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 120-2-79 - HEALTH PLAN PURCHASING COOPERATIVES
Rule 120-2-79-.11 - Approval of Advertising and Enrollment Materials

Current through Rules and Regulations filed through September 23, 2024

(1) A health plan purchasing cooperative shall file any enrollment or marketing materials which provide the standardized information on each health benefit plan as specified in O.C.G.A. § 33-30A-4(b)(2) for distribution to cooperative members at least ninety (90) days prior to their use. Such materials shall include, but are not limited to, information distributed to members on how to file or appeal grievances with participating carriers or the health plan purchasing cooperative, and any comparisons between health benefit plans using measures of performance such as medical outcomes and consumer satisfaction which clearly describe the indicators of comparison and the approved methodology used for such comparison.

(2) Each health plan purchasing cooperative shall maintain at its principal administrative office a complete file of all advertisements and enrollment materials, regardless of who wrote or developed them, created or designed, which are used in the course of the health plan purchasing cooperative's business in this state, with a notation indicating the manner and extent of distribution and the form number of any policy advertised. Such file shall be subject to inspection by the Office of Commissioner of Insurance. All such advertisements shall be maintained in said file for a period of not less than five (5) years.

O.C.G.A. Secs. 33-2-9, 33-30A-5, 33-30A-9.

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