reglab/housing_qa huggingface dataset:
GA Code § 33-46-3 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 46 - (Effective Until January 1, 2022.) Certification of Private Review Agents|§ 33-46-3. (Effective Until January 1, 2022.) Certification of Private Review Agents; Exemption

  A private review agent may not conduct utilization review of health care provided in this state unless the Commissioner has granted the private review agent a certificate pursuant to this chapter. No individual conducting utilization review shall require certification if such utilization review is performed within the scope of such person's employment with an entity already certified pursuant to this Code section.   The Commissioner shall issue a certificate to an applicant that has met all the requirements of this chapter and all applicable regulations of the Commissioner.   A certificate issued under this chapter is not transferable without the prior approval of the Commissioner.     (Code 1981, §33-46-3, enacted by Ga. L. 1990, p. 1088, § 1.)
GA Code § 33-46-5 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 46 - (Effective Until January 1, 2022.) Certification of Private Review Agents|§ 33-46-5. (Effective Until January 1, 2022.) Certificate Application Fees; Information to Be Submitted With Application

  An applicant for a certificate shall submit an application on a form prescribed by the Commissioner and pay an application fee and a certificate fee as provided in Code Section 33-8-1. The application shall be signed and verified by the applicant.   In conjunction with the application, the private review agent shall submit such information that the Commissioner requires, including but not limited to:   A utilization review plan;   The type and qualifications of the personnel either employed or under contract to perform the utilization review; and   A copy of the materials designed to inform applicable patients and health care providers of the requirements of the utilization review plan.  The information provided must demonstrate to the satisfaction of the Commissioner that the private review agent will comply with the requirements of this chapter.        (Code 1981, §33-46-5, enacted by Ga. L. 1990, p. 1088, § 1; Ga. L. 1992, p. 2725, § 33.)
GA Code § 33-46-6 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 46 - (Effective Until January 1, 2022.) Certification of Private Review Agents|§ 33-46-6. (Effective Until January 1, 2022.) Expiration and Renewal of Certificate

  A certificate shall expire on the second anniversary of its effective date unless the certificate is renewed for a two-year term as provided in this Code section.   Before the certificate expires but no sooner than 90 days prior to such expiration, a certificate may be renewed for an additional two-year term if the applicant:   Otherwise is entitled to the certificate;   Pays to the Commissioner the renewal fee as provided in Code Section 33-8-1;   Submits to the Commissioner:   A renewal application on the form that the Commissioner requires; and   Satisfactory evidence of compliance with any requirements established by the Commissioner for certificate renewal; and       Establishes and maintains a complaint system which has been approved by the Commissioner and which provides reasonable procedures for the resolution of written complaints initiated by enrollees or health care providers concerning utilization review;   Maintains records of such written complaints for five years from the time the complaints are filed and submits to the Commissioner a summary report at such times and in such format as the Commissioner may require; and   Permits the Commissioner to examine the complaints at any time.         (Code 1981, §33-46-6, enacted by Ga. L. 1990, p. 1088, § 1; Ga. L. 1992, p. 2725, § 34.)
GA Code § 33-46-7 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 46 - (Effective Until January 1, 2022.) Certification of Private Review Agents|§ 33-46-7. (Effective Until January 1, 2022.) Jurisdiction of Commissioner Over Private Review Agents

 Private review agents shall be subject to the jurisdiction of the Commissioner in all matters regulated by this chapter and the Commissioner shall have such powers and authority with regard to private review agents as provided in Code Sections 33-2-9 through 33-2-28 with regard to insurers.    (Code 1981, §33-46-7, enacted by Ga. L. 1990, p. 1088, § 1.)
GA Code § 33-46-8 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 46 - (Effective Until January 1, 2022.) Certification of Private Review Agents|§ 33-46-8. (Effective Until January 1, 2022.) Applicability of Chapter 39 of Title 33

