reglab/housing_qa huggingface dataset:
GA Code § 33-43-2 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 43 - Medicare Supplement Insurance|§ 33-43-2. Applicability of Chapter

  Except as otherwise specifically provided, this chapter shall apply to:   All medicare supplement policies delivered or issued for delivery in this state; and   All certificates issued under group medicare supplement policies, which certificates have been delivered or issued for delivery in this state.     This chapter shall not apply to a policy of one or more employers or labor organizations, or of the trustees of a fund established by one or more employers or labor organizations or a combination thereof, for employees or former employees or a combination thereof, or for members or former members or a combination thereof of the labor organizations.   Except as provided under subsection (d) of Code Section 33-43-5, the provisions of this chapter shall not be construed to prohibit or apply to insurance policies or health care benefit plans, including group conversion policies, provided to medicare eligible persons, which policies are not marketed or held to be medicare supplement policies or benefit plans.     (Code 1981, §33-43-2, enacted by Ga. L. 1992, p. 1395, § 1; Ga. L. 1996, p. 705, § 18; Ga. L. 2000, p. 1246, § 7; Ga. L. 2019, p. 533, § 1-7/HB 99.)    The 2019 amendment,  effective July 1, 2019, deleted "on or after July 1, 2000" following "this state" in paragraph (a)(1).
GA Code § 33-43-4 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 43 - Medicare Supplement Insurance|§ 33-43-4. Reasonable Return of Benefits Required; Minimum Standards for Loss Ratios

 Medicare supplement policies shall return to policyholders benefits which are reasonable in relation to the premium charged.The Commissioner shall issue reasonable regulations to establish minimum standards for loss ratios of medicare supplement policies on the basis of incurred claims experience, or incurred health care expenses where coverage is provided by a health maintenance organization on a service rather than reimbursement basis, and earned premiums in accordance with accepted actuarial principles and practices.    (Code 1981, §33-43-4, enacted by Ga. L. 1992, p. 1395, § 1.)
GA Code § 33-43-5 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 43 - Medicare Supplement Insurance|§ 33-43-5. Outline of Coverage; Informational Brochures; Captions or Notice Requirements; Disclosure of Information Regarding Replacement of Policies, Contracts, or Certificates

  In order to provide for full and fair disclosure in the sale of medicare supplement policies, no medicare supplement policy or certificate shall be delivered in this state unless an outline of coverage is delivered to the applicant at the time application is made.   The Commissioner shall prescribe the format and content of the outline of coverage required by subsection (a) of this Code section.For purposes of this Code section, "format" means style, arrangements, and overall appearance, including such items as the size, color, and prominence of type and arrangement of text and captions.Such outline of coverage shall include:   A description of the principal benefits and coverage provided in the policy;   A statement of the exceptions, reductions, and limitations contained in the policy;   A statement of the renewal provisions, including any reservation by the issuer of a right to change premiums; and   A statement that the outline of coverage is a summary of the policy issued or applied for and that the policy should be consulted to determine governing contractual provisions.     The Commissioner may prescribe by regulation a standard form and the contents of an informational brochure for persons eligible for medicare, which is intended to improve the buyer's ability to select the most appropriate coverage and improve the buyer's understanding of medicare.Except in the case of direct response insurance policies, the Commissioner may require by regulation that the informational brochure be provided to any prospective insureds eligible for medicare concurrently with delivery of the outline of coverage.With respect to direct response insurance policies, the Commissioner may require by regulation that the prescribed brochure be provided upon request to any prospective insureds eligible for medicare, but in no event shall the brochure be provided later than the time of policy delivery.   The Commissioner may prescribe by regulation for captions or notice requirements, determined to be in the public interest and designed to inform prospective insureds that particular insurance coverages are not medicare supplement coverages for all accident and sickness insurance policies sold to persons eligible for medicare, other than:   Medicare supplement policies; or   Disability income policies.     The Commissioner may adopt reasonable regulations to govern the full and fair disclosure of the information in connection with the replacement of accident and sickness policies, subscriber contracts, or certificates by persons eligible for medicare.     (Code 1981, §33-43-5, enacted by Ga. L. 1992, p. 1395, § 1; Ga. L. 1996, p. 705, § 20.)
GA Code § 33-43-6 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 43 - Medicare Supplement Insurance|§ 33-43-6. Notice of Right to Return Policy and of Right to Refund

