reglab/housing_qa huggingface dataset:
GA Code § 33-49-8 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 49 - Reinsurance Intermediaries|§ 33-49-8. Restrictions on Manager's Operations

 The manager shall not:    Cede retrocessions on behalf of the reinsurer, except that the manager may cede facultative retrocessions pursuant to obligatory facultative agreements if the contract with the reinsurer contains reinsurance underwriting guidelines for such retrocessions.Such guidelines shall include a list of reinsurers with which such automatic agreements are in effect, and for each such reinsurer, the coverages and amounts or percentages that may be reinsured, and commission schedules;   Commit the reinsurer to participate in reinsurance syndicates;   Appoint any producer without assuring that the producer is lawfully licensed to transact the type of reinsurance for which he is appointed;   Without prior approval of the reinsurer, pay or commit the reinsurer to pay a claim, net of retrocessions, that exceeds the lesser of an amount specified by the reinsurer or 1 percent of the reinsurer's policyholder's surplus as of December 31 of the last complete calendar year;   Collect any payment from a retrocessionaire or commit the reinsurer to any claim settlement with a retrocessionaire, without prior approval of the reinsurer.If prior approval is given, a report must be promptly forwarded to the reinsurer;   Jointly employ an individual who is employed by the reinsurer unless such manager is under common control with the reinsurer subject to Chapter 13 of this title; or   Appoint a submanager.     (Code 1981, §33-49-8, enacted by Ga. L. 1991, p. 1424, § 8.)
GA Code § 33-49-9 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 49 - Reinsurance Intermediaries|§ 33-49-9. Restrictions on Reinsurer's Operations

  A reinsurer shall not engage the services of any person, firm, association, or corporation to act as a manager on its behalf unless such person is licensed as required by subsection (b) of Code Section 33-49-3.   The reinsurer shall annually obtain a copy of statements of the financial condition of each manager which such reinsurer has engaged prepared by an independent certified accountant in a form acceptable to the Commissioner.   If a manager establishes loss reserves, the reinsurer shall annually obtain the opinion of an actuary attesting to the adequacy of loss reserves established for losses incurred and outstanding on business produced by the manager.This opinion shall be in addition to any other required loss reserve certification.   Binding authority for all retrocessional contracts or participation in reinsurance syndicates shall rest with an officer of the reinsurer who shall not be affiliated with the manager.   Within 30 days of termination of a contract with a manager, the reinsurer shall provide written notification of such termination to the Commissioner.   A reinsurer shall not appoint to its board of directors any officer, director, employee, controlling shareholder, or subproducer of its manager.This subsection shall not apply to relationships governed by Chapter 13 or Chapter 48 of this title.     (Code 1981, §33-49-9, enacted by Ga. L. 1991, p. 1424, § 8.)   Code Commission notes.   - Pursuant to Code Section 28-9-5, in 1991, the comma was deleted following "board of directors" in subsection (f).
GA Code § 33-49-10 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 49 - Reinsurance Intermediaries|§ 33-49-10. Examination of Reinsurance Intermediaries and Managers by Commissioner

  A reinsurance intermediary shall be subject to examination by the Commissioner.The Commissioner shall have access to all books, bank accounts, and records of the reinsurance intermediary in a form usable to the Commissioner.   A manager may be examined as if it were the reinsurer.     (Code 1981, §33-49-10, enacted by Ga. L. 1991, p. 1424, § 8.)
GA Code § 33-49-11 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 49 - Reinsurance Intermediaries|§ 33-49-11. Violations; Penalties

