reglab/housing_qa huggingface dataset:
GA Code § 33-30-13.1 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 30 - Group or Blanket Accident and Sickness Insurance|Article 1 - General Provisions|§ 33-30-13.1. Furnishing Claims Experience to Policyholders

  As used in this Code section, the term "insurer" means an accident and sickness insurer, fraternal benefit society, health care corporation, provider sponsored health care corporation, health maintenance organization, or any similar entity.     All insurers shall furnish, regardless of the rating methodology used, claims experience to group policyholders within 30 days of any policyholder's request unless such information has been furnished to the group policyholder within the preceding six months.Such claims experience shall be furnished for all groups of 51 or more covered employees, members, or enrollees, not including dependents, and shall include, but shall not be limited to:   Earned premiums separated by policy year for at least the last two policy years, if applicable;   Total paid claims and total incurred claims, inclusive of any high amount or pooled claims, including both capitated and noncapitated expenses set forth in the same manner as premiums; and   Any amounts in excess of the individual pooling or stop-loss point applicable to the group.     Insurers that utilize provider contracting methods including financial devices such as global fee arrangements to cover all medical expenses may make application to the Commissioner for approval of the use of an alternative form of claims experience reporting.The insurer must still provide Georgia experience on a group-specific basis or on such other reasonable basis as the Commissioner may approve for such insurer, in advance, based upon a submission of an explanation and supporting documentation.Any insurer that received approval for an alternative form of group claims experience reporting to policyholders shall be required to seek the Commissioner's advance approval of a proposed response letter to group policyholders who request experience reporting.Such letter should describe the insurer's reasons for seeking an alternative reporting process and describe the alternative form of reporting approved by the Commissioner.   Insurers may charge a reasonable fee for providing this information to group policyholders.The schedule or amount of fees to be charged group policyholders for providing this information shall be filed by each insurer with the Commissioner.   In providing claims experience to group policyholders under this Code section, insurers shall adhere to all state and federal laws regarding disclosure of protected health or personal information.       (Code 1981, §33-30-13.1, enacted by Ga. L. 2002, p. 8, § 4; Ga. L. 2017, p. 164, § 48/HB 127.)
GA Code § 33-30-16 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 30 - Group or Blanket Accident and Sickness Insurance|Article 1 - General Provisions|§ 33-30-16. Definitions; Requirement to Offer Reasonably Priced Comprehensive Major Medical Health Insurance Policy

  As used in this Code section, the term:   "Operative date" means the date on which either of the following occurs:   A federal law is enacted which expressly repeals 42 U.S.C. Section 300gg-3 or 42 U.S.C. Section 300gg-4 of the PPACA; or   42 U.S.C. Section 300gg-3 or 42 U.S.C. Section 300gg-4 of the PPACA is invalidated by the United States Supreme Court.     "PPACA" means the Patient Protection and Affordable Care Act, Public Law 111-148, as amended by the Health Care and Education Reconciliation Act of 2010, Public Law 111-152.   "Preexisting medical condition" means a condition that was present before the effective date of coverage under a policy, whether or not any medical advice, diagnosis, care, or treatment was recommended or received before the effective date of coverage. Such term includes a condition identified as a result of a preenrollment questionnaire or physical examination given to the individual or a review of medical records relating to the preenrollment period.       Not later than 30 days after the operative date, and notwithstanding any other law to the contrary, every insurer issuing, delivering, or issuing for delivery comprehensive individual major medical health insurance policies in this state shall make at least one reasonably priced comprehensive major medical health insurance policy available to residents in the insurer's approved service areas of this state, and such insurer may not exclude, limit, deny, or delay coverage under such policy due to one or more preexisting medical conditions.   Such insurer may not limit or exclude benefits under such policy, including a denial of coverage applicable to an individual as a result of information relating to an individual's health status before the individual's effective date of coverage, or if coverage is denied, before the date of the denial.     The comprehensive major medical health insurance policy that the insurer is required to offer under this Code section shall be a policy that had been actively marketed in this state by the insurer as of the operative date and that was also actively marketed in this state during the year immediately preceding the operative date.     (Code 1981, §33-30-16, enacted by Ga. L. 2021, p. 512, § 1/HB 509.)
GA Code § 33-30-20 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 30 - Group or Blanket Accident and Sickness Insurance|Article 2 - Preferred Provider Arrangements|§ 33-30-20. Short Title

 This article shall be known and may be cited as the "Preferred Provider Arrangements Act."    (Code 1981, §33-30-20, enacted by Ga. L. 1988, p. 1483, § 1.)
GA Code § 33-30-21 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 30 - Group or Blanket Accident and Sickness Insurance|Article 2 - Preferred Provider Arrangements|§ 33-30-21. Legislative Intent

