O.C.G.A.
O.C.G.A.

O.C.G.A. § 45-18-3 (2019)

Design of plan

✓ O.C.G.A. (archive.org 2024 item): print volumes of 2004-2024, per-volume vintage; older volumes partly replaced by 2019 Release 73 text; no 2025 or 2026 Acts
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).
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Trecia Neal v. Georgia Dep't of Cmty. Health, 828 S.E.2d 650 (Ga. Ct. App. 2019). · cites it 6× “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). · cites it 2× “” *85 OCGA § 45-18-3 (1). See also Ga. Comp. R.”
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