 Medicare supplement policies or certificates shall have a notice prominently printed on the first page of the policy or certificate stating in substance that the applicant shall have the right to return the policy or certificate within 30 days of its delivery and to have the premium refunded if, after examination of the policy or certificate, the applicant is not satisfied for any reason.Any refund made pursuant to this Code section shall be paid directly to the applicant by the issuer in a timely manner.    (Code 1981, §33-43-6, enacted by Ga. L. 1992, p. 1395, § 1.)
GA Code § 33-43-7 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 43 - Medicare Supplement Insurance|§ 33-43-7. Review and Approval of Medicare Supplement Advertisements

 Every issuer of medicare supplement insurance in this state shall provide a copy of any medicare supplement advertisement intended for use in this state whether through written, radio, or television medium to the Commissioner for review and approval by the Commissioner.    (Code 1981, §33-43-7, enacted by Ga. L. 1992, p. 1395, § 1.)
GA Code § 33-43-8 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 43 - Medicare Supplement Insurance|§ 33-43-8. Regulations

 Regulations adopted pursuant to this chapter shall be subject to the provisions of this chapter and Code Section 33-2-9.    (Code 1981, §33-43-8, enacted by Ga. L. 1992, p. 1395, § 1.)
GA Code § 33-43-9 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 43 - Medicare Supplement Insurance|§ 33-43-9. Enforcement

 In addition to any other applicable penalties for violations of this title, the Commissioner may require issuers violating any provision of this chapter or regulations promulgated pursuant to this chapter to cease marketing any medicare supplement policy or certificate in this state which is related directly or indirectly to a violation or may require such issuer to take such actions as are necessary to comply with the provisions of this chapter, or both.    (Code 1981, §33-43-9, enacted by Ga. L. 1992, p. 1395, § 1.)
GA Code § 33-44-1 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 44 - High Risk Health Insurance Plan|§ 33-44-1. Through 33-44-10

 Reserved. Repealed by Ga. L. 2019, p. 533, § 1-9/HB 99, effective July 1, 2019.   Editor's notes.   - This chapter consisted of Code Sections33-44-1 through33-44-10, relating to high risk health insurance plan, and was based on Code 1981, §§ 33-44-1 through33-44-10, enacted by Ga. L. 1989, p. 1701, § 1; Ga. L. 1990, p. 8, § 33; Ga. L. 2009, p. 453, § 1-4/HB 228; Ga. L. 2011, p. 705, § 6-3/HB 214; Ga. L. 2017, p. 164, § 54/HB 127.   Ga. L. 2019, p. 533, § 1-9/HB 99, effective July 1, 2019, repealed the provisions of this chapter concerning the high risk health insurance plan. This chapter never became effective as there was no specific appropriation of funds by the General Assembly necessary to carry out the purposes of the Act in any appropriations Act by the General Assembly at any session of the General Assembly from 1989 through 2018.
GA Code § 33-45-2 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 45 - Continuing Care Providers and Facilities|§ 33-45-2. Use of Powers; Providers or Facilities Charging an Entrance Fee

  For the purpose of enforcing the requirements of this chapter, the Commissioner and the department shall be authorized to use the powers granted in Chapters 1 and 2 of this title.   A provider or facility which charges a resident an entrance fee for lodging in a residential unit and provides limited continuing care shall not call itself nor be considered a provider of continuing care, but such provider or facility shall otherwise be subject to the requirements imposed upon the providers and facilities regulated by this chapter; provided, however, that a facility that has received a certificate of authority and has been in conformance with the provisions of this chapter prior to July 1, 2011, may continue to call and present itself to the public as a provider of continuing care.     (Code 1981, §33-45-2, enacted by Ga. L. 1990, p. 1817, § 1; Ga. L. 2011, p. 315, § 1/SB 166.)
GA Code § 33-45-3 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 45 - Continuing Care Providers and Facilities|§ 33-45-3. Certificate of Authority Required for Operation of Life Plan Communities

