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Insurance Law

INSURANCE Individual Health Insurance Coverage

The bill would have allowed insurers authorized to transact business in Georgia to offer Georgians individual accident and sickness policies that are approved for issuance in other states. The bill would have required that the out-of-state policies contain disclosures notifying consumers that the policies may be governed by the laws

INSURANCE Chapter 7 Kinds of Insurance and Chapter 9 Regulation of Rates, Underwriting Rules, and Related Organizations: Amend Title 33 of the Official Code of Georgia Annotated, Relating to Insurance, so as to Limit Coverages Under Uninsured Motorist...

The Act provides that an uninsured motor vehicle includes a motor vehicle for which the available coverages are inadequate to cover a person's bodily injury and property damage losses and that such motor vehicle shall be considered uninsured to the full extent of the limits of the uninsured

INSURANCE General Provisions Relative to Insurance: Provide for Reimbursement by Insurers to Register Nurse First Assistants Who Perform Surgical First Assistance Services

The Act, called the "Registered Nurse First Assistance Consumer Act," amends the Code sections 33-24-59 by adding new subsection 33-24-59.9. The Act provides for the consistent reimbursement of registered nurse first assistants acting as independent contractors for their services performed in interoperative care. The Act further provides

INSURANCE Managed Health Plans: Provide Certain Enrollees of Managed Care Plans with an Independent Review of Plan Determination and Provide Standards, Conditions, and Procedures Relating Thereto; Provide for Duties, Powers, and Functions of the Healt...

The Act creates a tort with liability for Health Maintenance Organization (HMO) decisions concerning medical conditions that result in death or injury. A plaintiff may recover actual damages from an HMO or managed care provider if the plaintiff can prove he or she suffered from a poor decision made by

INSURANCE Essential Rural Health Care Provider Access Act: Prohibit Exclusion of Essential Rural Health Care Providers from Health Benefit Plans

The Act requires that health insurance plans of all types allow participation by qualified rural health care providers. The Act first provides that health plans must give rural providers the opportunity to apply to become a participating provider. The Act requires that if the rural providers' applications are denied

INSURANCE Fraud: Provide for Increased Penalties for Felony Insurance Fraud. Rules and Regulations: Change Certain Provisions Relating to Rules and Regulations; Change Certain Provisions Relating to Required Insurance Policy Provisions. Uninsured M...

The Act amends eleven Code sections relating to insurance. The Act classifies as "felonies" all acts that meet the current definition of insurance fraud and increases the maximum penalty for insurance fraud to ten years imprisonment and/or a $10,000 fine. The Act prohibits the Insurance Commissioner

INSURANCE Insurance Generally: Prohibit Disparate Insurance Coverage Between Physical Disorders and Mental Health Disorders Under Certain Conditions

The Act provides for mental health parity under certain conditions. The Act applies to individual, small group, and large group policies; self-insured companies are exempted from the Act. In general, an employer is not required to offer mental health insurance coverage. However, if such coverage is offered, the Act provides

INSURANCE Insurance Generally: Provide Provisions and Definitions Relating to Insurance, Recovery for Personal Injury from a Third Party, Settlement of Claims, Right of Reimbursement for Medical Expenses and Disability Payments, Set-Offs, Subrogation f...

The Act relates to personal injury cases against third parties brought by or on behalf of a person to whom an insurance provider has paid medical benefits. The Act provides general provisions and definitions of insurance, including notice requirements, and provides for reimbursement of medical benefits paid to benefit providers

INSURANCE Insurance Generally: Authorize Use of Preexisting Conditions Exclusions or Limitations in Group Policies or Contracts of Disability Income Insurance

The Act permits the use of preexisting conditions exclusions in group disability income insurance policies. Specifically, the Act provides a definition of preexisting condition and prohibits the use in group disability income insurance policies of any definition that is more restrictive than the statutory standard. The Act requires policies that

INSURANCE Domestic Stock and Mutual Insurers: Create Exceptions to Prohibited Transactions for Directors and Employees; Permit Transferability of Insurable Interests

The Act allows officers, directors, committee members, and employees of an insurance company to engage in transactions with the insurance company if a written request is given to the Insurance Commissioner’s office and the request is not denied. The Act also changes the law relating to a

INSURANCE Domestic Stock and Mutual Insurers: Provide for the Conversion of a Mutual Insurer to a Stock Insurer; Authorize Domestic Stock Insurers to Issue Preferred Stock

Act 781 relaxes the requirements for a mutual stock insurer wishing or planning to convert to a domestic stock insurer. The Act decreases the percentage of approval required from policyholders for successful conversion. Further, the Act mandates giving policyholders a choice between participating in a conversion or receiving 100% of

INSURANCE Insurance Generally: Provide for Limited Release of Settling Insurance Carrier and Insured Tortfeasor for Claims Arising out of Motor Vehicle Accidents Covered by Two or More Insurance Carriers

For claims arising out of motor vehicle accidents in which there is multiple insurance coverage, the Act provides that one carrier may settle with the claimant by paying its policy limits and thereby release itself and its insured from further liability except to the extent other insurance coverage may apply.

INSURANCE Individual or Group Accident and Sickness Insurance: Provide Mandatory Coverage for Certain Cancer Tests

The Act requires individual and group accident and sickness insurance policies to contain coverage for mammograms and Papanicolaou smears (Pap smears) for women and prostrate specific antigen tests for men. Insurers must provide this coverage only for the categories of women and men specifically stated in the Act. The coverage

INSURANCE Georgia Motor Vehicle Accident Reparations Act: Repeal Provisions Requiring Personal Injury Protection Insurance Coverage and Related Provisions

The Act repeals and adds a number of Code sections dealing with Georgia's automobile insurance legislation. The central measure of the Act repeals and revises provisions of the Georgia Motor Vehicle Accident Reparations Act that require personal injury protection insurance coverage. Other key features include a mandatory fifteen