 Private review agents shall be subject to the provisions of Chapter 39 of this title.    (Code 1981, §33-46-8, enacted by Ga. L. 1990, p. 1088, § 1.)
GA Code § 33-46-9 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 46 - (Effective Until January 1, 2022.) Certification of Private Review Agents|§ 33-46-9. (Effective Until January 1, 2022.) Listings of Certificate Holders

 The Commissioner shall periodically, not less than once a year, provide a list of private review agents issued certificates and the renewal date for those certificates to all hospitals and to any other individual or organization requesting such list.    (Code 1981, §33-46-9, enacted by Ga. L. 1990, p. 1088, § 1.)
GA Code § 33-46-10 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 46 - (Effective Until January 1, 2022.) Certification of Private Review Agents|§ 33-46-10. (Effective Until January 1, 2022.) Reporting Requirements

 The Commissioner shall establish such reporting requirements upon private review agents as are necessary to determine if the utilization review programs are in compliance with the provisions of this chapter and applicable rules and regulations.    (Code 1981, §33-46-10, enacted by Ga. L. 1990, p. 1088, § 1.)
GA Code § 33-46-11 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 46 - (Effective Until January 1, 2022.) Certification of Private Review Agents|§ 33-46-11. (Effective Until January 1, 2022.) Adoption of Rules and Regulations

 The Commissioner shall adopt rules and regulations to implement the provisions of this chapter.    (Code 1981, §33-46-11, enacted by Ga. L. 1990, p. 1088, § 1.)
GA Code § 33-46-12 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 46 - (Effective Until January 1, 2022.) Certification of Private Review Agents|§ 33-46-12. (Effective Until January 1, 2022.) Exemptions From Certificate Requirements

 No certificate is required for utilization review by any Georgia licensed pharmacist or pharmacy while engaged in the practice of pharmacy, including but not limited to review of the dispensing of drugs, participation in drug utilization review, and monitoring patient drug therapy.    (Code 1981, §33-46-12, enacted by Ga. L. 1990, p. 1088, § 1.)
GA Code § 33-46-13 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 46 - (Effective Until January 1, 2022.) Certification of Private Review Agents|§ 33-46-13. (Effective Until January 1, 2022.) Exemptions From Applicability of Chapter

  This chapter shall not apply to any contract with the federal government for utilization and review of patients eligible for hospital services under Title XVIII or XIX of the Social Security Act.   This chapter shall not apply to any private review agent when such private review agent is working under contract, or an extension or renewal thereof, with a licensed insurer operating under an agreement, providing administrative servicespursuant to the provisions of subsection (b) of Code Section 33-20-17 to a health care benefit plan negotiated through collective bargaining as that term is defined in the federal National Labor Relations Act, as amended, if the original agreement was executed and in effect prior to January 1, 1990.   This chapter shall not apply to audits of the medical record for the purposes of verifying that health care services were ordered and delivered.     (Code 1981, §33-46-13, enacted by Ga. L. 1990, p. 1088, § 1.)   Code Commission notes.   - Pursuant to Code Section 28-9-5, in 1990, "Title" was substituted for "Titles" in subsection (a).
GA Code § 33-46-14 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 46 - (Effective Until January 1, 2022.) Certification of Private Review Agents|§ 33-46-14. (Effective Until January 1, 2022.) Commissioner to Issue Annual Report

 The Commissioner shall issue an annual report to the Governor and the General Assembly concerning the conduct of utilization review in this state. Such report shall include a description of utilization review programs and the services they provide, an analysis of complaints filed against private review agents by patients or providers, and an evaluation of the impact of utilization review programs on patient access to care.The Commissioner shall not be required to distribute copies of the annual report to the members of the General Assembly but shall notify the members of the availability of the report in the manner which he or she deems to be most effective and efficient.    (Code 1981, §33-46-14, enacted by Ga. L. 1990, p. 1088, § 1; Ga. L. 2005, p. 1036, § 26/SB 49.)
GA Code § 33-47-1 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 47 - Managing General Agents|§ 33-47-1. Short Title