  Nothing in this title or chapter shall be deemed to authorize any provider to transact any insurance business other than that of continuing care insurance or limited continuing care insurance or otherwise to engage in any other type of insurance unless it is authorized under a certificate of authority issued by the department under this title. Nothing in this chapter shall be construed so as to interfere with the jurisdiction of the Department of Community Health or any other regulatory body exercising authority over providers regulated by this chapter or real property law related to the purchase and sale of resident owned living units.   Nothing in this chapter shall be construed so as to modify or limit in any way:   Provisions of Article 3 of Chapter 6 of Title 31 and any rules and regulations promulgated by the Department of Community Health pursuant to such article relating to certificates of need for life plan communities or home health agencies, as such terms are defined in Code Section 31-6-2; or   Provisions of Chapter 7 of Title 31 relating to licensure or permit requirements and any rules and regulations promulgated by the Department of Community Health pursuant to such chapter, including, without limitation, licensure or permit requirements for nursing home care, assisted living care, personal care home services, home health services, and private home care services.     Nothing in this chapter shall be construed so as to allow private home care services to be provided by any person or entity other than a licensed private home care provider.   A provider of continuing care at home may contract with a licensed home health agency to provide home health services to a resident. In order to provide home health services directly, a provider of continuing care at home shall obtain a certificate of need for a home health agency, as such term is defined in Code Section 31-6-2, pursuant to the same criteria and rules as are applicable to freestanding home health agencies that are not components of life plan communities.     (Code 1981, §33-45-3, enacted by Ga. L. 1990, p. 1817, § 1; Ga. L. 1999, p. 296, § 22; Ga. L. 2000, p. 136, § 33; Ga. L. 2009, p. 453, § 1-43/HB 228; Ga. L. 2011, p. 315, § 1/SB 166; Ga. L. 2014, p. 375, § 2/SB 304; Ga. L. 2015, p. 581, § 2/SB 111; Ga. L. 2019, p. 945, § 5/HB 300.)    The 2019 amendment,  effective July 1, 2019, substituted "life plan communities" for "continuing care retirement communities" in the middle of paragraph (b)(1); and, in subsection (d), in the second sentence, deleted "paragraph (20) of" following "defined in" in the middle, and substituted "life plan" for "continuing care retirement" near the end.
GA Code § 33-45-4 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 45 - Continuing Care Providers and Facilities|§ 33-45-4. Administration by Insurance Department

 The administration of this chapter is vested in the department, which shall:    Prepare and furnish all forms necessary under the provisions of this chapter;   Collect in advance, and the applicant shall pay in advance at the time of filing, a fee for an application for a certificate of authority or a renewal of a certificate of authority, both as provided in Code Section 33-8-1, and a late fee to be determined by the department. The department may also levy a fine not to exceed $50.00 a day for each day of noncompliance; and   Adopt rules, within the standards of this chapter, necessary to effect the purposes of this chapter. Specific provisions in this chapter relating to any subject shall not preclude the department from adopting rules concerning such subject if such rules are within the standards and purposes of this chapter.     (Code 1981, §33-45-4, enacted by Ga. L. 1990, p. 1817, § 1; Ga. L. 1992, p. 2725, § 32; Ga. L. 2005, p. 60, § 33/HB 95; Ga. L. 2011, p. 315, § 1/SB 166.)
GA Code § 33-45-5 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 45 - Continuing Care Providers and Facilities|§ 33-45-5. Application for Approval or Renewal of Certificate of Authority

 No person may engage in the business of providing continuing care or limited continuing care or issuing continuing care agreements in this state without a certificate of authority therefor obtained from the department as provided in this chapter. For purposes of this Code section, the term "engage in the business of" shall include the development or construction of a facility subject to regulation under this chapter or the holding of oneself out to the public as a provider. The application for approval or renewal of a certificate of authority shall be on such forms as provided by the department. The department shall issue such certificate of authority if the applicant pays the required fees, and the continuing care agreement for the applicant meets the requirements of Code Section 33-45-7. The department shall renew a certificate of authority if the provider pays the required fees and furnishes the annual disclosure statement required by Code Section 33-45-6 and is otherwise not in violation of this chapter.    (Code 1981, §33-45-5, enacted by Ga. L. 1990, p. 1817, § 1; Ga. L. 2011, p. 315, § 1/SB 166; Ga. L. 2012, p. 775, § 33/HB 942.)
GA Code § 33-45-6 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 45 - Continuing Care Providers and Facilities|§ 33-45-6. Annual Revised Disclosure Statement; Statement to Be Made Available to All Residents of Facility; Submission of Other Necessary Information as Determined by Commissioner

