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 120-2-80 - PATIENT PROTECTION ACT
Rule 120-2-80-.05 - Reporting Requirements
Current through Rules and Regulations filed through September 23, 2024
(1) Managed care entities with annual and quarterly statement requirements which report premiums and claims, enrollment, utilization of services, numbers of contracting providers and numbers of complaints and grievances shall continue to capture and report this information on standard financial and other required reporting formats as they relate to managed care plans under this Regulation Chapter.
(2) Managed care entities not subject to specific reporting requirements for their managed care plans shall gather and prepare such information on a quarterly and annual basis as is necessary to capture and report, including, but not limited to:
These reports shall be marked as "Patient Protection Act Statistical Reports" and shall bear the name and NAIC number of the reporting entity, and shall be submitted as supplements to normal quarterly and annual financial reports presently required. The Commissioner, at his or her discretion, may specify additional reporting requirements for managed care plans.
O.C.G.A. Secs. 33-2-9, 33-20A-2, 33-20A-4, 33-20A-5.
