O.C.G.A.

O.C.G.A. § 33-30-7 (2019)

Provision in group or blanket policies for medical or surgical services generally

✓ O.C.G.A. — 2019 edition (Public.Resource.Org Release 73)
Code text and O.C.G.A. statutory annotations on this page reflect the 2019 Official Code of Georgia Annotated (Public.Resource.Org Release 73, 2019-08-21; public domain per Georgia v. Public.Resource.Org, 2020). The Syfert case-law annotations in Notes of Decisions, below, are current.
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(a) The benefits on account of medical or surgical services provided by a group or blanket policy of accident and sickness insurance may be limited by its terms to services performed by specifically defined professions, provided that in the absence of such definitions, the term ‘‘physician’’ or ‘‘surgeon,’’ as used in such a policy, shall not be deemed limited solely to medical practitioners licensed under Chapter 34 of Title 43. (b) When a group or blanket policy of accident and sickness insurance, except policies providing special coverage for limited diseases, accident protection only, or dental policies, provides for hospital care, there may be included within the scope of coverage hospital care rendered on account of mental illnesses and hospital care rendered by any psychiatric hospital duly licensed by this state. If the coverage is not included in the policy, a statement that the policy does not cover

mental illnesses shall be printed in the policy in boldface type or stamped on the face of the policy and printed or stamped on any identification card issued pursuant to the policy. (c) Any other laws to the contrary notwithstanding, whenever the term ‘‘physician’’ or ‘‘surgeon’’ is used in any policy of health or accident insurance issued in this state or in any contract for the provision of health care, services, or benefits issued by any health, medical, or other service corporation existing under, and by virtue of, any laws of this state, said term shall include, within its meaning, medical practitioners licensed under and in accordance with Chapter 11 of Title 43, relating to dentists, in respect to any care, services, procedures, or benefits covered by said policy of insurance or health care contract which the said persons are licensed to perform, any provisions in any such policy of insurance or health care contract to the contrary notwithstanding. This subsection shall be applicable to all policies in this state regardless of date of issue.

History

Code 1933, § 56-3110, enacted by Ga. L. 1960, p. 289, § 1; Ga. L.

1970, p. 526, § 2; Ga. L. 1974, p. 436, § 2; Ga. L. 1996, p. 6, § 33.

Annotations

JUDICIAL DECISIONS Cited in Blue Cross & Blue Shield of Ga./Atlanta, Inc. v. Dillon, 164 Ga. App. 724, 296 S.E.2d 210 (1982). RESEARCH REFERENCES ALR. - Mental incapacity or disease as constituting total or permanent disability

within insurance coverage, 22 A.L.R.3d 1000.

Notes of Decisions
Cited in 1 case, 1982–1982 · leading case: Blue Cross & Blue Shield of Georgia/Atlanta, Inc. v. Dillon, 296 S.E.2d 210 (Ga. Ct. App. 1982).
Blue Cross & Blue Shield of Georgia/Atlanta, Inc. v. Dillon, 296 S.E.2d 210 (Ga. Ct. App. 1982). · cites it 2× “§ 56-3110 (now OCGA § 33-30-7) requires the inclusion of dentists within the meaning of the terms “physicians” and “surgeons” in respect to any care, services, etc.”
Annotations are extracted automatically from the opinions in the Syfert caselaw corpus and ranked by authority, recency, and treatment. Dots show Syfertize treatment of the citing case itself.