 This chapter shall be known and may be cited as the "Managing General Agents Act."    (Code 1981, §33-47-1, enacted by Ga. L. 1991, p. 1424, § 8.)
GA Code § 33-47-2 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 47 - Managing General Agents|§ 33-47-2. Definitions

 As used in this chapter, the term:    "Actuary" means a person who is a member in good standing of the American Academy of Actuaries.   "Insurer" meansan insurer as defined in Code Section 33-1-2.     "Managing general agent" means any person, firm, association, or corporation who negotiates and binds ceding reinsurance contracts on behalf of an insurer or manages all or part of the insurance business of an insurer, including the management of a separate division, department, or underwriting office and acts as an agent for such insurer whether known as a managing general agent, general agent, manager, or other similar term, who, with or without the authority, either separately or together with affiliates, produces, directly or indirectly, and underwrites an amount of gross direct written premium equal to or more than 5 percent of the policyholder surplus as reported in the last annual statement of the insurer in any one quarter or year together with one or more of the following:   Adjusts or pays claims in excess of an amount determined by the Commissioner; or   Negotiates reinsurance on behalf of the insurer.     Notwithstanding the provisions of subparagraph (A) of this paragraph, the following persons shall not be considered as managing general agents for the purposes of this chapter:   An employee of the insurer;   A United States manager of the United States branch of an alien insurer; or   An underwriting manager which provides underwriting services only, pursuant to contract, manages any of the insurance underwriting operations of the insurer, is under common control with the insurer, subject to Chapter 13 of this title, and whose compensation is not based on the volume of premiums written.       "Producer" means an agent or subagent as defined in Chapter 23 of this title.   "Underwrite" means the authority to accept or reject risk on behalf of the insurer.     (Code 1981, §33-47-2, enacted by Ga. L. 1991, p. 1424, § 8; Ga. L. 1992, p. 2877, § 10.)
GA Code § 33-47-3 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 47 - Managing General Agents|§ 33-47-3. License Required; Surety Bond; Errors and Omissions Policy

  No person, firm, association, or corporation shall act in the capacity of a managing general agent with respect to risks located in this state for an insurer licensed in this state unless such person is a licensed producer in this state.   No person, firm, association, or corporation shall act in the capacity of a managing general agent representing an insurer domiciled in this state with respect to risks located outside this state unless such person is licensed as a producer in this state pursuant to the provisions of this chapter.   The Commissioner may require the managing general agent to maintain a surety bond in an amount acceptable to him for the protection of the insurer. The Commissioner may require the managing general agent to maintain an errors and omissions policy.     (Code 1981, §33-47-3, enacted by Ga. L. 1991, p. 1424, § 8.)
GA Code § 33-47-4.1 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 47 - Managing General Agents|§ 33-47-4.1. Fully Earned Policy Fees

 No licensed managing general agent may charge a fully earned policy fee in connection with the issuance of an insurance policy unless such fee shall be a component of the insurer's rate filing. No fully earned policy fee may exceed $25.00.    (Code 1981, §33-47-4.1, enacted by Ga. L. 2009, p. 616, § 3/SB 144.)
GA Code § 33-47-5 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 47 - Managing General Agents|§ 33-47-5. Insurer's Oversight Responsibilities; Notice to Commissioner of Relationship With Managing General Agent; Conflict of Interest

