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-.14 - Reduction of Coverage
Current through Rules and Regulations filed through September 23, 2024
(1) Any assignment system policy or plan may provide for a reduction or coordination of coverage on any person upon eligibility for coverage under Medicare.
(2) No assignment system policy or plan may provide for a reduction or coordination of coverage based upon a person's eligibility for coverage under the Medicaid program of the State of Georgia.
(3) The benefits under the assignment system policy or plan shall be secondary to any group or blanket accident and sickness contract covering any person insured under the assignment system policy.
(4) The assignment system policy or plan may provide that any hospital, surgical or medical benefits payable thereunder may be reduced by the amount of any such benefits payable under the continuation coverage after the termination of the individual's insurance thereunder.
(5) A health insurer or managed care organization may request information in advance of any premium due date of such policy or plan of any person covered thereunder only as to whether:
O.C.G.A. Secs. 33-2-9, 33-29A-1, et seq.