  Annually, on or before June 1, the provider shall file a revised disclosure statement and such other information and data showing its condition as of the last day of the preceding calendar year or fiscal year of the provider. If the department does not receive the required information on or before June 1, a late fee may be charged. The department may approve an extension of up to 30 days.     The provider shall also make the revised disclosure statement available to all the residents of the facility.   A provider shall also revise its disclosure statement and have the revised disclosure statement recorded at any other time if revision is necessary to prevent an otherwise current disclosure statement from containing a material misstatement of fact or omitting a material fact required to be stated therein. Only the most recently recorded disclosure statement, with respect to a facility, and in any event, only a disclosure statement dated within one year plus 120 days prior to the due date of the time of renewal of a certificate of authority required by this chapter, shall be considered current.     Notwithstanding the provisions of Code Section 33-45-9, the Commissioner may require a provider to submit such other information as he or she deems necessary to enforce this chapter.     (Code 1981, §33-45-6, enacted by Ga. L. 1990, p. 1817, § 1; Ga. L. 2011, p. 315, § 1/SB 166.)
GA Code § 33-45-7.1 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 45 - Continuing Care Providers and Facilities|§ 33-45-7.1. Provider Authorized to Offer Continuing Care When Resident Purchases Resident Owned Living Unit

 A provider which has obtained a certificate of authority pursuant to Code Section 33-45-5 and the written approval of the Commissioner is authorized to offer, as a part of the continuing care agreement, continuing care at home or continuing care in which the resident purchases a resident owned living unit, subject to the provisions of Chapters 6 and 7 of Title 31 and rules and regulations promulgated by the Department of Community Health pursuant to such chapters relating to certificate of need and licensure requirements.    (Code 1981, §33-45-7.1, enacted by Ga. L. 2014, p. 375, § 4/SB 304; Ga. L. 2015, p. 581, § 3/SB 111; Ga. L. 2019, p. 533, § 1-10/HB 99.)    The 2019 amendment,  effective July 1, 2019, substituted "Commissioner" for "commissioner" near the middle of this Code section.
GA Code § 33-45-9 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 45 - Continuing Care Providers and Facilities|§ 33-45-9. Provisions of This Chapter Not Subject to Waiver

 No act, agreement, or statement of any resident, or of an individual purchasing continuing care or limited continuing care for a resident, under any continuing care agreement to furnish care to the resident shall constitute a valid waiver of any provision of this chapter intended for the benefit or protection of the resident or the individual purchasing care for the resident; provided, however, that nothing in this Code section shall be construed to prohibit a continuing care agreement from providing for a resident or prospective resident to agree to arbitration prior to bringing any action pursuant to Code Section 33-45-12.    (Code 1981, §33-45-8, enacted by Ga. L. 1990, p. 1817, § 1; Code 1981, §33-45-9, as redesignated by Ga. L. 2011, p. 315, § 1/SB 166.)   Editor's notes.   - Ga. L. 2011, p. 315, § 1/SB 166, effective July 1, 2011, redesignated former Code Section 33-45-9 as present Code Section 33-45-10.
GA Code § 33-45-12 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 45 - Continuing Care Providers and Facilities|§ 33-45-12. Actions for Recovery of Damages and Attorney's Fees

 Any resident injured by a violation of this chapter may bring an action for the recovery of damages plus reasonable attorney's fees.    (Code 1981, §33-45-11, enacted by Ga. L. 1990, p. 1817, § 1; Code 1981, §33-45-12, as redesignated by Ga. L. 2011, p. 315, § 1/SB 166.)   Editor's notes.   - Ga. L. 2011, p. 315, § 1/SB 166, effective July 1, 2011, redesignated former Code Section 33-45-12 as present Code Section 33-45-14.
GA Code § 33-45-13 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 45 - Continuing Care Providers and Facilities|§ 33-45-13. Penalties for Violation of Chapter Provisions; Department Authorized to Take Remedial Action, Including Suspension and Revocation of Certificate of Authority