  The insurer shall have on file an independent financial examination, in a form acceptable to the Commissioner, of each managing general agent with which it has done business.   If a managing general agent establishes loss reserves, the insurer 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 managing general agent.This is in addition to any other required loss reserve certification.   The insurer shall periodically and at least semiannually conduct an on-site review of the underwriting and claims processing operations of the managing general agent.   Binding authority for all reinsurance contracts or participation in insurance or reinsurance syndicates shall rest with an officer of the insurer, who shall not be affiliated with the managing general agent.   Within 30 days of entering into or termination of a contract with a managing general agent, the insurer shall provide written notification of such appointment or termination to the Commissioner.Notices of appointment of a managing general agent shall include a statement of duties which the applicant is expected to perform on behalf of the insurer, the lines of insurance for which the applicant is to be authorized to act, and any other information the Commissioner may request.   An insurer shall review its books and records each quarter to determine if any producer has become, by operation of paragraph (3) of Code Section 33-47-2, a managing general agent.If the insurer determines that a producer has become a managing general agent, the insurer shall promptly notify the producer and the Commissioner of such determination and the insurer and producer must fully comply with the provisions of this chapter within 30 days of such determination.   An insurer shall not appoint to its board of directors an officer, director, employee, subproducer, or controlling shareholder of its managing general agents.This subsection shall not apply to relationships governed by Chapter 13 of this title or, if applicable, Chapter 48 of this title.     (Code 1981, §33-47-5, enacted by Ga. L. 1991, p. 1424, § 8; Ga. L. 1995, p. 10, § 33.)
GA Code § 33-47-6 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 47 - Managing General Agents|§ 33-47-6. Principal and Agent Relationship Created

 The acts of the managing general agent are considered to be the acts of the insurer on whose behalf it is acting.A managing general agent may be examined as if it were the insurer.    (Code 1981, §33-47-6, enacted by Ga. L. 1991, p. 1424, § 8.)
GA Code § 33-47-7 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 47 - Managing General Agents|§ 33-47-7. Violation of Chapter; Penalties

  If the Commissioner finds, after a hearing conducted in accordance with Chapter 2 of this title, that any person has violated any provision of this chapter, the Commissioner may order:   For each separate violation, a penalty in an amount not to exceed $10,000.00;   Revocation or suspension of the producer's license; and   The managing general agent to reimburse the insurer or the rehabilitator or liquidator of the insurer for any losses incurred by the insurer caused by a violation of this chapter committed by the managing general agent.     The decision, determination, or order of the Commissioner pursuant to subsection (a) of this Code section shall be subject to judicial review as provided in Chapter 2 of this title.   Nothing contained in this Code section shall affect the right of the Commissioner to impose any other penalties provided for in this title.   Nothing contained in this chapter is intended to or shall in any manner limit or restrict the rights of policyholders, claimants, and auditors.     (Code 1981, §33-47-7, enacted by Ga. L. 1991, p. 1424, § 8.)
GA Code § 33-48-1 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 48 - Producer Controlled Property and Casualty Insurers|§ 33-48-1. Short Title

 This chapter shall be known and may be cited as the "Business Transacted with Producer Controlled Property and Casualty Insurer Act."    (Code 1981, §33-48-1, enacted by Ga. L. 1991, p. 1424, § 8.)
GA Code § 33-48-4 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 48 - Producer Controlled Property and Casualty Insurers|§ 33-48-4. Proceedings Upon Violation of Chapter; Burden of Proof; Penalties

    If the Commissioner has reason to believe that a controlling producer has committed or is committing an act which could be determined to be a violation, as defined in paragraph (6) of Code Section 33-48-2, he shall serve upon the controlling producer a statement of the charges and notice of a hearing to be conducted in accordance with Chapter 2 of this title at a time not less than 30 days after the service of the notice and at a place fixed in the notice.   At such hearing, the Commissioner must establish that the controlling producer engaged in a violation, as defined in paragraph (6) of Code Section 33-48-2.The controlling producer shall have an opportunity to be heard and to present evidence rebutting the charges and to establish that the insolvency of the controlled insurer arose out of events not attributable to the violation.The decision, determination, or order of the Commissioner shall be subject to judicial review pursuant to Chapter 2 of this title.   Upon the finding, pursuant to the proceeding set forth in this subsection that the controlling producer committed a violation, as defined in paragraph (6) of Code Section 33-48-2, and the controlling producer failed to establish that such violation did not substantially contribute to the insolvency, the controlling producer shall reimburse the Georgia Insurers Insolvency Pool or the Georgia Life and Health Insurance Guaranty Association for all payments made for losses, loss adjustment, and administrative expenses on the business placed by such producer in excess of gross earned premiums and investment income earned on premiums and loss reserves for such business.   Nothing contained in this Code section shall affect the right of the Commissioner to impose any other penalties provided for in this title.     Nothing contained in this chapter is intended to or shall in any manner alter or affect the rights of policyholders, claimants, creditors, or other third parties.     (Code 1981, §33-48-4, enacted by Ga. L. 1991, p. 1424, § 8; Ga. L. 1992, p. 6, § 33; Ga. L. 1993, p. 91, § 33.)
GA Code § 33-49-1 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 49 - Reinsurance Intermediaries|§ 33-49-1. Short Title

