Rule 120-2-48-.02. Purpose and Applicability
The purpose of this Regulation is to:
- (a) Permit, but not require, plans to include a coordination of benefits (COB) provision;
- (b) Establish an order in which plans pay their claims;
- (c) Provide the authority for the orderly transfer of information needed to pay claims promptly;
- (d) Reduce duplication of benefits by permitting a reduction of the benefits paid by a plan when the plan, pursuant to rules established by this Regulation, does not have to pay its benefits first;
- (e) Reduce claims payments delays; and
- (f) Make all contracts that contain a COB provision consistent with this Regulation.
Authority: O.C.G.A Sec. 33-2-9.
History. Original rule entitled "Purpose and Applicability" adopted. F. Sept. 18, 1990; eff. Jan. 1, 1991, as specified by the Agency.