domestic insurance companies and such investments shal…
O.C.G.A. § 33-20-23 Management generally, §33-20-13
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Powers as to limitation of benefits, selection of hospitals, etc., §33-20-13. Requirements as to reserves, minimum subscriber’s surpluses and charges, §33-20-13. Membership. Acceptance of applications, §33-20-14. Applications.
O.C.G.A. § 33-20-24 Filing of reports with Commissioner
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Every health care corporation shall on or before March 1 in each year after it shall have commenced to do business pursuant to a certificate of authority make and file with the Commissioner a report of its affairs and operations during the year ending December 31 of the preceding y…
O.C.G.A. § 33-20-29 Unlawful actions by unauthorized persons
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It shall be unlawful for any person except a health care corporation established in accordance with this chapter and operating in accordance with authority from the Commissioner to establish, maintain, or operate a health care plan or to solicit subscribers to or enter into contr…
O.C.G.A. § 33-20-3 Definitions
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As used in this chapter, the term: (1) ‘‘Beneficiary’’ or ‘‘covered dependent’’ means a person designated in the subscription certificate or application therefor of a 771 33-20-3 subscriber as entitled to health care service with respect to whom appropriate periodic payments are ma…
O.C.G.A. § 33-20-30 Northeast Ga
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Cancer Care, LLC v. Blue Cross & Blue Shield of Ga., Inc., 297 Ga. App. 28, 676 S.E.2d 428 (2009), cert. denied, No. S09C1241, 2009 Ga. LEXIS 805 (Ga. 2009). 33-21-29. Point-of-service option for persons offered health care coverage through health maintenance organization. (a) It…
O.C.G.A. § 33-20-31 Applicability and construction of chapter
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Except for corporations subject to this chapter which are surviving corporations, this chapter shall not apply to nor govern any corporation which is organized for profit or which contemplates any pecuniary gain to its shareholders or members. A corporation subject to this chapter…
O.C.G.A. § 33-20-34 Applicability of chapter, §33-20-31
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Applicability of other provisions of code, §33-20-32. Bond of treasurer, §33-20-7. Certificate of authority, §§33-20-8 to 33-20-12. Amendment, §33-20-10.
O.C.G.A. § 33-20-8 Requirements for certificate of authority; application
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(a) Except for corporations subject to this chapter which are surviving corporations, a health care corporation may issue contracts only after the Commissioner has authorized it to do so. (b) Every application for a certificate of authority shall be accompanied by copies of the fo…
O.C.G.A. § 33-20-9 Certificate of authority issuance
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(a) The Commissioner shall be authorized to issue a certificate of authority in accordance with this chapter and other proper requirements of the Commissioner if the Commissioner is satisfied that: (1) All items required to be filed are in proper form and meet his approval; (2) The …