Title 33 — Title 33
0 chapters · 1,218 sections in this title.
O.C.G.A. § 33-21-1 Definitions
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As used in this chapter, the term: (1) ‘‘Basic health care services’’ means health care services which an enrolled population might reasonably require in order to be maintained in good health, including as a minimum but not restricted to preventive care, emergency care, inpatient…
O.C.G.A. § 33-21-10 Genetic testing
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Confidentiality. Purpose of provisions, §33-54-1. Governing body. Composition, §33-21-6. Fiduciary responsibilities of directors, officers, etc., §33-21-7. Filing of notice of exercise of powers, etc., §33-21-8. Matters of policy and operation. Duty to establish mechanism for part…
O.C.G.A. § 33-21-11 Investment of funds of organizations
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With the exception of investments made in accordance with paragraphs (1) and (2) of subsection (a) and subsection (b) of Code Section 33-21-8, the investable funds of a health maintenance organization shall be invested only in securities or other investments permitted by the laws…
O.C.G.A. § 33-21-12 Participation in organizations by members of associations
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No employer, union, trade organization, or any other association shall force its members, either by payroll deduction or other means, to join a health maintenance organization. History. — Code 1933, § 56-3628, enacted by Ga. L. 1979, p. 1148, § 1. 871 33-21-13 33-21-13. Evidence …
O.C.G.A. § 33-21-14 Annual information to enrollees
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Every health maintenance organization shall annually provide to its enrollees: (1) A description of services and information as to where and how to secure them; and (2) A clear and understandable description of the health maintenance organization’s method for resolving enrollee c…
O.C.G.A. § 33-21-15 Filing of annual reports; contents
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(a) Every health maintenance organization shall annually, on or before March 1, file with the Commissioner of Insurance, on forms to be designated by him and certified by at least two principal officers of said health maintenance organization, an annual statement as of December 31 …
O.C.G.A. § 33-21-16 Fees and taxes
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The same fees and taxes provided for in Chapter 8 of this title applicable to life insurers shall apply to and shall be imposed upon each health maintenance organization provided for in this chapter; and the organizations shall also be entitled to the same tax deductions, reducti…
O.C.G.A. § 33-21-17 Reports of examinations, §33-21-17
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Long-term health care. Continuing care providers and facilities. Reporting requirements, §33-45-6. Vehicle product protection warranties. Warrantors’ books, records and accounts, §§33-34A-10, 33-34A-11. 1105 INDEX ACKNOWLEDGMENTS. Health insurance. Small business employee choice …
O.C.G.A. § 33-21-18 Adoption of rules and regulations generally
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33-21-18.1. Emergency services requirements; restrictive formulary requirements. 33-21-19. Promulgation of rules and regulations for licensing of agents. 33-21-20. Conduct of hearings generally; participation in hearings by commissioner of community health; judicial review. 33-21…
O.C.G.A. § 33-21-18.1 Emergency services requirements; restrictive formulary requirements
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Every health benefits plan of every health maintenance organization shall include provisions that: (1) In the event a patient seeks emergency services and if necessary in the opinion of the health care provider responsible for the patient’s emergency care and treatment and warrant…
O.C.G.A. § 33-21-19 Promulgation generally, §33-21-18
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Taxation. Imposition of taxes, §33-21-16. Terminal illness. Coverage not to be restricted due to, §33-24-59.18. HEALTH PLAN PURCHASING COOPERATIVES, §§33-30A-1 to 33-30A-11. Areas of service, §33-30A-3.
O.C.G.A. § 33-21-20 Recommendations required by chapter
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Authority of commissioner to contract for making of, §33-21-21. Regulation by commissioner, §33-21-20.1. COMPACTS.
O.C.G.A. § 33-21-20.1 COMPACTS
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Insurance. Interstate insurance product regulation compact, §§33-59A-1, 33-59A-2. COMPROMISE AND SETTLEMENT.