 It is the intent of the General Assembly to encourage health care cost containment while preserving quality of care by allowing health care insurers to enter into preferred provider arrangements and by establishing minimum standards for preferred provider arrangements and the health benefit plans associated with those arrangements.    (Code 1981, §33-30-21, enacted by Ga. L. 1988, p. 1483, § 1.)
GA Code § 33-30-22 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 30 - Group or Blanket Accident and Sickness Insurance|Article 2 - Preferred Provider Arrangements|§ 33-30-22. Definitions

 As used in this article, the term:    "Emergency services" or "emergency care" means those health care services that are provided for a condition of recent onset and sufficient severity, including, but not limited to, severe pain, that would lead a prudent layperson, possessing an average knowledge of medicine and health, to believe that his or her condition, sickness, or injury is of such a nature that failure to obtain immediate medical care could result in:   Placing the patient's health in serious jeopardy;   Serious impairment to bodily functions; or   Serious dysfunction of any bodily organ or part.     "Health benefit plan" means the health insurance policy or subscriber agreement between the covered person or the policyholder and the health care insurer which defines the covered services and benefit levels available.   "Health care insurer" means an insurer, a fraternal benefit society, a health care plan, or a health maintenance organization authorized to sell accident and sickness insurance policies, subscriber certificates, or other contracts of insurance by whatever name called under this title.   "Health care provider" means any person duly licensed or legally authorized to provide health care services.   "Health care services" means services rendered or products sold by a health care provider within the scope of the provider's license or legal authorization. The term includes, but is not limited to, hospital, medical, surgical, dental, vision, chiropractic, psychological, and pharmaceutical services or products.   "Preferred provider" means a health care provider or group of providers who have contracted to provide specified covered services.   "Preferred provider arrangement" means a contract between or on behalf of the health care insurer and a preferred provider which complies with all the requirements of this article.     (Code 1981, §33-30-22, enacted by Ga. L. 1988, p. 1483, § 1; Ga. L. 2005, p. 481, § 15/HB 291; Ga. L. 2017, p. 164, § 50/HB 127.)
GA Code § 33-30-24 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 30 - Group or Blanket Accident and Sickness Insurance|Article 2 - Preferred Provider Arrangements|§ 33-30-24. Health Benefit Plans Providing Incentives to Use Services of Preferred Providers; Minimum Requirements

 Health care insurers may issue health benefit plans which provide for incentives for covered persons to use the health care services of preferred providers. Such policies or subscriber certificates shall contain at least the following provisions:    A provision that if a covered person receives emergency care for services specified in the preferred provider arrangement and cannot reasonably reach a preferred provider, that emergency care rendered during the course of the emergency will be paid for in accordance with the terms of the health benefit plan, at benefit levels at least equal to those applicable to treatment by preferred providers for emergency care in an amount based on the usual, customary, and reasonable charges in the area where the treatment is provided; and   A provision which clearly identifies the differences in benefit levels for health care services of preferred providers and benefit levels for health care services of nonpreferred providers.  For purposes of this Code section, when a request for emergency care is made through the emergency 9-1-1 system on behalf of a covered person and the ambulance service licensed under Chapter 11 of Title 31 that was dispatched in response to the request is not a preferred provider, for purposes of payment under paragraph (1) of this Code section, it shall be presumed that the covered person could not reasonably reach a preferred provider.      (Code 1981, §33-30-24, enacted by Ga. L. 1988, p. 1483, § 1; Ga. L. 2006, p. 652, § 5/HB 1257.)
GA Code § 33-30-25 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 30 - Group or Blanket Accident and Sickness Insurance|Article 2 - Preferred Provider Arrangements|§ 33-30-25. Reasonable Limits on Number or Classes of Preferred Providers

 Subject to the approval of the Commissioner under such procedures as he may develop, health care insurers may place reasonable limits on the number or classes of preferred providers which satisfy the standards set forth by the health care insurer, provided that there be no discrimination against providers on the basis of religion, race, color, national origin, age, sex, or marital or corporate status, and provided, further, that all health care providers within any defined service area who are licensed and qualified to render the services covered by the preferred provider arrangement and who satisfy the standards set forth by the health care insurer shall be given the opportunity to apply and to become a preferred provider.    (Code 1981, §33-30-25, enacted by Ga. L. 1988, p. 1483, § 1.)
GA Code § 33-30-26 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 30 - Group or Blanket Accident and Sickness Insurance|Article 2 - Preferred Provider Arrangements|§ 33-30-26. Applicability of Title 33 and Related Rules and Regulations to Health Care Insurers

