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 120-2-83 - CONSUMER CHOICE OPTION
Rule 120-2-83-.03 - Notification and Disclosure
Current through Rules and Regulations filed through September 23, 2024
(a) Notification of the option's availability and explanatory materials regarding the option shall be provided to enrollees at least annually at open enrollment, renewal, time of solicitation or by direct mail advertising, or upon request. Such information shall be provided to prospective enrollees upon request. Such information shall also be provided to newly eligible employees. Information shall include, but shall not be limited to:
(b) Only the enrollee may elect the option on behalf of him/herself and his/her eligible dependents.
(c) The Commissioner may create a disclosure form for managed care entities to provide to each prospective enrollee or enrollee with the information required in paragraphs (a) and (b) of this Rule. Said form may be changed from time to time as the Commissioner deems necessary.
(d) Enrollees shall have the right to withdraw from the option in limited situations where their nominated provider is rejected, deselected or declines to participate, effective the first day of the month following written notice to the managed care entity. In the event of withdrawal, the managed care entity shall provide the enrollee with a commensurate decrease in premium for the remainder of the plan year. However, due to federal taxation consequences, the enrollee's right to withdraw shall not apply to cafeteria benefit plans qualified under § 125 of the Internal Revenue Code.
O.C.G.A. Secs. 33-2-9, 33-20A-9.1.
