Title 33 — Title 33
0 chapters · 1,218 sections in this title.
O.C.G.A. § 33-30-1.1 Applicability
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This chapter shall apply to policies of insurance, certificates evidencing coverage under a policy of insurance, or any other evidence of insurance, issued by an insurer, delivered, or issued for delivery in this state except for policies issued to an employer in another state whi…
O.C.G.A. § 33-30-10 Mail-order pharmaceuticals
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Utilization of distributors in policies, plans, etc., §33-30-4.3. Pharmacy benefits managers, administration of claims, §33-64-10. Mammograms, pap smears and prostate specific-antigen test. Coverage, §33-30-4.2. Maxilla or mandible surgery coverage, §33-30-14. Medical or surgical s…
O.C.G.A. § 33-30-12 History
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— Code 1981, § 33-24-28.4, enacted by Ga. L. 1999, p. 377, § 1; Ga. L. 2000, p. 136, § 33; Ga. L. 2017, p. 164, § 25/HB 127. Editor’s notes. — Ga. L. 1999, p. 377, § 2, not codified by the General Assembly, provides that: ‘‘This Act shall apply to all plans, policies, or contracts…
O.C.G.A. § 33-30-13 Managed care
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Guaranteed issue coverage. Discontinuance of state assignment system benefit plans upon availability of guaranteed issue coverage, §33-29A-9. HEALTH CARE SERVICES. Accurate provider directories, §§33-20C-1 to 33-20C-7. 1166 INDEX HEALTH CARE SERVICES —Cont’d Assignment and availab…
O.C.G.A. § 33-30-13.1 Furnishing claims experience to policyholders
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(a) As used in this Code section, the term ‘‘insurer’’ means an accident and sickness insurer, fraternal benefit society, health care corporation, provider sponsored health care corporation, health maintenance organization, or any similar entity. (b)(1) All insurers shall furnish,…
O.C.G.A. § 33-30-14 MEDICAID
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Accident and sickness insurance. Group or blanket policies. Exclusion or reduction of benefits. Persons eligible for or receiving medicaid, §33-24-25. Care management organizations, §§33-21A-1 to 33-21A-12. Administrative review process. Provider complaints and appeals, §33-21A-7.…
O.C.G.A. § 33-30-15 Agencies
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Insurance companies, §33-23-1. Agency captive insurance companies, §33-41-2. Agent. Health maintenance organizations, §33-21-19. Health plan purchasing cooperatives, §33-30A-1. Insurance companies, §33-23-1.
O.C.G.A. § 33-30-2 Effect of chapter upon other provisions
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Nothing in this chapter validates any charge or practice illegal under any rule of law or regulation governing usury, small loans, retail installment sales, or the like or extends the application of any statute, rule, or regulation to any transaction not otherwise subject thereto…
O.C.G.A. § 33-30-20 Short title
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This article shall be known and may be cited as the ‘‘Preferred Provider Arrangements Act.’’ History. — Code 1981, § 33-30-20, enacted by Ga. L. 1988, p. 1483, § 1.
O.C.G.A. § 33-30-21 Legislative intent
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It is the intent of the General Assembly to encourage health care cost containment while preserving quality of care by allowing health care insurers to enter into preferred provider arrangements and by establishing minimum standards for preferred provider arrangements and the hea…
O.C.G.A. § 33-30-22 Definitions
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As used in this article, the term: (1) ‘‘Emergency services’’ or ‘‘emergency care’’ means those health care services that are provided for a condition of recent onset and sufficient severity, including, but not limited to, severe pain, that would lead a prudent layperson, possess…
O.C.G.A. § 33-30-26 Public policy, §33-30-21
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Short title, §33-30-20. Standards, §33-30-23. Title of act, §33-30-20. Unlicensed entities. Filing requirements, §33-30-23. Premiums. Notice of premium increase, §33-29-22. Prepaid air ambulance services. Subscription agreements not considered insurance contracts, §33-1-21. Presc…
O.C.G.A. § 33-30-27 Promulgation of rules and regulations
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The Commissioner shall promulgate all rules and regulations necessary or appropriate to the administration and enforcement of this article. History. — Code 1981, § 33-30-27, enacted by Ga. L. 1988, p. 1483, § 1. 33-30-28 and 33-30-29. Redesignated as Code Sections 33-30-12 and 33…
O.C.G.A. § 33-30-4 Required provisions generally
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Each group accident and sickness policy shall contain in substance the following provisions: (1) A provision that, in the absence of fraud or intentional misrepresentation of material fact in applying for or procuring coverage under the terms of the group policy or contract, all …
O.C.G.A. § 33-30-4.2 Mammograms and pap smears
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Coverage, §33-30-4.2. Marriage. Termination of coverage as result of break in marital relationship, §33-24-21. Medical assistance recipients. Excluding or reducing coverage for eligible persons. Provisions in policies, §33-24-25. 1202 INDEX INSURANCE —Cont’d Policies —Cont’d Grou…
O.C.G.A. § 33-30-4.3 Health insurance plans
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Preferred provider agreements. Reasonable in relation to covered benefits, §33-24-59.59. Reasonable in relation to covered benefits, §33-24-59.59. COPAYMENTS —Cont’d Health maintenance organizations. Conditions for issuance of certificate of authority, §33-21-3. Evidence of coverage…
O.C.G.A. § 33-30-4.4 Bone marrow transplants
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Insurance, §33-29-3.3. HOSPITALS —Cont’d Medicaid care management organizations, §§33-21A-1 to 33-21A-12. HOSPITAL STAY FOR MOTHER AND BABY, §§33-24-58 to 33-24-58.2. HOUSING PROJECTS.
O.C.G.A. § 33-30-4.5 Coverage for child wellness services
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(a) As used in this Code section, the term: (1) ‘‘Child wellness services’’ means the periodic review of a child’s physical and emotional status conducted by a physician or conducted pursuant to a physician’s supervision, but shall not include periodic dental examinations or othe…
O.C.G.A. § 33-30-5 Direct payment for hospital or medical services
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Any group accident and sickness policy may provide that all or any portion of any indemnities provided by any policy on account of hospital, nursing, or medical or surgical services may, at the insurer’s option, be paid directly to the hospital or person rendering such services; …
O.C.G.A. § 33-30-6 Forms
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Filing of form of policy, §33-30-6. 1200 INDEX INSURANCE —Cont’d Policies —Cont’d Blanket accident and sickness insurance —Cont’d Medical assistance recipients. Exclusion or reduction of coverage of eligible persons. Provisions in policies, §33-24-25. Mental disorders, coverage o…
O.C.G.A. § 33-30-8 Restriction of benefits
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Preexisting illnesses or conditions, §33-24-26. Scope of provisions, §33-30-1.1. Standards and requirements for rating of small groups, §33-30-12. Temporomandibular joint dysfunction coverage, §33-30-14. HEALTH INSURANCE —Cont’d Group or blanket insurance —Cont’d Termination of c…
O.C.G.A. § 33-30-9 Payment of benefits under blanket accident and sickness policies
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(a) All benefits under any group or blanket accident and sickness policy shall be payable to the person insured, to his designated beneficiary or beneficiaries, or to his estate, provided that if the person 557 33-30-11 insured is a minor or mental incompetent, the benefits may be ma…