reglab/housing_qa huggingface dataset:
GA Code § 33-20-25 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20 - Health Care Plans|§ 33-20-25. Liability for Expenses of Commissioner's Supervisory and Other Activities

 Any and all supervision, conservation, rehabilitation, liquidation, or examination of the affairs of any corporation by the Commissioner shall be at the expense of the corporation.   (Code 1933, § 56-1729a, enacted by Ga. L. 1976, p. 1461, § 1; Ga. L. 1995, p. 745, § 1.9.)
GA Code § 33-20-26 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20 - Health Care Plans|§ 33-20-26. Powers of Commissioner as to Protection of Subscribers and Public Health and Welfare

 The Commissioner shall have the authority to take appropriate actions authorized by this title for the protection of a health care corporation's subscribers and the public health and welfare, including but not limited to those authorized in Code Section 33-2-24, and shall have authority to institute civil actions and other appropriate proceedings authorized by and in accordance with Chapter 37 of this title to conserve the assets of, rehabilitate, or liquidate a health care corporation organized under or subject to this chapter in the same manner and under the same conditions and causes applicable to domestic life insurers under Chapter 37 of this title.   (Code 1933, § 56-1727a, enacted by Ga. L. 1976, p. 1461, § 1.)
GA Code § 33-20-27 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20 - Health Care Plans|§ 33-20-27. Imposition by Commissioner of Administrative Fine for Certain Acts of Officers, Employees, Agents, or Representatives of Corporations

  The Commissioner may after a hearing impose upon a health care corporation an administrative fine if he finds that the corporation through the acts of its officers, employees, agents, or representatives has with such frequency as to indicate its general business practice in this state:   Refused without just cause to pay proper claims arising under coverage provided by its contracts whether the claim is in favor of a subscriber or in favor of any other person entitled to the proceeds of a contract; or   Compelled without just cause subscribers, claimants, or other persons entitled to the proceeds of its contracts in this state to accept less than the amount due them or to bring action against the corporation to secure full payment or settlement of their claims.     The administrative fine imposed for violations set forth in paragraph (1) or (2) of subsection (a) of this Code section shall not exceed $1,000.00 for each act of misconduct constituting a violation; provided, however, that a fine of not more than $5,000.00 for each act of willful misconduct constituting a violation may be imposed.    (Code 1933, § 56-1725a, enacted by Ga. L. 1976, p. 1461, § 1.)
GA Code § 33-20-28 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20 - Health Care Plans|§ 33-20-28. Termination of Organizers, Agents, Solicitors Engaging in Unfair or Deceptive Practices

 Whenever the Commissioner finds after investigation that an organizer, agent, or solicitor of a health care corporation has unfairly or improperly solicited subscription certificates by misrepresenting the terms of the certificates or has engaged in any other unfair or deceptive practice, or for any reason is incompetent to serve as an organizer, agent, or solicitor, or that his or her services are not, in fact, needed, he or she shall order such corporation to dispense with the services and the organizer, agent, or solicitor of the corporation. The corporation shall be subject to the fines, penalties, and provisions of Chapter 6 of this title and Code Section 33-2-24 that are applicable to life insurers and their agents and that are not inconsistent with this chapter.   (Code 1933, § 56-1726a, enacted by Ga. L. 1976, p. 1461, § 1; Ga. L. 2019, p. 337, § 1-86/SB 132.)    The 2019 amendment,  effective July 1, 2019, in the first sentence, substituted "organizer, agent, or solicitor" for "organizer, solicitor, or agent" in two places and inserted "or her" and "or she"; and substituted "The corporation" for "The corporations" at the beginning of the second sentence.
GA Code § 33-20-29 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20 - Health Care Plans|§ 33-20-29. Unlawful Actions by Unauthorized Persons