  Any person who knowingly maintains, enters into, performs, or, as manager or officer or in any other administrative capacity, assists in entering into, maintaining, or performing any continuing care agreement subject to this chapter without a valid certificate of authority or renewal thereof, as contemplated by or provided in this chapter, or who otherwise violates any provision of this chapter, is guilty of a misdemeanor. Each violation of this chapter constitutes a separate offense.   In addition to the powers granted pursuant to Chapters 1 and 2 of this title, the department may bring an action to enjoin a violation, threatened violation, or continued violation of this chapter in the superior court of the county in which the violation occurred, is occurring, or is about to occur.   If, after a period of 180 days, or such additional time as the department shall deem appropriate, the corrective action plan required by paragraph (1) of subsection (d) of Code Section 33-45-11 has been submitted and approved by the department and the department deems the facility or provider to be unable to achieve the necessary financial reserves or is not making substantial progress toward achieving the required financial reserves, the department shall be authorized to take immediate action against the facility or provider's certificate of authority, including suspension or revocation of the certificate of authority; provided, however, that before the Commissioner suspends or revokes a certificate of authority, the Commissioner shall conduct a hearing in accordance with Chapter 2 of this title.   Any action brought by the department against a provider shall not abate by reason of a sale or other transfer of ownership of the facility used to provide care, which provider is a party to the action, except with the express written consent of the Commissioner.     (Code 1981, §33-45-10, enacted by Ga. L. 1990, p. 1817, § 1; Code 1981, §33-45-13, as redesignated by Ga. L. 2011, p. 315, § 1/SB 166.)
GA Code § 33-45-14 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 45 - Continuing Care Providers and Facilities|§ 33-45-14. Period of Applicability of Chapter

 Any contract or continuing care agreement executed before July 1, 1991, which is amended or renewed subsequent to July 1, 1991, and any contract or continuing care agreement executed on or after July 1, 1991, shall be subject to this chapter.    (Code 1981, §33-45-12, enacted by Ga. L. 1990, p. 1817, § 1; Code 1981, §33-45-14, as redesignated by Ga. L. 2011, p. 315, § 1/SB 166.)
GA Code § 33-46-1 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 46 - (Effective Until January 1, 2022.) Certification of Private Review Agents|§ 33-46-1. (Effective Until January 1, 2022.) Legislative Purposes and Intent

  The purpose of this chapter is to promote the delivery of quality health care in Georgia.Furthermore, it is to foster the delivery of such care in a cost-effective manner through greater coordination between health care providers, claims administrators, payors, employers, patients, and private review agents; to improve communication and knowledge of health care benefits among all parties; to protect patients, claims administrators, payors, private review agents, employers, and health care providers by ensuring that utilization review activities are based upon accepted standards of treatment and patient care; to ensure that such treatment is accessible and done in a timely and effective manner; and to ensure that private review agents maintain confidentiality of information obtained in the course of utilization review.   In order to carry out the intent and purposes of this chapter, it is declared to be the policy of this chapter to protect Georgia residents by imposing minimum standards on private review agents who engage in utilization review with respect to health care services provided in Georgia, such standards to include regulations concerning certification of private review agents, disclosure of utilization review standards and appeal procedures, minimum qualifications for utilization review personnel, minimum standards governing accessibility of utilization review, and such other standards, requirements, and rules or regulations promulgated by the Commissioner which are not inconsistent with the foregoing. Notwithstanding the foregoing, it is neither the policy nor the intent of the General Assembly to regulate the terms of self-insured employee welfare benefit plans as defined in Section 31(I) of the Employee Retirement Income Security Act of 1974, as amended, and therefore any regulations promulgated pursuant to this chapter shall relate only to persons subject to this chapter.     (Code 1981, §33-46-1, enacted by Ga. L. 1990, p. 1088, § 1; Ga. L. 1996, p. 6, § 33.)