Title 33, Chapter 21, Section 27
( 33-21-27)
(a)(1) In lieu of suspension or revocation of a certificate of authority for any of the causes enumerated in Code Section 33-21-5, the Commissioner of Insurance may place a health maintenance organization on probation or may fine the health maintenance organization in accordance with Chapter 2 of this title when, in his judgment, he finds that the public interest would not be harmed by the continued operation of the health maintenance organization. The amount of any penalty shall be paid by the health maintenance organization to the Commissioner for use by the state. At any hearing conducted in accordance with this title, the Commissioner shall have authority to administer oaths to witnesses. Anyone testifying falsely, after having been administered the oath, shall be subject to the penalty of perjury. (2) Any action of the Commissioner of Insurance taken pursuant to
this Code section shall be subject to such review as may be
provided in Chapter 2 of this title. (b)(1) If the Commissioner of Insurance or the commissioner of
human resources shall, for any reason, have cause to believe that
any violation of this chapter has occurred or is threatened, the
Commissioner of Insurance or the commissioner of human resources
may give notice to the health maintenance organization and to the
representatives or other persons who appear to be involved in the
suspected violation to arrange a conference with the alleged
violators or their authorized representatives for the purpose of
attempting to ascertain the facts relating to the suspected
violation and, in the event it appears that any violation has
occurred or is threatened, to arrive at an adequate and effective
means of correcting or preventing such violation. (2) Proceedings under this subsection shall not be governed by any
formal procedural requirements and may be conducted in such manner
as the Commissioner of Insurance or the commissioner of human
resources may deem appropriate under the circumstances. (c)(1) The Commissioner of Insurance may issue an order directing
a health maintenance organization or a representative of a health
maintenance organization to cease and desist from engaging in any
act or practice in violation of this chapter. (2) Within five days after service of the order of cease and
desist, the respondent may request a hearing on the question of
whether acts or practices in violation of this chapter have
occurred. The hearings shall be conducted pursuant to Chapter 13
of Title 50, the "Georgia Administrative Procedure Act," and
judicial review shall be available as provided in Chapter 13 of
Title 50. (d) In the case of any violation of this chapter, if the
Commissioner of Insurance elects not to issue a cease and desist
order or in the event of noncompliance with a cease and desist order
issued pursuant to this Code section, the Commissioner may institute
a proceeding to obtain injunctive relief, or seeking other
appropriate relief, in the superior court having jurisdiction of the
parties. (e) In addition to any other liability or punishment prescribed, any
person who violates this chapter shall be guilty of a misdemeanor. |