 Health care insurers as defined in this article shall be subject to and shall be required to comply with all other applicable provisions of this title and rules and regulations promulgated pursuant to this title.    (Code 1981, §33-30-26, enacted by Ga. L. 1988, p. 1483, § 1.)
GA Code § 33-30-27 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 30 - Group or Blanket Accident and Sickness Insurance|Article 2 - Preferred Provider Arrangements|§ 33-30-27. Promulgation of Rules and Regulations

 The Commissioner shall promulgate all rules and regulations necessary or appropriate to the administration and enforcement of this article.    (Code 1981, §33-30-27, enacted by Ga. L. 1988, p. 1483, § 1.)
GA Code § 33-30-28 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 30 - Group or Blanket Accident and Sickness Insurance|Article 2 - Preferred Provider Arrangements|§ 33-30-28. And 33-30-29

 Redesignated as Code Sections 33-30-12 and 33-30-13 by Ga. L. 1991, p. 94, § 33, effective March 14, 1991.   Editor's notes.   - Ga. L. 1991, p. 94, § 33, redesignated former Code Sections 33-30-28 and 33-30-29 as present Code Sections 33-30-12 and 33-30-13, respectively.
GA Code § 33-37-2 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 37 - Insurers Rehabilitation and Liquidation|Article 1 - General Provisions|§ 33-37-2. Applicability

 The proceedings authorized by this chapter may be applied to:    All insurers who are doing or have done an insurance business in this state and against whom claims may arise from such business;   All insurers who purport to do an insurance business in this state;   All insurers who have insureds resident in this state;   All other persons organized or in the process of organizing with the intent to do an insurance business in this state;   All nonprofit service plans and all fraternal benefit societies;   All title insurance companies; and   All prepaid health care delivery plans, health care plans, and health maintenance organizations.     (Code 1981, §33-37-2, enacted by Ga. L. 1991, p. 1424, § 7; Ga. L. 2019, p. 386, § 130/SB 133.)    The 2019 amendment,  effective July 1, 2019, substituted "claims may arise from such business" for "claims arising from that business may exist now or in the future" at the end of paragraph (1).   Cross references.   - Domestic stock and mutual insurers, T. 33, C. 14.   Reciprocal insurers, T. 33, C. 17.
GA Code § 33-37-4 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 37 - Insurers Rehabilitation and Liquidation|Article 1 - General Provisions|§ 33-37-4. Jurisdiction; Exclusiveness of Remedy; Venue; Change of Venue

  No delinquency proceeding shall be commenced under this chapter by anyone other than the Commissioner, and no court shall have jurisdiction to entertain, hear, or determine any proceeding commenced by any other person.   No court of this state shall have jurisdiction to entertain, hear, or determine any complaint praying for the dissolution, liquidation, rehabilitation, sequestration, conservation, or receivership of any insurer; or praying for an injunction or restraining order or other relief preliminary to, incidental to, or relating to such proceedings other than in accordance with this chapter.   In addition to other grounds for jurisdiction provided by the law of this state, a court of this state having jurisdiction of the subject matter has jurisdiction over a person served pursuant to Code Section 9-11-4 or other applicable provisions of law in an action brought by the receiver of a domestic insurer or an alien insurer domiciled in this state:   If the person served is an agent, broker, or other person who has at any time written policies of insurance for or has acted in any manner whatsoever on behalf of an insurer against which a delinquency proceeding has been instituted, in any action resulting from or incident to such a relationship with the insurer;   If the person served is a reinsurer who has at any time entered into a contract of reinsurance with an insurer against which a delinquency proceeding has been instituted or is an agent or broker of or for the reinsurer, in any action on or incident to the reinsurance contract;   If the person served is or has been an officer, director, manager, trustee, organizer, promoter, or other person in a position of comparable authority or influence over an insurer against which a delinquency proceeding has been instituted, in any action resulting from or incident to such a relationship with the insurer;   If the person served is or was at the time of the institution of the delinquency proceeding against the insurer holding assets in which the receiver claims an interest on behalf of the insurer, in any action concerning the assets; or   If the person served is obligated to the insurer in any way whatsoever, in any action on or incident to the obligation.     If the court on motion of any party finds that any action should as a matter of substantial justice be tried in a forum outside this state, the court may enter an appropriate order to stay further proceedings on the action in this state.   Any action authorized in this Code section shall be brought in the Superior Court of Fulton County.     (Code 1981, §33-37-4, enacted by Ga. L. 1991, p. 1424, § 7.)   Code Commission notes.   - Pursuant to Code Section 28-9-5, in 1991, a comma was inserted following "incidental to" in subsection (b).   RESEARCH REFERENCES   Am. Jur. 2d.   - 43 Am. Jur. 2d, Insurance, §§ 334 et seq., 348 et seq.
GA Code § 33-37-6 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 37 - Insurers Rehabilitation and Liquidation|Article 1 - General Provisions|§ 33-37-6. Cooperation With Commissioner Mandated; Penalties for Failure to Cooperate