 It shall be unlawful for any person except a health care corporation established in accordance with this chapter and operating in accordance with authority from the Commissioner to establish, maintain, or operate a health care plan or to solicit subscribers to or enter into contracts with respect to a health care plan, provided that nothing in this chapter shall be construed as preventing a person from furnishing medical services for the prevention of disease among his employees or from furnishing such medical services as are required under the workers' compensation law or other laws of this state, as preventing any duly licensed insurance company from writing medical indemnity insurance or otherwise operating in accordance with this title, as preventing any duly authorized corporation from operating in accordance with Chapter 18 or 19 of this title, or as preventing any other duly authorized person or entity from operating in accordance with any other provisions of this title.   (Code 1933, § 56-1708a, enacted by Ga. L. 1976, p. 1461, § 1.)
GA Code § 33-20-30 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20 - Health Care Plans|§ 33-20-30. Resolution of Disputes

 Any dispute arising within the purview of this chapter with reference to the regulation and supervision of any health care corporation shall within 30 days after such dispute arises be submitted by the aggrieved person to the Commissioner for his decision with reference thereto, provided nothing in this Code section shall authorize or require the Commissioner to determine the contractual rights between the parties interested in any such corporations. After proper notice and hearing, any decisions and order of the Commissioner made pursuant to this chapter shall be binding on the persons involved unless set aside on review as provided by this Code section.   (Code 1933, § 56-1728a, enacted by Ga. L. 1976, p. 1461, § 1; Ga. L. 1982, p. 3, § 33.)
GA Code § 33-20-31 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20 - Health Care Plans|§ 33-20-31. Applicability and Construction of Chapter

 Except for corporations subject to this chapter which are surviving corporations, this chapter shall not apply to nor govern any corporation which is organized for profit or which contemplates any pecuniary gain to its shareholders or members. A corporation subject to this chapter may organize subsidiary or affiliated corporations to engage in allied business ventures in accordance with Chapters 13 and 14 of this title.   (Code 1933, § 56-1701a, enacted by Ga. L. 1976, p. 1461, § 1; Ga. L. 1995, p. 745, § 1.10.)
GA Code § 33-20-32 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20 - Health Care Plans|§ 33-20-32. Application of Other Provisions of Code to Health Care Corporations

 Except where the context otherwise requires, the applicable provisions of Title 14 shall govern a health care corporation. A health care corporation shall not be considered to be a corporation described in paragraph (2) of subsection (a) of Code Section 14-3-1302. All of the provisions of this title which are not in conflict with this chapter shall be applicable to any health care corporation subject to such modifications as the Commissioner may prescribe by order, directive, interpretation, guideline, or rule or regulation after any notice and hearing as may be required by this title.   (Code 1933, § 56-1730a, enacted by Ga. L. 1976, p. 1461, § 1; Ga. L. 1995, p. 745, § 1.11.)
GA Code § 33-20-34 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20 - Health Care Plans|§ 33-20-34. Conversion of Nonprofit Health Care Corporation; Requirements and Procedures; Rules and Regulations

    Any health care corporation which is governed generally by Chapter 3 of Title 14, the "Georgia Nonprofit Corporation Code," and authorized under this chapter may merge with, or amend its articles of incorporation to become, a corporation governed by Chapter 2 of Title 14, the "Georgia Business Corporation Code," provided a detailed, written plan is submitted to the Commissioner for such conversion, written notice of such submission is given to the Attorney General, and, after a public hearing thereon, such plan is approved by the Commissioner after being found to be in the best interest of the company, its policyholders, and the general public.   In any such public hearing, the Attorney General may appear before the Commissioner and make such presentation as he or she shall deem to be in the public's interest. The Attorney General shall provide representation to the Commissioner in any other legal action relating thereto. Nothing in this Code section shall be construed as a limitation upon the Attorney General in providing legal representation to the Commissioner during the pendency of any decision concerning conversion.     The Commissioner may promulgate rules and regulations which are necessary to implement the provisions of this Code section.     (Code 1981, §33-20-34, enacted by Ga. L. 1995, p. 745, § 1.12; Ga. L. 2019, p. 337, § 1-87/SB 132.)    The 2019 amendment,  effective July 1, 2019, inserted "health care" and "generally" near the beginning of paragraph (a)(1).
GA Code § 33-20B-1 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20B - Essential Rural Health Care Provider Access|§ 33-20B-1. Short Title

