GEORGIA CODE (Last Updated: August 20, 2013) |
Title 33. INSURANCE |
Chapter 29B. HEALTH CARE COVERAGE FOR CHILDREN |
Section 33-29B-2. (Repealed effective January 1, 2014) Definitions
Latest version.
- (a) As used in this chapter, the term:
(1) "Child-only policy" means individual health insurance coverage for a qualified individual who is less than 19 years of age. Such term shall not include dependent health insurance for a qualified individual under another person's health insurance.
(2) "Creditable coverage" means medical expense coverage under any of the following:
(A) Medicare or Medicaid;
(B) An employer based accident and sickness insurance or health benefit arrangement;
(C) An individual accident and sickness insurance policy, including coverage issued by a health maintenance organization, nonprofit hospital or nonprofit medical service corporation, health care corporation, or fraternal benefit society;
(D) A spouse's benefits or coverage under medicare or Medicaid or an employer based health insurance or health benefit arrangement;
(E) A conversion policy;
(F) A franchise policy issued on an individual basis to a member of a true association as defined in subsection (b) of Code Section 33-30-1;
(G) A health policy formed pursuant to 10 U.S.C. Chapter 55;
(H) A health policy provided through the Indian Health Service or a tribal organization program or both;
(I) A state health benefits risk pool;
(J) A health policy formed pursuant to 5 U.S.C. Chapter 89;
(K) A public health policy; or
(L) A Peace Corps Act health benefit policy.
(3) "Health insurance" has the same meaning as accident and sickness policy as defined in Code Section 33-29-1. Such term shall not include:
(A) Any policy of workers' compensation insurance or any policy of workers' insurance or any policy of liability insurance with or without supplementary expense coverage on the policy;
(B) Any policy or contract of reinsurance;
(C) Any policy, the renewal of which is subject to continuation of employment with a specified employer, any blanket or group policy of insurance, or any policy issued pursuant to the exercise of conversion privileges provided for in group insurance policies;
(D) Life insurance, endowment or annuity contracts, or contracts supplemental thereto which contain only such provisions relating to accident and sickness insurance which provide additional benefits in case of death or dismemberment or loss of sight by accident, or which operate to safeguard such contracts against lapse or give a special surrender value or special benefit or an annuity in the event that the insured or annuitant becomes totally and permanently disabled as defined by the contract or supplemental contract;
(E) Companies, organizations, or associations provided for in Chapters 18 and 19 of this title; or
(F) Any policy of accident, sickness, or hospitalization insurance issued prior to January 1, 1961; long-term care, disability income, short-term, accident, dental-only, vision-only, fixed indemnity, limited-benefit, or credit insurance; coverage issued as a supplement to liability insurance; insurance arising out of workers' compensation or similar law; automobile medical payment insurance; or insurance under which benefits are payable with or without regard to fault and that is statutorily required to be contained in any liability insurance policy or equivalent self-insurance.
(4) "Insurer" means an insurance company, insurance service, or insurance organization licensed to engage in the business of insurance in Georgia and which is subject to this title. Such term shall not include a group health policy.
(5) "Open enrollment period" means January 1, 2013, through January 31, 2013.
(6) "Qualified individual" means a resident of this state who is less than 19 years of age.
(7) "Qualifying event" means the loss of employer sponsored health insurance or the involuntary loss of other existing health insurance for any reason other than fraud, misrepresentation, or failure to pay a premium if the applicant is a qualified individual when the qualifying event occurs.
Code 1981, § 33-29B-2, enacted by Ga. L. 2012, p. 617, § 1/HB 1166.