(a) Notwithstanding any provision of this chapter to the contrary,
workers' compensation health benefits pilot projects are authorized
under the provisions of this Code section. (b) The Commissioner of Insurance shall adopt rules to enable
employers and employees to enter into agreements to provide the
employees with workers' compensation medical payments benefits
through comprehensive health insurance that covers workplace injury
and illness. The Commissioner of Insurance shall review all pilot
project proposals and may approve a proposal only if it confers
medical benefits upon injured employees substantially similar to
benefits available under this chapter. The Commissioner shall
revoke approval if the pilot project fails to deliver the intended
benefits to the injured employees. (c) The comprehensive health insurance may provide for health care
by a health maintenance organization or a preferred provider
organization. The premium must be paid entirely by the employer.
The program may use deductibles, coinsurance, and copayment by the
employees not to exceed $5.00 per visit or $50.00 maximum per
occurrence. (d) The Commissioner of Insurance shall report annually to the
standing committees of the General Assembly having jurisdiction over
insurance and labor matters by November 1 on the status of any pilot
projects approved by the Commissioner. |