 This chapter shall be known and may be cited as the "Essential Rural Health Care Provider Access Act."    (Code 1981, §33-20B-1, enacted by Ga. L. 1998, p. 900, § 2.)   Law reviews.   - For review of 1998 legislation relating to insurance, see 15 Ga. St. U.L. Rev. 143 (1998).
GA Code § 33-20B-3 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20B - Essential Rural Health Care Provider Access|§ 33-20B-3. Qualifications for Participating Providers; Reasonable Consideration

  Any essential rural health care provider shall have the opportunity to become a participating provider of health care services in a health benefit plan if such provider meets all of the following conditions:   Participates in the medicare and Medicaid programs;   Adopts and complies with a policy for the provision of health care services to indigent and charity patients;   Is licensed, where required under law, and qualified to render the services provided by the plan;   Agrees to payment terms which are either:   The same payment terms applicable to other similar participating providers in the plan; or   Such payment terms as may be mutually agreed upon by such provider and a health care insurer; and     Meets the reasonable and nondiscriminatory qualifications and standards established by the plan. Plan standards must comply with all applicable laws and regulations, but such qualifications and standards may not discriminate against essential rural health care providers on the basis of geographic proximity to other participating providers or corporate status.     All essential rural health care providers within a defined service area who meet the conditions established in subsection (a) of this Code section shall be given the opportunity to apply to become a participating provider in a plan. Provisions within a health benefit plan applicable to providers in such plan shall be applied by the health care insurer in a uniform and consistent manner to similarly situated providers. In the event an essential rural health care provider requests the opportunity to become a participating provider in any health benefit plan, the health care insurer shall conduct reasonable and good faith negotiations with such essential rural health care provider to determine whether it meets the applicable qualifications and standards established by the plan in accordance with all applicable laws, rules, and regulations as promulgated by the Commissioner of Insurance.   Health benefit plans shall include sufficient and reasonable numbers of physicians located in rural areas.     (Code 1981, §33-20B-3, enacted by Ga. L. 1998, p. 900, § 2; Ga. L. 2000, p. 439, § 1.)   Law reviews.   - For note on 2000 amendment of this Code section, see 17 Ga. St. U.L. Rev. 215 (2000).
GA Code § 33-20B-3.1 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20B - Essential Rural Health Care Provider Access|§ 33-20B-3.1. Health Maintenance Organizations' Expansion Into Rural Areas

 When reviewing a health maintenance organization's request to originate or expand an area of service into a rural area, the commissioner of community health shall consider whether the health maintenance organization has demonstrated its willingness to grant reasonable consideration to essential rural health care providers in the negotiating and contracting process.    (Code 1981, §33-20B-3.1, enacted by Ga. L. 2000, p. 439, § 1; Ga. L. 2009, p. 453, § 1-6/HB 228.)   Law reviews.   - For note on 2000 enactment of this Code section, see 17 Ga. St. U.L. Rev. 215 (2000).
GA Code § 33-20B-4 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20B - Essential Rural Health Care Provider Access|§ 33-20B-4. Termination as a Participating Provider

 To deny, reject, or terminate an essential rural health care provider from serving as a participating provider in a health benefit plan, the health care insurer shall:    Inform the essential rural health care provider in writing of the basis for such rejection or termination, including a reference to any specific qualification or standard established by the plan in accordance with all applicable laws and regulations which the provider failed to meet; and   Where possible, afford the essential rural health care provider a reasonable opportunity to cure the deficiency which is the basis for such rejection or termination.     (Code 1981, §33-20B-4, enacted by Ga. L. 1998, p. 900, § 2.)
GA Code § 33-20B-5 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20B - Essential Rural Health Care Provider Access|§ 33-20B-5. Hearing and Appeal Rights of Denied Providers

