Georgia Statutes
§ 45-18-3 — Design of plan
Georgia·Title 45
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.
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Related
United Healthcare of Georgia, Inc. v. Georgia Department of Community Health
666 S.E.2d 472 (Court of Appeals of Georgia, 2008)
Trecia Neal v. Georgia Department of Community Health
828 S.E.2d 650 (Court of Appeals of Georgia, 2019)