Rule 120-2-112-.12. Right to Appeal Eligibility Determination

1. (1) Applicants and Enrollees shall have the right to appeal the following:

   1. (a) Adverse determinations of eligibility for enrollment in a QHP or SADP;
   2. (b) Any determination of eligibility for or the amount of advanced premium tax credit payments or level of cost-sharing reduction.
2. (2) Pursuant to O.C.G.A. § 33-2-17 the Commissioner, or his delegee, shall hear all appeals brought under this Rule.
3. (3) All appeals brought under this Rule must follow the appeal procedures promulgated in Ga. Comp. R. & Regs. r. 120-2-2.

Authority: O.C.G.A. §§ 33-1-23; 33-2-9; 33-2-17; 50-13-21.

History. Original Rule entitled "Right to Appeal Eligibility Determination" adopted. F. Sept. 12, 2025; eff. Oct. 2, 2025.