Design of Plan; Controls on Unnecessary Use of Services

  1. Law
  2. Georgia Code
  3. Education
  4. Elementary and Secondary Education
  5. Teachers and Other School Personnel
  6. Health Insurance Plans
  7. Plan for Public School Teachers
  8. Design of Plan; Controls on Unnecessary Use of Services

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The health insurance plan shall be designed by the board to:

  1. Provide a reasonable relationship between the hospital, surgical, and medical benefits to be included and the expected distribution of expenses of each such type to be incurred by the covered employees and dependents; and
  2. Include reasonable controls, which may include deductible and coinsurance provisions applicable to some or all of the benefits, to reduce unnecessary utilization of the various hospital, surgical, and medical services to be provided and to provide reasonable assurance of stability in future years of the plan.

(Ga. L. 1975, p. 37, § 4.)

RESEARCH REFERENCES

Am. Jur. 2d.

- 44 Am. Jur. 2d, Insurance, § 1831 et seq.


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