 Any essential rural health care provider which is denied, rejected, or terminated from serving as a participating provider in a health benefit plan shall have the right of hearing and appeal before the Commissioner, or his or her designee, if that provider believes there has been a violation of this chapter and of judicial appeal as provided in Chapter 2 of this title. To the extent proprietary materials, trade secrets, rate data, or other materials not generally known to the public are presented at a hearing or an appeal, such information shall be admissible but shall be sealed by the Commissioner and held as confidential and shall not be subject to Article 4 of Chapter 18 of Title 50.    (Code 1981, §33-20B-5, enacted by Ga. L. 1998, p. 900, § 2; Ga. L. 1999, p. 81, § 33.)
GA Code § 33-20B-6 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20B - Essential Rural Health Care Provider Access|§ 33-20B-6. Administration

 The administration of this chapter shall be through the Commissioner of Insurance.    (Code 1981, §33-20B-6, enacted by Ga. L. 1998, p. 900, § 2.)
GA Code § 33-20C-4 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20C - Accurate Provider Directories|§ 33-20C-4. Information and Searchable Format for Directories; Exclusion for Dental Plans

  The insurer shall make available through an online provider directory, for each network plan, the following information, in a searchable format:   For healthcare professionals:   Name;   Gender;   Contact information;   Participating office location or locations;   Specialty, if applicable;   Board certifications, if applicable;   Medical group affiliations, if applicable;   Participating facility affiliations, if applicable;   Languages spoken other than English by the healthcare professional or clinical staff, if applicable;   Tier; and   Whether they are accepting new patients;     For hospitals:   Hospital name;   Hospital type, such as acute, rehabilitation, children's, or cancer;   Participating hospital location;   Hospital accreditation status;   Telephone number; and   Health benefit plan surprise bill rating; and     For facilities other than hospitals:   Facility name;   Facility type;   Types of services performed;   Participating facility location or locations; and   Telephone number.       Paragraphs (2) and (3) of subsection (a) of this Code section shall not apply to standalone dental plans.     (Code 1981, §33-20C-4, enacted by Ga. L. 2016, p. 149, § 1/SB 302; Ga. L. 2020, p. 228, § 2/HB 789.)    The 2020 amendment,  effective November 1, 2020, substituted "healthcare" for "health care" in paragraph (a)(1) and subparagraph (a)(1)(I), deleted "and" at the end of subparagraph (a)(2)(D), and added subparagraph (a)(2)(F).   Editor's notes.   - Ga. L. 2020, p. 228, § 1/HB 789, not codified by the General Assembly, provides that: "This Act shall be known and may be cited as the 'Surprise Bill Transparency Act.' "   Ga. L. 2020, p. 228 contains two sections numbered as "2". The language in the second Section 2 of the Act amended this Code section.
GA Code § 33-20C-5 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20C - Accurate Provider Directories|§ 33-20C-5. Printed Directories; Accuracy; Application to Standalone Dental Plans

  The insurer shall make available in print, upon request, the following provider directory information for the applicable network plan:   For healthcare professionals:   Name;   Contact information;   Participating office location or locations;   Specialty, if applicable;   Languages spoken other than English, if applicable; and   Whether accepting new patients;     For hospitals:   Hospital name;   Hospital type, such as acute, rehabilitation, children's, or cancer;   Participating hospital location and telephone number; and   Health benefit plan surprise bill rating; and     For facilities other than hospitals:   Facility name;   Facility type;   Types of services performed; and   Participating facility location or locations and telephone number.       The insurer shall include a disclosure in the print directory that the information in subsection (a) of this Code section and included in the directory is accurate as of the date of printing and that covered persons or prospective covered persons should consult the insurer's electronic provider directory on its website or call a specified customer service telephone number to obtain current provider directory information.   Paragraphs (2) and (3) of subsection (a) of this Code section shall not apply to standalone dental plans.     (Code 1981, §33-20C-5, enacted by Ga. L. 2016, p. 149, § 1/SB 302; Ga. L. 2017, p. 713, § 1/HB 262; Ga. L. 2020, p. 228, § 3/HB 789.)    The 2020 amendment,  effective November 1, 2020, substituted "healthcare" for "health care" in paragraph (a)(1), deleted "and" at the end of subparagraph (a)(2)(B), and added subparagraph (a)(2)(D).   Editor's notes.   - Ga. L. 2020, p. 228, § 1/HB 789, not codified by the General Assembly, provides that: "This Act shall be known and may be cited as the 'Surprise Bill Transparency Act.' "
GA Code § 33-20C-6 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20C - Accurate Provider Directories|§ 33-20C-6. Exclusion for Services Provided Through Department of Community Health