  Any officer, manager, director, trustee, owner, employee, or agent of any insurer or any other persons with authority over or in charge of any segment of the insurer's affairs shall cooperate with the Commissioner in any proceeding under this chapter or any investigation preliminary to the proceeding. The term "person" as used in this Code section shall include any person who exercises control directly or indirectly over activities of the insurer through any holding company or other affiliate of the insurer."To cooperate" shall include, but shall not be limited to, the following:   To reply promptly in writing to any inquiry from the Commissioner requesting such a reply; and   To make available to the Commissioner any books, accounts, documents, or other records or information or property of or pertaining to the insurer and in his possession, custody, or control.     No person shall obstruct or interfere with the Commissioner in the conduct of any delinquency proceeding or any investigation preliminary or incidental thereto.   This Code section shall not be construed to abridge otherwise existing legal rights, including the right to resist a petition for liquidation or other delinquency proceedings or other orders.   Any person included within subsection (a) of this Code section who fails to cooperate with the Commissioner, or any person who obstructs or interferes with the Commissioner in the conduct of any delinquency proceeding or any investigation preliminary or incidental thereto, or who violates any order the Commissioner issued validly under this chapter may:   Be sentenced to pay a fine not exceeding $10,000.00 or to undergo imprisonment for a term of not more than one year, or both; or   After a hearing, be subject to the imposition by the Commissioner of a civil penalty not to exceed $10,000.00 and shall be subject further to the revocation or suspension of any insurance licenses issued by the Commissioner.       (Code 1981, §33-37-6, enacted by Ga. L. 1991, p. 1424, § 7.)   RESEARCH REFERENCES   Am. Jur. 2d.   - 43 Am. Jur. 2d, Insurance, § 19 et seq.   C.J.S.   - 44 C.J.S., Insurance, § 154 et seq.
GA Code § 33-37-7 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 37 - Insurers Rehabilitation and Liquidation|Article 1 - General Provisions|§ 33-37-7. Effect of Enactment of Chapter on Pending Proceedings

 Reserved. Repealed by Ga. L. 2019, p. 386, § 132/SB 133, effective July 1, 2019.   Editor's notes.   - This Code section was based on Code 1981, § 33-37-7, enacted by Ga. L. 1991, p. 1424, § 7.
GA Code § 33-37-8 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 37 - Insurers Rehabilitation and Liquidation|Article 1 - General Provisions|§ 33-37-8. Prohibition Against Release From Proceedings or Continuing Business

 No insurer that is subject to any delinquency proceedings, whether formal or informal, administrative or judicial, shall:    Be released from such proceeding, unless such proceeding is converted into a judicial rehabilitation or liquidation proceeding;   Be permitted to solicit or accept new business or request or accept the restoration of any suspended or revoked license or certificate of authority;   Be returned to the control of its shareholders or private management; or   Have any of its assets returned to the control of its shareholders or private management  until all payments of or on account of the insurer's contractual obligations by all guaranty associations, along with all expenses thereof and interest on all such payments and expenses, shall have been repaid to the guaranty associations or a plan of repayment by the insurer shall have been approved by the guaranty association.      (Code 1981, §33-37-8, enacted by Ga. L. 1991, p. 1424, § 7.)   RESEARCH REFERENCES   ALR.    - Decision of United States Supreme Court that insurance is interstate commerce as affecting state statutes relating to foreign insurance companies, 164 A.L.R. 500.
GA Code § 33-37-10 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 37 - Insurers Rehabilitation and Liquidation|Article 2 - Procedure for Delinquency Proceeding|§ 33-37-10. Confidentiality of Proceedings

 In all proceedings and judicial reviews thereof under Code Section 33-37-9, all records of the insurer, other documents, and all Department of Insurance files and court records and papers, so far as they pertain to or are a part of the record of the proceedings, shall be and remain confidential except as is necessary to obtain compliance therewith, unless and until the court, after hearing arguments from the parties in chambers, shall order otherwise or unless the insurer requests that the matter be made public. Until such court order, all papers filed with the clerk of the superior court shall be held by him in a confidential file.    (Code 1981, §33-37-10, enacted by Ga. L. 1991, p. 1424, § 7; Ga. L. 2019, p. 337, § 1-93/SB 132.)    The 2019 amendment,  effective July 1, 2019, substituted "Department of Insurance" for "Insurance Department" in the first sentence of this Code section.