Compilation of Rules and Regulations of the State of Georgia
Department 120 - OFFICE OF COMMISSIONER OF INSURANCE, SAFETY FIRE COMMISSIONER AND INDUSTRIAL LOAN COMMISSIONER
Chapter 120-2 - RULES OF COMMISSIONER OF INSURANCE
Subject 120-2-67 - PORTABILITY AND RENEWABILITY
Rule 120-2-67-.06 - Affiliation Periods
Current through Rules and Regulations filed through September 23, 2024
A group health insurance policy offered by a health maintenance organization may impose an affiliation period to employees, enrollees, or group members in lieu of any and all pre-existing condition exclusions or limitations only if the following are satisfied:
(a) The affiliation period is applied uniformly to all employees, enrollees, or members of the group, without regard to any health status related factor;
(b) The affiliation period does not exceed two months for newly eligible employees, group members and dependents, or three months for late enrollees;
(c) The affiliation period begins on the first day of any waiting period, or on the first day of employment, whichever is earlier, and runs concurrently with any waiting period;
(d) No premium is charged for the affiliation period; and
(e) A health maintenance organization electing to use an affiliation period in their group health policies or contracts must fully disclose the terms of such affiliation period in all policies or contracts and certificates.
O.C.G.A. Secs. 33-2-9, 33-30-15.
