Rule 120-2-33-.04 - Establishment of Health Maintenance Organizations(1) All applications for a certificate of authority will be reviewed in accordance with the standards set forth in the Act, these rules and the Rules and Regulations of the Department of Human Resources.(2) An applicant applying for a certificate of authority to operate an HMO in the State of Georgia, shall fully comply with the requirements of O.C.G.A. Chapter 33-21. An applicant shall fully and truthfully supply and insert the information required in the following listed forms which have been adopted for use by Order of the Commissioner, and shall provide such other information as the Commissioner may require: (a) Form GID-2-HMO, the Application; Form GID-3-HMO, Appointment of Attorney for Service of Process; Forms GID-5a, 5b and 5c, as applicable for a Security Deposit; Forms GID-6, and 6c as applicable for a Security Deposit; and Form GID-41, Biographical Affidavit for the principal officers and directors of the HMO.(b) A Foreign or Alien HMO shall provide, in addition to the items listed in (a) above, Form GID-4-HMO, Appointment of Commissioner as Attorney for Service of Process.(3) The HMO shall submit to the Commissioner as part of its application for approval every contract, policy, certificate or evidence of coverage, rider, endorsement, application or outline of coverage which it intends to use prior to use.(4) All HMOs are subject to the fees and taxes required by O.C.G.A. Chapter 33-8.Ga. Comp. R. & Regs. R. 120-2-33-.04
O.C.G.A. Secs. 33-2-9, Ch. 33-21.
Original Rule entitled "Establishment of Health Maintenance Organizations" adopted. F. Apr. 21, 1980; eff. May 11, 1980.Repealed: New Rule of same title adopted. F. July 24, 1986; eff. September 1, 1986, as specified by the Agency.Submitted for Publishing: Apr. 6, 2007.