Private Insurance Data Requirements in Georgia
Private Insurance Data Requirements in Georgia
| Subtopic | Statute/Regulation | Description |
|---|
| Information for advertising purposes | Advertisement Considered to be Deceptive and Misleading, Ga. Code Ann. § 43-1-19.1 | Advertisement Considered to be Deceptive and Misleading |
| HMO Prohibited Advertising Practices, Ga. Code Ann. § 33-21-26 | HMO Prohibited Advertising Practices | |
| Medicare Advertisements to be Approved by Commissioner, Ga. Code Ann. § 33-43-7 | Medicare Advertisements to be Approved by Commissioner | |
| Notifications and Marketing Materials to Members, Ga. Code Ann. § 33-30A-6 | Notifications and Marketing Materials to Members | |
| Prohibited Advertisement in Insurance Sales, Ga. Code Ann. § 33-38-21 | Prohibited Advertisement in Insurance Sales | |
| Questions Designed for Marketing or Research, Ga. Code Ann. § 33-39-6 | Questions Designed for Marketing or Research |
| Access to individual’s own records (Cross reference Medical Records Collection) | Conditions and procedures for copying records, Ga. Code Ann., § 31-33-2 | Conditions and procedures for copying records A provider who has custody over a patient’s medical record must retain the record for at least 10... |
| Mental Health Facility Examination of Patient Records, Ga. Code Ann. § 37-3-167 | Mental Health Facility Examination of Patient Records | |
| Mental Health Record Confidentiality - Ga. Stat. Ann. § 37-3-166 | Records and information relating to the mental health of an individual are confidential and privileged to the patient, and may only be disclosed in... | |
| Written Requests for Access to Personal Information, Ga. Code Ann. § 33-39-9 | Written Requests for Access to Personal Information |
| Preexisting condition information: How the insurer may use preexisting condition information | Coverage Options, Ga. Code Ann. § 33-30-15 | Coverage Options |
| Insurance Age Limitations, Ga. Code Ann. § 33-29-10 | Insurance Age Limitations | |
| Long Term Care Regulations, Ga. Code Ann. § 33-42-6 | Long Term Care Regulations | |
| Medicare Standards for Policy Provisions, Ga. Code Ann. § 33-43-3 | Medicare Standards for Policy Provisions | |
| Provisions for Emergency Care and Benefits, Ga. Code Ann. § 33-30-24 | Provisions for Emergency Care and Benefits |
| Cost reporting by insurance companies (Cross reference Provider Resource Use) | Creation of Georgia Health Insurance Assignment System, Ga. Code Ann. § 33-29A-4 | Creation of Georgia Health Insurance Assignment System |
| Insurance Books and Records, Ga. Code Ann. § 33-22-7 | Insurance Books and Records | |
| Insurance Coverage for Children Services, Ga. Code Ann. § 33-29-3.4 | Insurance Coverage for Children Services | |
| Right of Patient to Inquire About Cost of Treatment Prior to Treatment, Ga. Code Ann. § 43-34A-5 | Right of Patient to Inquire About Cost of Treatment Prior to Treatment |
| Health plan required reporting | Direct Payment of Medical Services, Ga. Code Ann. § 33-30-5 | Direct Payment of Medical Services |
| Establishment of Health Maintenance Organizations, Ga. Code Ann. § 33-21-2 | Establishment of Health Maintenance Organizations | |
| Health Plan Required Provisions, Ga. Code Ann. § 33-21-18.1 | Health Plan Required Provisions | |
| HMO's Annual Report, Ga. Code Ann. § 33-21-15 | HMO's Annual Report | |
| Insurance Coverage for Breast Cancer Care, Ga. Code Ann. § 33-24-72 | Insurance coverage for breast cancer care. | |
| Mental Health Facility Restraints and Abuses, Ga. Code Ann. § 37-3-165 | Mental Health Facility Restraints and Abuses | |
| Regulation of HMOs, Ga. Code Ann. § 33-21-20.1 | Regulation of HMOs | |
| Requirements for Program, Ga. Code Ann. § 31-16-5 | Requirements for Program | |
| Suspension of an HMO Certificate, Ga. Code Ann. § 33-21-5 | Suspension of an HMO Certificate |
| Disclosure of information held by health plan, including notice requirements | Employee Eligibility for Coverage, Ga. Comp. R. & Regs. 111-4-1-.04 | Employee Eligibility for Coverage |
| Filing, Approval, and Withdrawal of Forms, Ga. Code Ann. § 33-31-8 | Filing, Approval, and Withdrawal of Forms | |
| Health Care Insurers Limitation of Standards, Ga. Code Ann. § 33-30-25 | Health Care Insurers Limitation of Standards | |
| HMO Information to Enrollees, Ga. Code Ann. § 33-21-14 | HMO Information to Enrollees | |
| Insurance Coverage, Ga. Code Ann. § 31-15A-3 | Insurance Coverage | |
| Medicare Disclosure Standards, Ga. Code Ann. § 33-43-5 | Medicare Disclosure Standards | |
| Medicare Notice of Right to Return Policy, Ga. Code Ann. § 33-43-6 | Medicare Notice of Right to Return Policy | |
| Notice of Information Practices, Ga. Code Ann. § 33-39-5 | Notice of Information Practices | |
| Outline of Insurance Coverage, Ga. Code Ann. § 33-29-13 | Outline of Insurance Coverage |
| Required testing by insurance company(genetic and HIV/STD) | Genetic Testing Purposes, Ga. Code Ann. § 33-54-3 | Genetic Testing Purposes |
| Physical Exam at Beginning of Employment, Ga. Code Ann. § 31-29-2 | Physical Exam at Beginning of Employment | |
| Public Health Testing Required of Newborn Babies, Ga. Comp. R. & Regs. 511-5-5-.03 | Public Health Testing Required of Newborn Babies | |
| Report of HIV Test by Health Care Providers, Ga. Code Ann. § 31-22-9.2 | Report of HIV Test by Health Care Providers |
| Private Insurance Data Requirements | Health Insurance Duties and Responsibilities, Ga. Code Ann. § 33-30A-4 | Health Insurance Duties and Responsibilities |
| Correction/deletion of insurance information | Insurance Optional Policy Provisions, Ga. Code Ann. § 33-29-4 | Insurance Optional Policy Provisions |
| Written Requests to Correct, Amend, or Delete Information, Ga. Code Ann. § 33-39-10 | Written Requests to Correct, Amend, or Delete Information |
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