  A reinsurance intermediary, insurer, or reinsurer found by the Commissioner, after a hearing conducted in accordance with Chapter 2 of this title, to be in violation of any provision of this chapter, shall:   For each separate violation, pay a penalty in an amount not exceeding $10,000.00;   Be subject to revocation or suspension of its license; and   If a violation was committed by the reinsurance intermediary, such reinsurance intermediary shall make restitution to the insurer, reinsurer, rehabilitator, or liquidator of the insurer or reinsurer for the net losses incurred by the insurer or reinsurer attributable to such violation.     The decision, determination, or order of the Commissioner pursuant to subsection (a) of this Code section shall be subject to judicial review pursuant to Chapter 2 of this title.   Nothing contained in this Code section shall affect the right of the Commissioner to impose any other penalties provided in this title.   Nothing contained in this chapter is intended to or shall in any manner limit or restrict the rights of policyholders, claimants, creditors, or other third parties or confer any rights to such persons.     (Code 1981, §33-49-11, enacted by Ga. L. 1991, p. 1424, § 8.)   Code Commission notes.   - Pursuant to Code Section 28-9-5, in 1991, "Code" was inserted preceding "section" in subsection (c).
GA Code § 33-50-1 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 50 - Multiple Employer Self-Insured Health Plans|§ 33-50-1. Definition of Multiple Employer Self-Insured Health Plan

 As used in this chapter, the term "multiple employer self-insured health plan" means any plan or arrangement which is established or maintained for the purpose of offering or providing health, dental, or short-term disability benefits to employees of two or more employers but which is not fully insured. A plan or arrangement is considered fully insured only if all benefits payable are guaranteed under a contract or policy of insurance issued by an insurer authorized to transact business in this state.    (Code 1981, §33-50-1, enacted by Ga. L. 1991, p. 1021, § 1.)
GA Code § 33-50-3 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 50 - Multiple Employer Self-Insured Health Plans|§ 33-50-3. Application for License; Payment of Fees; Payment of Premium Taxes

  Application for a license shall be made on forms prescribed by the Commissioner.   Every multiple employer self-insured health plan shall pay to the Commissioner annual license fees, as established by rule or regulation of the Commissioner.   Every multiple employer self-insured health plan shall be exempt from the payment of premium taxes on the plan's net premium.     (Code 1981, §33-50-3, enacted by Ga. L. 1991, p. 1021, § 1; Ga. L. 2010, p. 757, § 2/SB 310; Ga. L. 2011, p. 752, § 33/HB 142; Ga. L. 2016, p. 515, § 1/HB 866.)
GA Code § 33-50-4 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 50 - Multiple Employer Self-Insured Health Plans|§ 33-50-4. Filing of Bylaws, Schedules of Benefits, and Management, Administration, and Trust Agreements

 At the time application for a license is made, the multiple employer self-insured health plan shall file with the Commissioner a copy of the plan's bylaws, all schedules of benefits, and all management, administration, and trust agreements which the plan had made or proposes to make for the conduct of its business and affairs.Any proposed changes or amendments to the foregoing must also be filed with the Commissioner.    (Code 1981, §33-50-4, enacted by Ga. L. 1991, p. 1021, § 1.)
GA Code § 33-50-6 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 50 - Multiple Employer Self-Insured Health Plans|§ 33-50-6. Requirements for Holding of Funds Collected

 Funds collected from the participating employers under multiple employer self-insured health plans shall be held in trust subject to the following requirements:    A board of trustees elected by participating employers shall serve as fund managers on behalf of participants. Trustees shall be plan participants or be an employee or owner of a participating employer or an employee of a sponsoring association. No participating employer shall be represented by more than one trustee. A minimum of three and a maximum of seven trustees may be elected. Trustees shall not receive remuneration but they may be reimbursed for actual and reasonable expenses incurred in connection with duties as trustee;   Trustees shall be bonded in an amount not less than $150,000.00 from a licensed surety company or covered under a directors and officers liability policy issued to the multiple employer self-insured health plan;   Investment of plan funds shall be subject to the same restrictions which are applicable to insurers as provided in Chapter 11 of this title; and   A multiple employer self-insured health plan shall maintain a minimum loss ratio of at least 70 percent. Compliance with such minimum loss ratio standard shall be evaluated annually by a multiple employer self-insured health plan. Failure to comply with minimum loss ratio standards shall result in a premium refund to participating employers.     (Code 1981, §33-50-6, enacted by Ga. L. 1991, p. 1021, § 1; Ga. L. 2010, p. 757, § 4/SB 310.)
GA Code § 33-50-7 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 50 - Multiple Employer Self-Insured Health Plans|§ 33-50-7. Required Disclosure Statements

