Title 33 — Title 33
0 chapters · 1,218 sections in this title.
O.C.G.A. § 33-27-1 Group requirements generally
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No policy of group life insurance shall be delivered in this state unless it conforms to one of the following descriptions: (1) Employee groups. A policy issued to an employer or to the trustees of a fund established by an employer, which employer or trustee shall be deemed the p…
O.C.G.A. § 33-27-2 Extension of policy coverage to dependents of employees or members
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(a) Any policy issued pursuant to paragraphs (1), (4), and (5) of Code Section 33-27-1 may be extended to insure the employees or members against loss due to the death of their spouses and dependent or minor children or any class or classes thereof, subject to the following requi…
O.C.G.A. § 33-27-3 Required policy provisions
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(a) No policy of group insurance shall be delivered in this state unless it contains in substance the following provisions or provisions which in the opinion of the Commissioner are more favorable to the persons insured or at least as favorable to the persons insured and more fav…
O.C.G.A. § 33-27-5 Right to policy proceeds
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Beneficiary and assignee right to proceeds as against creditors and representatives of insured, §33-27-7. Special employee groups.
O.C.G.A. § 33-27-6 Group requirements generally
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Extension of policy coverage to dependents of employees or members. Required policy provisions. Payment of interest on proceeds or payments under policies of group life insurance. Notification of policyholder of right to convert group policy to individual life insurance policy. As…
O.C.G.A. § 33-27-7 Special employee groups
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Requirements generally, §33-27-1. Standards and requirements. Rating of small groups, §33-27-8. Trustee groups. Requirements generally, §33-27-1. Incontestable clauses. Effect of, §33-25-7. Industrial life insurance, §§33-26-1 to 33-26-7. Aggregate face amount of policies.
O.C.G.A. § 33-27-8 Private review agent certification
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Inapplicability of chapter to health care benefit plan negotiated by collective bargaining, §33-46-13. COLLATERAL PROCEEDINGS. Stay against insurer, §33-37-23. COERCION AND DURESS. Insurance rate regulation. Licensing of rating organizations. Coercive plans or acts prohibited, §33…
O.C.G.A. § 33-27-9 Agricultural loans
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Requirements generally, §33-27-1. Assignment of incidents of ownership, §33-27-6. Association groups.
O.C.G.A. § 33-28-1 Definitions
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As used in this chapter, the term: (1) ‘‘Annuity’’ means a contract by which one party in return for a stipulated payment or payments promises to pay periodic installments for a stated certain period of time or for the life or lives of the person or persons specified in the contra…
O.C.G.A. § 33-28-2 Standard provisions for annuity contracts
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(a) No annuity, reversionary annuity, or pure endowment contract, other than group annuities and except as stated in this Code section, shall be delivered or issued for delivery in this state unless it contains in substance each of the provisions specified in subsection (b) of thi…
O.C.G.A. § 33-28-3 Standard nonforfeiture provisions for individual deferred annuities
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(a) This Code section shall be known and may be cited as the ‘‘Standard Nonforfeiture Law for Individual Deferred Annuities.’’ (b) This Code section shall not apply to any reinsurance, group annuity purchased under a retirement plan or plan of deferred compensation established or…
O.C.G.A. § 33-28-4 Scope of incontestable clause
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A clause in any annuity contract providing that the contract shall be incontestable after a specified period shall preclude only a contest of the validity of the contract and shall not preclude the assertion at any time of defenses based upon provisions in the contract which exclu…
O.C.G.A. § 33-28-5 Contesting of contract after reinstatement
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A reinstated annuity contract may be contested on account of fraud or misrepresentation of facts material to the reinstatement only for the same period following reinstatement and with the same conditions and exceptions as the contract provides with respect to contestability afte…
O.C.G.A. § 33-28-7 Entertainment insurance
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Kind of casualty insurance, §33-7-3. Errors and omissions policy. Managing general agents. Maintenance by agent, §33-47-3. Reinsurance intermediaries. Managers required to be licensed producers, §33-49-3. Essential rural health care provider access, §§33-20B-1 to 33-20B-6. Eviden…
O.C.G.A. § 33-29-1 Account
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Life and health insurance guaranty association, §33-38-4. Account owner. Unclaimed life insurance benefits act, §33-25-14. Acquisition.