 This chapter shall not apply to the provision of health care services pursuant to a contract entered into by an insurer and the Department of Community Health for recipients of Medicaid or PeachCare for Kids and the state health benefit plan under Article 1 of Chapter 18 of Title 45.    (Code 1981, §33-20C-6, enacted by Ga. L. 2016, p. 149, § 1/SB 302.)
GA Code § 33-20C-7 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20C - Accurate Provider Directories|§ 33-20C-7. Disclosure of Health Benefit Plan Surprise Bill Rating in Advertisement; Other Disclosures; Regulation; Optional Annual Reporting

  Each insurer that advertises or designates any hospital as in-network shall be required to disclose the relevant health benefit plan surprise bill rating within such advertisement, notwithstanding the type or form of such advertisement.   If a health benefit plan surprise bill rating is less than four checkmarks, each insurer advertising a hospital as in-network shall describe which qualified hospital based specialty group types are not contracted with such health benefit plan.   The Commissioner may promulgate rules and regulations which require insurers to provide explanatory footnotes to each health benefit plan surprise bill rating in such special circumstances as the Commissioner may determine to be appropriate.   If an insurer processes a claim on a covered person from an out-of-network qualified hospital based specialty group provider at out-of-network rates, such insurer shall update the relevant health benefit plan surprise bill rating within 30 days to reflect any necessary reduction in such rating.   The Commissioner may submit an annual report to the House Committee on Insurance and the Senate Insurance and Labor Committee beginning January 1, 2022. Such report may include such aggregate data as the Commissioner determines beneficial to share with such committees.     (Code 1981, §33-20C-7, enacted by Ga. L. 2020, p. 228, § 4/HB 789.)   Editor's notes.   - Ga. L. 2020, p. 228, § 1/HB 789, not codified by the General Assembly, provides that: "This Act shall be known and may be cited as the 'Surprise Bill Transparency Act.' "
GA Code § 33-20D-1 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 20D - Rental Provider Network|§ 33-20D-1. Definitions

 As used in this chapter, the term:    "Affiliate" means an entity owned or controlled, either directly or through a parent or subsidiary entity, by a contracting entity that accesses the rates, terms, or conditions of health care services.   "Contracting entity" means any person or entity that enters into direct contracts with health care providers for the delivery of health care services in the ordinary course of business, including a health care organization or hospital organization when leasing or renting the health care organization's or hospital organization's network to a third party.   "Covered person" means an individual who is covered under a health insurance plan.   "Health care services" means the examination or treatment of persons for the prevention of illness or the correction or treatment of any physical or mental condition resulting from illness, injury, or other human physical problem.   "Health insurer" means an accident and sickness insurer, health care corporation, health maintenance organization, provider sponsored health care corporation, or any similar entity regulated by the Commissioner.   "Provider network contract" means a contract between a contracting entity and a provider specifying the rights and responsibilities of the contracting entity and provider for the delivery of and payment for health care services to covered persons.   "Rental preferred provider network" means a preferred provider network that contracts with a health insurer or other payor or with another preferred provider network to grant access to the terms and conditions of its contract with providers of health care services. Such contracts are often referred to as "renting" or "leasing" the network. The term "rental preferred provider network" does not refer to a proprietary network of a licensed insurer or to arrangements providing for access to the proprietary network of a licensed insurer by affiliates of the licensed insurer or by entities receiving administrative services from the licensed insurer or its affiliates.   "Third party" means an organization that enters into a contract with a contracting entity or with another third party to gain access to a provider network contract.     (Code 1981, §33-20D-1, enacted by Ga. L. 2016, p. 319, § 1/SB 158.)