O.C.G.A.
O.C.G.A. § 45-18-3 (2019)
Design of plan
✓ 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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The health insurance plan shall be designed by the board to: (1) Provide a reasonable relationship between the hospital, surgical, and medical benefits to be included and the expected distribution of expenses of each such type to be incurred by the covered employees and dependents; and (2) Include reasonable controls, which may include deductible and reinsurance provisions applicable to some or all of the benefits, to reduce unnecessary utilization of the various hospital, surgical, and medical services to be provided and to provide reasonable assurance of stability in future years of the plan.
History
(Ga. L. 1961, p. 147, § 5.)
Notes of Decisions
Cited in 2
cases, 2008–2019 · leading case: Trecia Neal v. Georgia Dep't of Cmty. Health, 828 S.E.2d 650 (Ga. Ct. App. 2019).
Trecia Neal v. Georgia Dep't of Cmty. Health, 828 S.E.2d 650 (Ga. Ct. App. 2019). “These statutes provide: 9 The health insurance plan shall be designed by the board to: (1) Provide a reasonable relationship between the hospital, surgical, and medical benefits to be included and the expected *657 distribution of expenses of each such type to be incurred by the…”
United Healthcare of Georgia, Inc. v. Georgia Dep't of Cmty. Health, 666 S.E.2d 472 (Ga. Ct. App. 2008). “” *85 OCGA § 45-18-3 (1). See also Ga. Comp. R.”
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