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2018 Georgia Code 33-30-25 | Car Wreck Lawyer

Link to State of Georgia Official Statute 2018 Georgia Code Annotated (sourced from legal.resource.org)

O.C.G.A. 33-30-25 Case Law from Google Scholar Amendments to OCGA 33-30-25

TITLE 33 INSURANCE

Section 30. Group or Blanket Accident and Sickness Insurance, 33-30-1 through 33-30-29.

ARTICLE 2 PREFERRED PROVIDER ARRANGEMENTS

33-30-25. Reasonable limits on number or classes of preferred providers.

Subject to the approval of the Commissioner under such procedures as he may develop, health care insurers may place reasonable limits on the number or classes of preferred providers which satisfy the standards set forth by the health care insurer, provided that there be no discrimination against providers on the basis of religion, race, color, national origin, age, sex, or marital or corporate status, and provided, further, that all health care providers within any defined service area who are licensed and qualified to render the services covered by the preferred provider arrangement and who satisfy the standards set forth by the health care insurer shall be given the opportunity to apply and to become a preferred provider.

(Code 1981, §33-30-25, enacted by Ga. L. 1988, p. 1483, § 1.)

JUDICIAL DECISIONS

Approval of Insurance Commissioner to limit providers.

- Applying the "Any Willing Provider" (AWP) statute to a health insurer did not conflict with O.C.G.A. § 33-30-25 because that statute required the approval of the Insurance Commissioner to limit providers in preferred provider arrangements. Northeast Ga. Cancer Care, LLC v. Blue Cross & Blue Shield of Ga., Inc., 315 Ga. App. 521, 726 S.E.2d 714 (2012), cert. denied, No. S12C1322, 2012 Ga. LEXIS 1018 (Ga. 2012); cert. denied, No. S12C1413, 2012 Ga. LEXIS 1033 (Ga. 2012).

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