Title 26, Chapter 4, Section 146
( 26-4-146)
(a) On and after January 1, 1984, no person, corporation, or
business entity shall serve as administrator of a program which has
no administrator registered under this Code section unless that
person, corporation, or business entity is registered as
administrator of that program with the Commissioner. (b) No administrator may be registered unless the administrator
gives bond to the Commissioner conditioned to pay all losses,
damages, and expenses incurred as a result of any violation of this
article by the administrator or the program being administered
thereby. The bond shall be with a surety approved by the
Commissioner in the amount of $200,000.00 or the total annual
payments made in the immediately preceding year by all programs
administered by that administrator, whichever is greater; provided,
however, if the administrator is an insurance company licensed to
transact insurance in this state or if the administrator is a
self-insurer and is approved by the Commissioner, then such
administrator shall not be required to give bond to the
Commissioner. (c) No program shall be required to have more than one administrator
registered and bonded under this Code section. (d) An administrator may have his or her registration suspended or
revoked by the Commissioner upon any violation of this article by
the administrator or when any program administered by the
administrator fails to conform to the requirements of this article.
The refusal by the Commissioner to register an administrator and the
suspension or revocation of an administrator's registration shall
constitute a contested case for purposes of Chapter 13 of Title 50,
the "Georgia Administrative Procedure Act." (e) Records, information, and other identifying matter obtained
through the submission of a claim for reimbursement by a
participating pharmacy shall be used exclusively and solely for the
purposes of verification and payment to the participating pharmacy
and policyholder and for no other purposes. |