 Every application for benefits and every benefit plan issued by a multiple employer self-insured health plan shall contain in contrasting color, in not less than ten-point type, the following statements:    The plan is a self-insured plan, and benefits are not guaranteed by a licensed insurer;   The plan is not covered by the Georgia Life and Health Guaranty Association;   This is a fully assessable benefit plan. In the event that the multiple employer self-insured health plan is unable to pay its obligations, participating employers shall be required to contribute on a joint and several basis the funds necessary to meet any unpaid obligations; and   Certain other major protections offered to Georgia residents under the Georgia Insurance Code and Rules and Regulations, such as conversion rights and certain mandated or required benefits, may not be available through the multiple employer self-insured plan.     (Code 1981, §33-50-7, enacted by Ga. L. 1991, p. 1021, § 1; Ga. L. 2010, p. 757, § 5/SB 310.)
GA Code § 33-50-8 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 50 - Multiple Employer Self-Insured Health Plans|§ 33-50-8. Health Plans Subject to Examinations

 Every multiple employer self-insured health plan shall be subject to examination in accordance with Chapter 2 of this title.    (Code 1981, §33-50-8, enacted by Ga. L. 1991, p. 1021, § 1.)
GA Code § 33-50-9 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 50 - Multiple Employer Self-Insured Health Plans|§ 33-50-9. Dissolution of Plan

  A plan that desires to cease existence shall apply to the Commissioner for authority to dissolve.Applications to dissolve must be on forms prescribed by the Commissioner and must be approved or disapproved by the Commissioner within 60 days of receipt.Dissolution without authorization is prohibited and does not absolve a plan or its participants from fulfilling the plan's continuing obligations.An application to dissolve must be granted if either of the following conditions is met:   The plan demonstrates that it has no outstanding liabilities, including incurred but not reported liabilities; or   The plan has obtained an irrevocable commitment from a licensed insurer which provides for payment of all outstanding liabilities and for providing all related services, including payment of claims, preparation of reports, and administration of transactions associated with the period when the plan provided coverage.     Upon dissolution, after payment of all outstanding liabilities and indebtedness, the assets of the plan must be distributed to all employers participating in the plan during the last five years immediately preceding dissolution.The distributive share of each employer must be in the proportion that all contributions made by the employer during such five-year period bear to the total contributions made by all participating employers during such five-year period.     (Code 1981, §33-50-9, enacted by Ga. L. 1991, p. 1021, § 1.)
GA Code § 33-50-10 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 50 - Multiple Employer Self-Insured Health Plans|§ 33-50-10. Rules and Regulations Promulgated by Commissioner

 The Commissioner may promulgate rules or regulations which are necessary to implement the provisions of this chapter and to ensure the safe and proper operation of multiple employer self-insured health plans in this state.    (Code 1981, §33-50-10, enacted by Ga. L. 1991, p. 1021, § 1.)
GA Code § 33-50-11 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 50 - Multiple Employer Self-Insured Health Plans|§ 33-50-11. Power of Commissioner to Suspend License

  If the Commissioner is of the opinion that a multiple employer self-insured health plan is in an unsound condition, that it has failed to comply with the law or any applicable rule or regulations or orders issued by the Commissioner, or that it is in a condition which renders its proceedings hazardous to the public or to persons covered under the plan, the Commissioner may, after a hearing, revoke or suspend the license of the plan or, in lieu thereof, impose a monetary penalty in accordance with Chapter 2 of this title.   If the Commissioner is of the opinion that any of the grounds set forth in subsection (a) of this Code section exists, the Commissioner may commence delinquency proceedings against the plan and supervise, rehabilitate, or liquidate the plan in accordance with the procedures set forth in Chapter 37 of this title.     (Code 1981, §33-50-11, enacted by Ga. L. 1991, p. 1021, § 1; Ga. L. 1996, p. 6, § 33.)
GA Code § 33-50-12 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 50 - Multiple Employer Self-Insured Health Plans|§ 33-50-12. Legislative Intent

