Georgia Commons

Title 33. INSURANCE

Chapter 21. HEALTH MAINTENANCE ORGANIZATIONS

31 sections · 33-21-1 to 33-21-29

  1. 33-21-1Definitions.
  2. 33-21-2Procedure for establishment of health maintenance organizations generally; notice of modification; exemption of item from filing requirements.
  3. 33-21-3Grounds and procedure for issuance or denial of certificate of authority; endorsement of change of address upon certificate of authority.
  4. 33-21-4Annual license fee.
  5. 33-21-5Suspension or revocation of certificate of authority.
  6. 33-21-6Composition of governing body; duty to establish mechanism for participation by enrollees in matters of policy and operation.
  7. 33-21-7Fiduciary responsibilities of directors, officers, or partners.
  8. 33-21-8Powers of organizations generally; filing of notice of exercise of powers.
  9. 33-21-9Establishment and maintenance of complaint system; maintenance of records of complaints; summary reports; examination of system.
  10. 33-21-10Responsibility of organizations for financial risks of providing services generally; reinsurance of risks; deposit of cash or securities with Commissioner.
  11. 33-21-11Investment of funds of organizations.
  12. 33-21-12Participation in organizations by members of associations.
  13. 33-21-13Evidence of coverage; filing and approval of basic rates and method of computation of coverage.
  14. 33-21-14Annual information to enrollees.
  15. 33-21-15Filing of annual reports; contents.
  16. 33-21-16Fees and taxes.
  17. 33-21-17Examinations of organizations and providers; reports of examinations; payment of expenses of examinations.
  18. 33-21-18Adoption of rules and regulations generally.
  19. 33-21-18.1Emergency services requirements; restrictive formulary requirements.
  20. 33-21-19Promulgation of rules and regulations for licensing of agents.
  21. 33-21-20Conduct of hearings generally; participation in hearings by commissioner of community health; judicial review.
  22. 33-21-20.1Regulation of HMOs by commissioner of community health.
  23. 33-21-21Authority of commissioner of community health to contract for making of recommendations required by chapter; acceptance of recommendations.
  24. 33-21-22Applications, filings, and reports to be treated as public documents.
  25. 33-21-23Confidentiality of medical information; claim of privileges by organizations.
  26. 33-21-24Rehabilitation, liquidation, or conservation of organizations.
  27. 33-21-25Organization and operation of health maintenance organizations by insurers or health care corporations.
  28. 33-21-26Untrue or misleading statements; deceptive evidence of coverage; cancellation or nonrenewal of enrollees.
  29. 33-21-27Enforcement of chapter; penalties for violations of chapter.
  30. 33-21-28Applicability of provisions of title and of other laws to health maintenance organizations and representatives.
  31. 33-21-29Point-of-service option for persons offered health care coverage through health maintenance organization.