O.C.G.A. § 33-29-11 Proof, §33-29-11
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Surgical services. Provision in policies for surgical services, §33-29-6. Surviving spouse. Termination of coverage, §33-24-20. Validity of policies in violation of chapter, §33-29-17. Written outline of coverage. Approval of outline, §33-29-13. INSURANCE —Cont’d Policies —Cont’d…
O.C.G.A. § 33-29-12 Franchise insurance, §33-29-18
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Furnishing of written outline of coverage to applicants for insurance, §33-29-13. Grace period granted for payment, policy requirements, §33-29-3. Guaranteed renewability nature as to references in policies, §33-29-9. Human heart transplants. Coverage generally, §33-29-3.1. Inhal…
O.C.G.A. § 33-29-13 Definitions, §33-29-1
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Delivery to foreign states or countries, §33-29-12. Dental care. General anesthesia and hospital or ambulatory surgical facility charges for. Coverage, §33-24-28.4. Divorce. Termination as result of break in marital relationship, §33-24-20. Foreign or alien insurers.
O.C.G.A. § 33-29-14 Psychologists’ services
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Reimbursement, §33-24-27. Reciprocal insurers. Exchange of indemnity or contracts by attorneys, §33-17-31. Required provisions, §33-29-3. Surety insurance, §33-7-7. INDORSEMENTS. Health maintenance organizations. Certificate of authority. Indorsement of change of address upon, §33…
O.C.G.A. § 33-29-17 Return of policy or contract
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Effect of return, §33-29-11. Proof of return, §33-29-11. Temporomandibular joint dysfunction coverage, §33-29-20. Termination of coverage. Dependent’s coverage upon reaching certain age, §33-24-28. Availability of coverage to dependent upon termination, §33-29-21.1. Spouse’s cove…
O.C.G.A. § 33-29-18 Franchise insurance
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(a) As used in this Code section, the term ‘‘employees’’ means the officers, managers, and employees and retired employees of the employer and the individual proprietor or partners if the employer is an individual proprietor or partnership. (b) Accident and sickness insurance on …
O.C.G.A. § 33-29-2 Requirements as to policies generally
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(a) No policy of accident and sickness insurance shall be delivered or issued for delivery in this state unless it meets the following requirements: (1) The entire money and other considerations for the policy are expressed in such policy; (2) The time at which the insurance take…
O.C.G.A. § 33-29-20 Editor’s notes
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— Ga. L. 1994, p. 474, § 3, not codified by the General Assembly, provided that the Act shall be applicable to individual, group, or blanket major medical policies issued or issued for delivery on or after July 1, 1994. 33-30-15. Continuation of similar coverage; preexisting condi…
O.C.G.A. § 33-29-21 Renewal or continuation at option of insured
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Pursuant to the provisions of the federal Health Insurance Portability and Accountability Act of 1996, P.L. 104-191, and subject to applicable rules and regulations as issued by the Centers for Medicare and Medicaid Services, all insurers which issue, issue for delivery, deliver,…
O.C.G.A. § 33-29-22 Notice of premium increase
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Notice of any premium increase shall be mailed or delivered to each holder of an individual accident and sickness insurance policy not less than 60 days prior to the effective date of such increase. History. — Code 1981, § 33-29-22, enacted by Ga. L. 1999, p. 289, § 4; Ga. L. 201…
O.C.G.A. § 33-29-3 Required policy provisions
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(a) Each accident and sickness policy delivered or issued for delivery in this state shall contain the provisions specified in subsection (b) of this Code section in the words in which the same appear in subsection 491 33-29-3 (b) of this Code section, except that the insurer may,…
O.C.G.A. § 33-29-3.2 Fire policies
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Amount of insurance in certain policies. Deemed conclusive as to property value, §33-32-5. Group or blanket accident and sickness insurance. Human heart transplant coverage, §33-30-4.1. Mammogram, pap smear and prostate-specific antigen test, §33-30-4.2. Preferred provider arrange…
O.C.G.A. § 33-29-3.4 Insurance 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. § 33-29-4 Optional policy provisions
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(a) No accident and sickness policy delivered or issued for delivery in this state shall contain provisions respecting the matters set forth in this Code section unless such provisions are in the words in which the same appear in subsection (b) of this Code section, except that t…
O.C.G.A. § 33-29-5 Order of printing of provisions
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The provisions which are the subject of Code Sections 33-29-3 and 33-29-4, or any corresponding provisions which are used in lieu thereof in accordance with such Code sections, shall be printed in consecutive order of the provisions in such Code sections or, at the option of the …
O.C.G.A. § 33-29-6 Provision in policies for medical or surgical services
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(a) The benefits on account of medical or surgical services provided by an individual policy of accident and sickness insurance may be limited by its terms to services performed by specifically defined professions, provided that in the absence of such definitions the term ‘‘physician…
O.C.G.A. § 33-29-7 Provision in policies for refusal of renewal generally
