Responsibilities of Department

  1. Law
  2. Georgia Code
  3. Insurance
  4. Health Plan Purchasing Cooperatives
  5. Responsibilities of Department

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The department shall assist health plan purchasing cooperatives. To this end, the department is responsible for:

  1. Initially and thereafter annually certifying that each cooperative complies with the provisions of this chapter and regulations adopted pursuant to Code Section 33-30A-9. The department may decertify any cooperative if the cooperative fails to comply with the provisions of this chapter and the regulations adopted by the Commissioner;
  2. Conducting an annual review of the performance of each cooperative to ensure that the cooperative is in compliance with the provisions of this chapter and applicable regulations;
  3. Establishing criteria for plans to be offered through cooperatives to cooperative members. Such plans may include without limitation fee-for-service plans, preferred provider organizations, health maintenance organizations, provider sponsored health care corporation plans, and medical savings accounts;
  4. Receiving and reviewing appeals by members of a cooperative and carriers whose grievances were not resolved by the cooperative; and
  5. Providing annually to the House Committee on Insurance and the Senate Insurance and Labor Committee a detailed status report on the effect and administration of this chapter.

(Code 1981, §33-30A-5, enacted by Ga. L. 1997, p. 1072, § 1.)


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