 This chapter shall be known and may be cited as the "Reinsurance Intermediary Act."    (Code 1981, §33-49-1, enacted by Ga. L. 1991, p. 1424, § 8.)   RESEARCH REFERENCES   ALR.   - Who may enforce liability of reinsurer, 87 A.L.R.6th 319.
GA Code § 33-49-4 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 49 - Reinsurance Intermediaries|§ 33-49-4. Written Authorization of Relationship Required; Contents

 Transactions between a broker and the insurer it represents in such capacity shall only be entered into pursuant to a written authorization specifying the responsibilities of each party. The authorization shall, at a minimum, provide that:    The insurer may terminate the broker's authority at any time;   The broker will render accounts to the insurer accurately detailing all material transactions, including information necessary to support all commissions, charges, and other fees received by or owing to the broker, and remit all funds due to the insurer within 30 days of receipt;   All funds collected for the insurer's account will be held by the broker in a fiduciary capacity in a bank which is a qualified United States financial institution;   The broker will comply with Code Section 33-49-5;   The broker will comply with the written standards established by the insurer for the cession or retrocession of all risks; and   The broker will disclose to the insurer any relationship with any reinsurer to which business will be ceded or retroceded.     (Code 1981, §33-49-4, enacted by Ga. L. 1991, p. 1424, § 8.)
GA Code § 33-49-5 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 49 - Reinsurance Intermediaries|§ 33-49-5. Retention of Records

  For at least ten years after expiration of each contract of reinsurance transacted by the broker, the broker will keep a complete record for each transaction showing:   The type of contract, limits, underwriting restrictions, classes or risks, and territory;   The period of coverage, including effective and expiration dates, cancellation provisions, and notice required of cancellation;   Reporting and settlement requirements of balances;   The rate used to compute the reinsurance premium;   The names and addresses of assuming reinsurers;   Rates of all reinsurance commissions, including the commissions on any retrocessions handled by the broker;   Related correspondence and memoranda;   Proof of placement;   Details regarding retrocessions handled by the broker including the identity of retrocessionaires and the percentage of each contract assumed or ceded;   Financial records, including, but not limited to, premium and loss accounts; and   When the broker procures a reinsurance contract on behalf of a licensed ceding insurer:   Directly from any assuming reinsurer, written evidence that the assuming reinsurer has agreed to assume the risk; or   If placed through a representative of the assuming reinsurer, other than an employee, written evidence that such reinsurer has delegated binding authority to the representative.       The insurer will have access and the right to copy and audit all accounts and records maintained by the broker related to its business in a form usable by the insurer.     (Code 1981, §33-49-5, enacted by Ga. L. 1991, p. 1424, § 8.)   Code Commission notes.   - Pursuant to Code Section 28-9-5, in 1991, the semicolon at the end of the introductory language of paragraph (a)(11) was changed to a colon.
GA Code § 33-49-6 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 49 - Reinsurance Intermediaries|§ 33-49-6. Prohibition Against Employing Unlicensed Broker or Individual Employed by Broker; Annual Statement of Broker's Financial Condition Required

  An insurer shall not engage the services of any person, firm, association, or corporation to act as a broker on its behalf unless such person is licensed as required by subsection (a) of Code Section 33-49-3.   An insurer may not employ an individual who is employed by a broker with which it transacts business unless such broker is under common control with the insurer and subject to Chapter 13 of this title.   The insurer shall annually obtain a copy of statements of the financial condition of each broker with which it transacts business.     (Code 1981, §33-49-6, enacted by Ga. L. 1991, p. 1424, § 8.)