O.C.G.A. § 33-21-22 Complaint system
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Maintenance of records of complaints, §33-21-9. 1297 INDEX RECORDS —Cont’d Insurance. Health insurance. Health care plans. Maintenance and examination of books and records, §33-20-23. Hearings, §33-2-21. Legal insurance. Prepaid legal services plans. Sponsors, §33-35-15. Insuranc…
O.C.G.A. § 33-21-23 Confidentiality of medical information; claim of privileges by organizations
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(a) Any data or information pertaining to the diagnosis, treatment, or health of any enrollee or applicant obtained from the person or from any provider by any health maintenance organization shall be held in confidence and shall not be disclosed to any person except: (1) To the e…
O.C.G.A. § 33-21-24 Rehabilitation, liquidation, or conservation of organizations
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Any rehabilitation, liquidation, or conservation of a health maintenance organization shall be the rehabilitation, liquidation, or conservation of an insurance company and shall be conducted under the supervision of the Commissioner pursuant to the law governing the rehabilitatio…
O.C.G.A. § 33-21-25 Interest
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Benefits, §33-24-59.5. Investment of funds, §33-21-11. Life and health insurance guaranty association, §§33-38-1 to 33-38-22. Liquidation of organizations, §33-21-24. 1183 INDEX HEALTH MAINTENANCE ORGANIZATIONS —Cont’d Managed care, §§33-29A-1 to 33-29A-9. Managed health care plan…
O.C.G.A. § 33-21-26 Insurance administrators
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Bond, §33-23-102. Insurance contracts. Coverage of uninsurable subjects, §33-24-12. Insurance policies generally, §§33-24-44, 33-24-44.1. Notice required, §33-24-47. Underwriting and rate risking. Credit information as basis for cancellation, etc., §33-24-91. Vehicle protection p…
O.C.G.A. § 33-21-27 Insurance
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False statements by officers, agents, etc., §33-1-8. Fraud, §33-1-9. Staging a collision, filing related fraudulent claim, §33-1-9.1. Issuance or delivery of policy in violation of title, §33-1-7. Legal insurance. Prepaid legal services plans. Institution of criminal proceedings, …
O.C.G.A. § 33-21-29 Policy
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Automobile or motorcycle insurance, §33-24-45. Cancellation of certain property insurance policies, §33-24-46. DEFINED TERMS —Cont’d Policy —Cont’d Child wellness insurance coverage, §33-29-3.4. Child wellness services, §33-30-4.5. Group or blanket accident and sickness insurance…
O.C.G.A. § 33-21-3 Contents, §33-21-2
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Denial. Grounds and procedure, §33-21-3. Hearing requirement, §33-21-20. Execution, §33-21-2. Filing requirements, §33-21-2. Issuance. Grounds and procedure, §33-21-3. License fee, §33-21-4. Revocation, §33-21-5. Hearing requirement, §33-21-20. Suspension, §33-21-5. Hearing requi…
O.C.G.A. § 33-21-4 Annual license fee
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Every health maintenance organization subject to this chapter shall pay to the Commissioner of Insurance the annual license fee provided in Code Section 33-8-3. History. — Code 1933, § 56-3621, enacted by Ga. L. 1979, p. 1148, § 1; Ga. L. 1986, p. 676, § 5. 33-21-5. Suspension or…
O.C.G.A. § 33-21-5 Suspension or revocation of certificate of authority
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(a) The Commissioner of Insurance may suspend or revoke any certificate of authority issued to a health maintenance organization under this chapter if he finds that any of the following conditions exist: (1) The health maintenance organization is operating significantly in contraven…
O.C.G.A. § 33-21-7 Fiduciary responsibilities of directors, officers, or partners
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Any director, officer, or partner of a health maintenance organization who receives, collects, disburses, or invests funds in connection with the activities of the organization shall be responsible for the funds in a fiduciary relationship to the health maintenance organization. H…
O.C.G.A. § 33-21-8 Emergency services
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Requirements, §33-21-18.1. Enforcement of chapter, §33-21-27. Essential rural health care provider access. Expansion into rural areas, §33-20B-3.1. Qualifications for participating providers. When health maintenance organization not required to comply, §33-20B-3. Establishment. Pr…