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(a) Subject to Code Section 33-29-21, each policy, covered by this chapter, except accident insurance only policies, in which the insurer reserves the right to refuse renewal on an individual basis, shall provide, in substance, in a provision of the policy entitled ‘‘renewability…
O.C.G.A. § 33-29-8 Cancellation
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Notice, §33-24-47.1. Health care reform, cancellation attributable to, §33-30-13. Chiropractors. Reimbursement for services, §33-24-27. Compliance with chapter by attachment of rider or indorsement to policy, §33-29-16. Conflicts between provisions subject to chapter and other pro…
O.C.G.A. § 33-29-9 Refund of premiums
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Policy provisions renewable or cancelable at option of insurer, §33-29-8. Right of person to whom policy or contract issued upon return of policy or contract, §33-29-11. HEALTH INSURANCE —Cont’d Individual insurance —Cont’d Requirements as to policies generally —Cont’d Required p…
O.C.G.A. § 33-29A-1 Intent; federal references
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(a) It is the intention of this chapter together with Code Section 33-24-21.1 to provide an acceptable alternative mechanism for the availability of individual health insurance coverage, as contemplated by Section 2741 of the federal Public Health Service Act, 42 U.S.C.A. Section…
O.C.G.A. § 33-29A-2 Definitions
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(a) As used in this chapter, the terms: (1) ‘‘Creditable coverage’’ and ‘‘eligible individual’’ have the same meaning as specified in Sections 270l and 2741 of the federal Public Health Service Act, 42 U.S.C.A. Sections 300gg and 300gg-41 except that a person shall not be an eligi…
O.C.G.A. § 33-29A-3 Condition to licensure
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Each health insurer and managed care corporation which is licensed to and does offer health insurance coverage in the individual market in this state shall as a condition of such licensure agree to participation in its respective assignment system provided by this chapter. This C…
O.C.G.A. § 33-29A-31 Definitions
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For purposes of this article, the term ‘‘individual accident and sickness insurance policy’’ means any policy insuring against loss resulting from sickness or from bodily injury or death by accident, or both, or any contract to furnish ambulance service in the future but does not…
O.C.G.A. § 33-29A-33 Fees of arbitrators
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Health insurance. Surprise billing, arbitration of payment issues, §33-20E-16. Health insurance. Individual accident and sickness insurance. Arbitration clauses prohibited, §33-29A-33. ARBITRATION —Cont’d Health insurance —Cont’d Surprise billing, arbitration of payment issues, §…
O.C.G.A. § 33-29A-34 Legislative findings, §33-29A-30
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Rules and regulations to be adopted, §33-29A-35. Sale, approval of, §33-29A-32.
O.C.G.A. § 33-29A-35 Insurers
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Standard valuation law, §33-10-13. Long-term care insurance, §§33-42-1 to 33-42-6. Managed care, §§33-29A-1 to 33-29A-9. Managed health care plans, §§33-20A-1 to 33-20A-70. Medicaid care management organizations, §§33-21A-1 to 33-21A-12. Medicare supplement insurance, §§33-43-1 t…
O.C.G.A. § 33-29A-4 Georgia Health Insurance Assignment System
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(a) Each eligible individual in this state whose most recent creditable coverage was provided by an entity other than a managed care organization shall be entitled to participate in the Georgia Health Insurance Assignment System (sometimes referred to as GHIAS in this chapter) cr…
O.C.G.A. § 33-29A-5 Georgia Health Benefits Assignment System
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(a) Each eligible individual in this state whose most recent creditable coverage was provided by a managed care organization shall be entitled to participate in the Georgia Health Benefits Assignment System (sometimes referred to as GHBAS in this chapter) created pursuant to this …
O.C.G.A. § 33-29A-6 Contracting between managed care organizations
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Any combination of one or more health insurers and one or more managed care organizations may contract with each other for the assumption by one or more health insurers of the obligations otherwise imposed by this chapter on one or more managed care organizations. Under any such …
O.C.G.A. § 33-29A-7 Moratorium on required issuance of coverage
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The Commissioner may impose a moratorium upon the required issuance of coverage by a health insurer or managed care organization, if the Commissioner determines after public notice and hearing that the continuation of such required issuance by that entity will endanger the solven…
O.C.G.A. § 33-29A-8 Rules and regulations; compensation to licensed insurance agents
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(a) The Commissioner shall adopt rules and regulations for the implementation of this chapter. Notwithstanding any provision of Chapter 2 of this title or any other law to the contrary, such rules and regulations shall be adopted in exact compliance with the procedures specified i…
O.C.G.A. § 33-29A-9 PHYSICIANS AND SURGEONS
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Composite medical board. Medical malpractice judgments. Payment. Report by insurer, §33-3-27. Direct primary care agreements, §33-7-2.1. Minimum hospital stay for mother and baby. Decision to shorten stay, §33-24-58.2. Motor vehicle accidents. Sale, release or solicitation of acc…
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…