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All sources · 29,073 documents · Table of contents · TITLE 33 Insurance · TITLE 33 Insurance · CHAPTER 21 Health Maintenance Organizations

Georgia

TITLE 33 Insurance · CHAPTER 21 Health Maintenance Organizations
31 entries
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33-21-1. Definitions.
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33-21-2. Procedure for establishment of health maintenance organizations generally; notice of modification; exemption of item from filing requirements.
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33-21-3. Grounds and procedure for issuance or denial of certificate of authority; endorsement of change of address upon certificate of authority.
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33-21-4. Annual license fee.
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33-21-5. Suspension or revocation of certificate of authority.
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33-21-6. Composition of governing body; duty to establish mechanism for participation by enrollees in matters of policy and operation.
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33-21-7. Fiduciary responsibilities of directors, officers, or partners.
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33-21-8. Powers of organizations generally; filing of notice of exercise of powers.
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33-21-9. Establishment and maintenance of complaint system; maintenance of records of complaints; summary reports; examination of system.
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33-21-10. Responsibility of organizations for financial risks of providing services generally; reinsurance of risks; deposit of cash or securities with Commissioner.
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33-21-11. Investment of funds of organizations.
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33-21-12. Participation in organizations by members of associations.
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33-21-13. Evidence of coverage; filing and approval of basic rates and method of computation of coverage.
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33-21-14. Annual information to enrollees.
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33-21-15. Filing of annual reports; contents.
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33-21-16. Fees and taxes.
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33-21-17. Examinations of organizations and providers; reports of examinations; payment of expenses of examinations.
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33-21-18. Adoption of rules and regulations generally.
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33-21-18.1. Emergency services requirements; restrictive formulary requirements.
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33-21-19. Promulgation of rules and regulations for licensing of agents.
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33-21-20. Conduct of hearings generally; participation in hearings by commissioner of community health; judicial review.
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33-21-20.1. Regulation of HMOs by commissioner of community health.
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33-21-21. Authority of commissioner of community health to contract for making of recommendations required by chapter; acceptance of recommendations.
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33-21-22. Applications, filings, and reports to be treated as public documents.
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33-21-23. Confidentiality of medical information; claim of privileges by organizations.
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33-21-24. Rehabilitation, liquidation, or conservation of organizations.
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33-21-25. Organization and operation of health maintenance organizations by insurers or health care corporations.
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33-21-26. Untrue or misleading statements; deceptive evidence of coverage; cancellation or nonrenewal of enrollees.
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33-21-27. Enforcement of chapter; penalties for violations of chapter.
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33-21-28. Applicability of provisions of title and of other laws to health maintenance organizations and representatives.
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33-21-29. Point-of-service option for persons offered health care coverage through health maintenance organization.
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