 It is the intent of the General Assembly that a multiple employer self-insured health plan be created and maintained by and for the benefit of participating employers and operated under their exclusive management and control.This chapter is not intended to permit third-party administrators or other entrepreneurial promoters to establish a trust or plan and then proceed to solicit employers as participants.It is specifically intended that the impetus for the creation of the plan must come from the employers themselves, and the employers must at all times exercise absolute control over the management and conduct of the plan's business and affairs.    (Code 1981, §33-50-12, enacted by Ga. L. 1991, p. 1021, § 1.)
GA Code § 33-50-13 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 50 - Multiple Employer Self-Insured Health Plans|§ 33-50-13. Multiple Employer Self-Insured Plans to Make Necessary Filings

 All multiple employer self-insured health plans who have member employees in this state shall make all filings necessary to comply with this chapter.    (Code 1981, §33-50-13, enacted by Ga. L. 1991, p. 1021, § 1; Ga. L. 2019, p. 533, § 1-13/HB 99.)    The 2019 amendment,  effective July 1, 2019, deleted "as of July 1, 1991," preceding "shall", and deleted "have until October 1, 1991, to" preceding "make all filings".
GA Code § 33-50-14 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 50 - Multiple Employer Self-Insured Health Plans|§ 33-50-14. Commissioner Approval of Plans Offering Coverage in Other States

 A multiple employer self-insured health plan which covers lives in other states may cover lives in this state only if the Commissioner deems the plan to be in compliance with the requirements of this chapter.    (Code 1981, §33-50-14, enacted by Ga. L. 2010, p. 757, § 6/SB 310; Ga. L. 2011, p. 752, § 33/HB 142.)
GA Code § 33-51-1 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 51 - Georgia Affordable Hsa Eligible High Deductible Health Plan|§ 33-51-1. Short Title

 This chapter shall be known and may be cited as the "Georgia Affordable HSA Eligible High Deductible Health Plan."    (Code 1981, §33-51-1, enacted by Ga. L. 2008, p. 292, § 3/HB 977.)
GA Code § 33-51-2 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 51 - Georgia Affordable Hsa Eligible High Deductible Health Plan|§ 33-51-2. Legislative Intent

 It is the intent of the General Assembly:    To authorize the Commissioner to establish flexible guidelines for health savings account eligible high deductible plan designs which will be affordable to Georgians and to increase the availability of these types of plans by accident and sickness insurers licensed to transact such insurance in this state;   To encourage the offering of affordable health savings account eligible high deductible plans, as required under the rules of the federal Internal Revenue Service related to the establishment of health savings accounts, with the specific intent of reaching many otherwise uninsured Georgians and the general intent of creating affordable comprehensive health insurance for all Georgians; and   To enhance the affordability of insurance with the flexible health savings account eligible high deductible plans allowed under this chapter by allowing rewards and incentives for participation in and adherence to health behaviors that recognize the value of the personal responsibility of each citizen to maintain good health, seek preventive care services, and comply with approved treatments.     (Code 1981, §33-51-2, enacted by Ga. L. 2008, p. 292, § 3/HB 977; Ga. L. 2013, p. 141, § 33/HB 79.)
GA Code § 33-51-3 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 51 - Georgia Affordable Hsa Eligible High Deductible Health Plan|§ 33-51-3. Development of Guidelines; Promotion by Commissioner; Authority of Commissioner

