Title 33, Chapter 35, Section 8
( 33-35-8)
(a) Any sponsor of any prepaid legal services plan or authorized
representative of any prepaid legal services plan may enter into a
subscription contract with any person, with any person's employer,
or with any other person or group acting in his or its behalf under
which a minimum of 80 percent of all individuals lawfully
represented by such person or group become subscribers to the
prepaid legal services plan; provided, however, that: (1) no
subscription contract shall be written for a period longer than one
year; and (2) in the case of subscription contracts issued to
groups, no member of the group shall be bound by the subscription
contract unless he indicates in writing to the group no earlier than
ten days after the date on which he has received effective notice of
the terms and benefits of the plan and of the intention of his group
to contract for the plan that he does wish to become a subscriber
and to be bound by the subscription contract. The notice received by
the member shall contain without limitation the provisions itemized
in subsection (b) of this Code section. (b) Every subscription contract shall be in writing and shall
contain the following provisions: (1) A brief statement of the plan's financial structure, including
a statement of the amount of any premiums, charges, or dues to be
charged or currently being charged and the manner in which such
amount is to be paid; (2) A statement of the amount of benefits, reimbursement, or
indemnity to be furnished to each subscriber and the period during
which it will be furnished and, if there are exceptions,
reductions, exclusions, limitations, or restrictions of such
reimbursement or indemnity, a detailed statement of such
exceptions, reductions, exclusions, limitations, or restrictions; (3) A statement of the terms and conditions upon which the subscription contract may be canceled or otherwise terminated by the sponsor or by the subscriber or by his employer or by his group; provided, however, that any cancellation or termination by the sponsor shall not become effective unless accomplished in accordance with Code Section 33-24-44; (4) A statement describing the applicability or nonapplicability
of the benefits of the plan to the family dependents of the
subscriber; (5) A statement of the period of grace which will be allowed the
subscriber or his employer or group for making any payment due
under the subscription contract, which period shall not be less
than ten days; (6) A statement describing a procedure for settling disputes
between or among the sponsor, participating or staff attorneys,
and the subscribers; (7) A statement that the subscription contract includes the
endorsements on the contract and attached papers, if any, and
contains the entire contract; and (8) A statement that no statements by the subscriber or his
employer or group in the application for the contract shall void
the subscription contract or be used in any legal proceeding under
the contract, unless such application or an exact copy of the
application is included in or attached to such subscription
contract. (c) If a prepaid legal services plan is sponsored by an insurer or is underwritten by an insurer pursuant to subsection (a) of Code Section 33-35-10, the subscription contract of the plan shall contain a provision which shall provide that nothing contained in the subscription contract shall interfere in any way with the right of any individual subscriber to retain any attorney of his free choice at the expense of the plan. (d) Every subscriber shall be furnished a copy of his subscription
contract, and every employer or other group shall be furnished a
copy of the subscription contract signed by it. (e) The sponsor shall be required to file every subscription
contract and a copy of its underwriting rules with the Commissioner;
also a copy of such subscription contract and underwriting rules
shall be sent to the State Bar of Georgia by the sponsor. The
filings with the Commissioner shall be deemed approved 90 days after
the date the filing is received by the Commissioner, unless prior to
the expiration of said 90 day period the Commissioner notifies the
sponsor of the prepaid legal services plan in writing of the
Commissioner's disapproval. The Commissioner shall require that all
subscription contracts shall be fair and reasonable and shall not
approve any subscription contracts or underwriting rules that are
unfair or inequitable or contrary to the public policy of this state
or would, because the provisions are unclear or deceptively worded,
encourage misrepresentation. |