Ga. Comp. R. & Regs. R. 120-2-106-.02 - Scope and Purpose

This Regulation is made pursuant to the "Surprise Billing Consumer Protection Act," which was passed to provide a mechanism to resolve billing and payment disputes between insurers and out-of-network providers. It will also establish a fair and equitable arbitration process to handle such disputes. This Regulation applies only to "healthcare plans" and "state healthcare plans," as defined in this Regulation. Nothing in this Regulation shall reduce a covered person's financial responsibilities concerning ground ambulance transportation. Failure of an insurer to comply with the provisions of Chapter 20E of Title 33 shall be deemed an unfair trade practice as defined in 33-6-4.

Notes

Ga. Comp. R. & Regs. R. 120-2-106-.02

O.C.G.A. §§ 33-2-9, 33-20E.

Original Rule entitled "Scope and Purpose" adopted. F. Dec. 7, 2020; eff. Jan. 1, 2021, as specified by the Agency.