Georgia Code
Part 1 - State Employees’ Health Insurance Plan
§ 45-18-4. Expenses Not to Be Covered by Plan

The health insurance plan shall not include expenses incurred by or on account of an individual prior to the effective date of the plan; expenses for services received for injury or sickness due to war or any act of war, whether declared or undeclared, which war or act of war shall have occurred after the effective date of this plan; expenses for which the individual is not required to make payment; expenses to the extent of benefits provided under any employer group plan other than this plan in which the state participates in the cost thereof; expenses for abortion services except to the extent permitted under the state health benefit plan approved by the board as such plan existed on January 1, 2014; and such other expenses as may be excluded by regulations of the board. For purposes of this Code section, the term “abortion” shall have the same meaning as provided in Code Section 31-9A-2.
History. Ga. L. 1961, p. 147, § 4; Ga. L. 1966, p. 279, § 1; Ga. L. 1980, p. 966, § 2; Ga. L. 2014, p. 349, § 2/SB 98.
The 2014 amendment, effective April 21, 2014, inserted “expenses for abortion services except to the extent permitted under the state health benefit plan approved by the board as such plan existed on January 1, 2014;” near the end of the first sentence and added the second sentence.
Editor’s notes.
Ga. L. 2014, p. 349, § 3/SB 98, not codified by the General Assembly, provides that: “The General Assembly, by joint resolution, may appoint one or more of its members who sponsored or cosponsored this Act in his or her official capacity to intervene as a matter of right in any case in which the constitutionality of this Act or any portion thereof is challenged.”
Law reviews.
For article on the 2014 amendment of this Code section, see 31 Ga. St. U.L. Rev. 177 (2014).

Structure Georgia Code

Georgia Code

Title 45 - Public Officers and Employees

Chapter 18 - Employees’ Insurance and Benefits Plans

Article 1 - State Employees’ Health Insurance Plan and Post-Employment Health Benefit Fund

Part 1 - State Employees’ Health Insurance Plan

§ 45-18-1. Definitions

§ 45-18-2. Authority to Establish Health Insurance Plan; Rules and Regulations; Plan Generally; Coverage for Retiring or Retired Employees

§ 45-18-3. Design of Plan

§ 45-18-4. Expenses Not to Be Covered by Plan

§ 45-18-4.1. Breast Cancer Screening for Individuals With High Risk

§ 45-18-5. County Officers and Employees

§ 45-18-5.1. Licensed Blind or Otherwise Seriously Disabled Vendors

§ 45-18-5.2. Sheltered Employment Center Employees

§ 45-18-6. Contracts to Provide Insurance Benefits; Invitation of Proposals; Reinsurance Agreements; Issuance of Certificates of Coverage; Redetermination of Contracts; Self-Insurance Plans; Contracts for Administrative Services; Contracts With Healt...

§ 45-18-6.1. Reimbursement Rates Offered Under State Employees’ Health Insurance Plan

§ 45-18-7. Retiring Employees, Spouses, and Dependents

§ 45-18-7.1. Employees of the Georgia Development Authority

§ 45-18-7.3. Employees of Peace Officers’ Annuity and Benefit Fund, Georgia Firefighters’ Pension Fund, and Sheriffs’ Retirement Fund of Georgia, Spouses, and Dependent Children

§ 45-18-7.5. Employees of Georgia Housing and Finance Authority, Spouses, and Dependent Children

§ 45-18-7.6. Employees of Georgia-Federal State Inspection Service, Spouses, and Dependent Children

§ 45-18-7.7. Employees and Dependents of Critical Access Hospitals in Health Plans

§ 45-18-7.8. Employees of the Georgia Student Finance Authority

§ 45-18-8. Right of Employees to Secure Coverage for Spouse and Dependents; Regulations

§ 45-18-9. Continuation of Coverage for Spouse or Dependents of Deceased Employees; Resumption of Coverage; Payment of Contributions; Regulating Continuance, Discontinuance, and Resumption of Coverage

§ 45-18-10. Right of Continuation of Coverage for Former Employees; Payment of Premiums; Establishment of Terms and Conditions by Board; Appointment as United States Attorney

§ 45-18-11. Procedure for Presentation of Claims and Payment of Benefits

§ 45-18-12. Creation of Health Insurance Fund; Amounts Credited to Fund; Special Reserve; Administrator and Custodian of Fund

§ 45-18-13. Deposit of Amounts From Health Insurance Fund Available for Investment in Trust Account; Investment of Funds; Withdrawal of Funds From Trust Account

§ 45-18-14. Deductions From Compensation and Benefit Payments of Share of Cost of Coverage Under Plan of Employees; Payment of Contributions to Health Insurance Fund by Departments, Boards, and Agencies of State; Coverage of Employee Appealing Discha...

§ 45-18-15. Rules and Regulations for Administration of Part; Board to Recommend to General Assembly Schedule of Maximum Fees for Hospitals and Practitioners

§ 45-18-16. Certification of Employer Payment Percentage for Ensuing Fiscal Year; Provision in Budgets for Funds for Employer Payments

§ 45-18-17. Employees to Become Members of Plan Unless Coverage Rejected or Waived; Withdrawal From Plan by Persons Covered by Social Security Medical Care

§ 45-18-18. Discharge of Certain Debts or Obligations Due Health Insurance Fund

§ 45-18-19. Confidentiality of Claim Forms and Records

§ 45-18-20. Fiscal Note Required for Bills Impacting Employees’ Health Insurance Plans

§ 45-18-21. Deposit of Employer and Retiree Contributions Into the Georgia Retiree Health Benefit Fund