Rule 120-2-112-.11. Consumer Eligibility for Qualifying Health Plans and Financial Assistance

1. (1) Consumers who meet all of the following requirements shall be Eligible Individuals:

   1. (a) The consumer is a U.S. Citizen, national, or a non-citizen deemed lawfully present within the United States;
   2. (b) The consumer is not incarcerated, other than incarceration pending the disposition of charges; and
   3. (c) The consumer is a resident of the State of Georgia.
2. (2) Consumers who meet the requirements to be eligible to enroll in a QHP shall also be eligible to enroll in a SADP.
3. (3) Consumers who meet the requirements to be eligible to enroll in a QHP shall also be eligible to apply for financial assistance.
4. (4) Consumers who have access to a plan that offers minimum essential coverage shall not be eligible to enroll in a QHP.
5. (5) Only those consumers under the age of 30 shall be eligible to enroll in a catastrophic health plan. Georgia Access shall provide for and publish any exceptions to this age requirement.

Authority: O.C.G.A. §§ 33-1-23; 33-2-9; 50-13-21.

History. Original Rule entitled "Consumer Eligibility for Qualifying Health Plans and Financial Assistance" adopted. F. Sept. 12, 2025; eff. Oct. 2, 2025.