Rule 120-2-81-.18. Subsequent Optional Choices

1. (1) Any qualifying eligible individual shall have the option of switching from Plan B to Plan A, or from Plan D to Plan C, or to any other optional policy or plan offered by the participating health insurer or managed care organization after enrolling and purchasing coverage under Plan B or Plan D in the assignment system. The participating health insurer or managed care organization shall also permit the privilege of switching form Plan A or Plan C to any other optional policy or plan offer under this Rule after the qualifying eligible individual enrolls for coverage. The participating health insurer or managed care organization may limit such choice to the following events:

   1. (a) Once a year within 31 days of the policy anniversary date, with coverage becoming effective on the policy anniversary date;
   2. (b) Upon notification of premium increase, with coverage becoming effective on the effective date of the premium increase; and
   3. (c) Within 31 days of divorce or marriage, with coverage becoming effective on the first day of the following calendar month.

Authority: O.C.G.A. Sec. 33-29A-1, et seq.

History. ER. 120-2-81-0.8 adopted. F. Dec. 31, 1997; eff. Jan. 2, 1998, to remain in effect for a period of 120 days or until the effective date of a permanent Rule covering the same subject matter superseding the ER, is adopted, as specified by the Agency.

Amended: Permanent Rule entitled "Subsequent Optional Choices" adopted. F. Apr. 29, 1998; eff. May 19, 1998.