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

(1) Applicants and Enrollees shall have the right to appeal the following: (a) Adverse determinations of eligibility for enrollment in a QHP or SADP; (b) Any determination of eligibility for or the amount of advanced premium tax credit payments or level of cost-sharing reduction. (2) Pursuant to O.C.G.A. § 33-2-17 the Commissioner, or his delegee, shall hear all appeals brought under this Rule. (3) All appeals brought under this Rule must follow the appeal procedures promulgated in Ga. Comp. R. & Regs. r. 120-2-2. Cite as Ga. Comp. R. & Regs. R. 120-2-112-.12
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.