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 120-2-81 - INDIVIDUAL HEALTH INSURANCE ASSIGNMENT SYSTEMS
Rule 120-2-81-.06 - Optional Policies or Plans

Current through Rules and Regulations filed through March 20, 2024

(1) A health insurer or managed care organization may offer, in addition to the standard policies or plans, other additional individual health insurance policies or plans approved by the Commissioner for use in this state. A health insurer or managed care organization may also offer additional policies or plans with benefit options based on the standard plans but with different benefit schedules, provided such policies are filed with the Commissioner for approval. In the event a health insurer or managed care organization elects to offer such optional plans to qualifying eligible individuals and eligible dependents, the health insurer or managed care organization must assure that:

(a) both the standard and optional policies or plans are presented in a written offer of coverage and there is no unfair inducement to persuade the applicant in his or her selection;

(b) all optional policies or plans are made available to all qualifying eligible individuals and eligible dependents applying for coverage under the assignment system and assigned to the health insurer or managed care organization;

(c) all optional policies or plans comply with Rules 120-2-81-.11, .12, .13, .14, .15, .18, and .19; and

(d) all optional policies or plans are accompanied by a certification from the health insurer or managed care organization which asserts the following:

"This policy option is not a standard plan developed by the Commissioner of Insurance of the State of Georgia. Unlike the standard plans, it may not contain maximum rate limitations and benefits as guaranteed by state law and regulation. Should you have questions regarding any differences between this policy and the standard plan, you may contact [name of health insurer or managed care organization] at [phone number]".

O.C.G.A. Secs. 33-2-9, 33-29A-1, et seq.

Disclaimer: These regulations may not be the most recent version. Georgia may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.