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Health Maintenance Organizations (HMOs)

Definition:

An entity that undertakes to provide, arrange for, pay for, or reimburse any part of the cost of any health care services.

Exemptions:

None

Type Regulation:

An organization must obtain a certificate of authority from the State Insurance Commissioner after inspection and review by the Department of Human Resources.

Legal Authority:

O.C.G.A. Sec. 33-21-1, Title 33- Insurance; Chapter 21- Health Maintenance Organizations

The following link will take you to the Georgia General Assembly, Georgia Code website.  Scroll down the page to find O.C.G.A. § 33-21-1.

Official Code of Georgia Annotated

Rules:

Rules and Regulations for Health Maintenance Organization, Chapter 290-5-37, effective June 30, 1980.

Fees:

• Application Fee: Yes, paid to Insurance Commissioner.

• Rules: $5.50