Georgia Code
Chapter 21 - Health Maintenance Organizations
§ 33-21-3. Grounds and Procedure for Issuance or Denial of Certificate of Authority; Endorsement of Change of Address Upon Certificate of Authority

(b.1) An applicant that is compliant with or accredited by a nationally recognized accreditation agency or organization shall be deemed to be in compliance with subsection (b) of this Code section; and, upon submission of proof of compliance or accreditation to the Commissioner of Insurance, certification pursuant to subsection (c) of this Code section shall not be required. The Commissioner of Insurance shall be authorized to promulgate rules and regulations to determine which national accreditation agencies shall be used for purposes of this Code section.
History. Code 1933, § 56-3603, enacted by Ga. L. 1979, p. 1148, § 1; Ga. L. 1986, p. 676, § 4; Ga. L. 1999, p. 342, § 4; Ga. L. 2004, p. 493, § 1; Ga. L. 2005, p. 60, § 33/HB 95; Ga. L. 2009, p. 453, § 1-6/HB 228.
Code Commission notes.
Pursuant to Code Section 28-9-5, in 1986, “Commissioner of Insurance” was substituted for “Insurance Commissioner” in subsections (a), (c), and (e).
Law reviews.
For note on 1999 amendment to this Code section, see 16 Ga. St. U.L. Rev. 163 (1999).

Structure Georgia Code

Georgia Code

Title 33 - Insurance

Chapter 21 - Health Maintenance Organizations

§ 33-21-1. Definitions

§ 33-21-2. Procedure for Establishment of Health Maintenance Organizations Generally; Notice of Modification; Exemption of Item From Filing Requirements

§ 33-21-3. Grounds and Procedure for Issuance or Denial of Certificate of Authority; Endorsement of Change of Address Upon Certificate of Authority

§ 33-21-4. Annual License Fee

§ 33-21-5. Suspension or Revocation of Certificate of Authority

§ 33-21-6. Composition of Governing Body; Duty to Establish Mechanism for Participation by Enrollees in Matters of Policy and Operation

§ 33-21-7. Fiduciary Responsibilities of Directors, Officers, or Partners

§ 33-21-8. Powers of Organizations Generally; Filing of Notice of Exercise of Powers

§ 33-21-9. Establishment and Maintenance of Complaint System; Maintenance of Records of Complaints; Summary Reports; Examination of System

§ 33-21-10. Responsibility of Organizations for Financial Risks of Providing Services Generally; Reinsurance of Risks; Deposit of Cash or Securities With Commissioner

§ 33-21-11. Investment of Funds of Organizations

§ 33-21-12. Participation in Organizations by Members of Associations

§ 33-21-13. Evidence of Coverage; Filing and Approval of Basic Rates and Method of Computation of Coverage

§ 33-21-14. Annual Information to Enrollees

§ 33-21-15. Filing of Annual Reports; Contents

§ 33-21-16. Fees and Taxes

§ 33-21-17. Examinations of Organizations and Providers; Reports of Examinations; Payment of Expenses of Examinations

§ 33-21-18. Adoption of Rules and Regulations Generally

§ 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

§ 33-21-20.1. Regulation of Hmos by Commissioner of Community Health

§ 33-21-21. Authority of Commissioner of Community Health to Contract for Making of Recommendations Required by Chapter; Acceptance of Recommendations

§ 33-21-22. Applications, Filings, and Reports to Be Treated as Public Documents

§ 33-21-23. Confidentiality of Medical Information; Claim of Privileges by Organizations

§ 33-21-24. Rehabilitation, Liquidation, or Conservation of Organizations

§ 33-21-25. Organization and Operation of Health Maintenance Organizations by Insurers or Health Care Corporations

§ 33-21-26. Untrue or Misleading Statements; Deceptive Evidence of Coverage; Cancellation or Nonrenewal of Enrollees

§ 33-21-27. Enforcement of Chapter; Penalties for Violations of Chapter

§ 33-21-28. Applicability of Provisions of Title and of Other Laws to Health Maintenance Organizations and Representatives

§ 33-21-29. Point-of-Service Option for Persons Offered Health Care Coverage Through Health Maintenance Organization