  The Commissioner shall develop flexible guidelines for coverage and approval of health savings account eligible high deductible plans which are designed to qualify under federal and state requirements as high deductible health plans for use with health savings accounts which comply with federal requirements under the applicable provisions of the federal Internal Revenue Code for high deductible health plans sold in connection with health savings accounts.   The Commissioner shall be authorized to encourage and promote the marketing of health savings account eligible high deductible plans by accident and sickness insurers in this state; provided, however, that nothing in this Code section shall be construed to authorize the sale of insurance in violation of Chapter 3 of this title or interstate sales of insurance.   The Commissioner shall be authorized to conduct a national study of health savings account eligible high deductible plans available in other states and to determine if and how these products serve the uninsured and if they should be made available to Georgians.   The Commissioner shall be authorized to develop an automatic or fast track approval process for health savings account eligible high deductible plans already approved under the laws and regulations of this state or other states.     (Code 1981, §33-51-3, enacted by Ga. L. 2008, p. 292, § 3/HB 977; Ga. L. 2019, p. 533, § 1-14/HB 99; Ga. L. 2020, p. 493, § 33/SB 429.)    The 2019 amendment,  effective July 1, 2019, substituted "Reserved." for the former provisions of subsection (e), which read: "The Commissioner shall be authorized to promulgate such rules and regulations as he or she deems necessary and appropriate for the design, promotion, and regulation of health savings account eligible high deductible plans, including rules and regulations for the expedited review of standardized policies, advertisements and solicitations, and other matters deemed relevant by the Commissioner."    The 2020 amendment,  effective July 29, 2020, part of an Act to revise, modernize, and correct the Code, deleted former subsection (e) which was designated as reserved.
GA Code § 33-51-4 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 51 - Georgia Affordable Hsa Eligible High Deductible Health Plan|§ 33-51-4. Programs Not Considered Unfair Trade Practice

 Insurers that include and operate wellness and health promotion programs, disease and condition management programs, health risk appraisal programs, and similar provisions in their high deductible health policies in keeping with federal requirements shall not be considered to be engaging in unfair trade practices under Code Section 33-6-4 with respect to references to the practices of illegal inducements, unfair discrimination, and rebating.    (Code 1981, §33-51-4, enacted by Ga. L. 2008, p. 292, § 3/HB 977.)
GA Code § 33-51-5 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 51 - Georgia Affordable Hsa Eligible High Deductible Health Plan|§ 33-51-5. Nonpreferred Provider Reimbursement

 There shall be no required relationship between preferred provider and nonpreferred provider plan reimbursements for health savings account eligible high deductible plans using nonpreferred provider reimbursements. Such plans, however, shall not:    Unfairly deny health benefits for medically necessary covered services;   Have differences in benefit levels payable to preferred providers compared to other providers that unfairly deny benefits for covered services;   Have a plan coinsurance percentage applicable to benefit levels for services provided by nonpreferred providers that is less than 60 percent of the benefit levels under the policy for such services; or   Have an adverse effect on the availability or the quality of services.     (Code 1981, §33-51-5, enacted by Ga. L. 2008, p. 292, § 3/HB 977.)
GA Code § 33-51-6 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 51 - Georgia Affordable Hsa Eligible High Deductible Health Plan|§ 33-51-6. Incentives for Preferred Providers

 Notwithstanding the provisions of paragraphs (2) and (3) of Code Section 33-51-5, health benefit plans providing incentives for covered persons to use pharmaceutical or dental services of preferred providers shall provide, and clearly indicate, that the payment or reimbursement for a noncontracting provider of covered pharmaceutical or dental services shall be the same as the payment or reimbursement for a preferred provider of covered pharmaceutical or dental services; provided, however, that the health benefit plan shall not be required to make payment or reimbursement in an amount which is greater than the actual fee charged by the provider for such dental or pharmaceutical services.    (Code 1981, §33-51-6, enacted by Ga. L. 2008, p. 292, § 3/HB 977.)
GA Code § 33-51-7 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 51 - Georgia Affordable Hsa Eligible High Deductible Health Plan|§ 33-51-7. Health Reimbursement Arrangement Only

  The Commissioner shall be authorized to allow health reimbursement arrangement only plans that encourage employer financial support of health insurance or health related expenses recognized under the rules of the federal Internal Revenue Service to be approved for sale in connection with or packaged with individual health insurance policies otherwise approved by the Commissioner.   Health reimbursement arrangement only plans that are not sold in connection with or packaged with individual health insurance policies shall not be considered insurance under this title.   Individual insurance policies offered or funded through health reimbursement arrangements shall not be considered employer sponsored or group coverage for purposes of this title, and nothing in this Code section shall be interpreted to require an insurer to offer an individual health insurance policy for sale in connection with or packaged with a health reimbursement arrangement or to accept premiums from health reimbursement arrangement plans for individual health insurance policies.     (Code 1981, §33-51-7, enacted by Ga. L. 2009, p. 737, § 2/SB 94.)