Ga. Comp. R. & Regs. R. 120-2-44-.06 - Rates and Forms
(1)
In accordance with the Rules and Regulations of the Office of Commissioner of
Insurance §
120-2-25-.06(1)(g),
every group policy or contract, certificate, rider, endorsement, and
application to be issued, delivered, or issued for delivery in this State in
connection with a health plan having a preferred provider arrangement must be
submitted for approval prior to use in this State. Following an initial
approval of these forms for each insurer, subsequent, substantially similar
group certificates and associated forms may be treated as exempt forms pursuant
to the Rules and Regulations of the Office of Commissioner of Insurance §
120-2-25-.05(3),
provided the insurer files a notice and schedule of benefit changes with the
Commissioner of Insurance for informational purposes at least 30 days prior to
the use of such forms.
(2) Basic
rates and charges shall not be excessive, inadequate, or unfairly
discriminatory. A certification by a qualified actuary to the appropriateness
of the basic rates, based on reasonable assumptions as to expected medical
expenses, administrative expenses, and margins for contingencies, shall
accompany the filing along with supporting information.
Notes
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