Rules and Regulations of the State of Georgia
 

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<xmp>.</xmp> <form name="form1" method="post" action="120-2-72?urlRedirected=yes&amp;data=admin&amp;lookingfor=120-2-72" id="form1"> <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/wEPDwUKLTY5ODkwOTM2Nw8WAh4Ec3BhbQINFgJmD2QWAgIFDw8WAh4EVGV4dAUFNyArIDZkZGQzwPA9YtRhzntMKBatuqkGiD0YSQ==" /> <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="EEBB6393" /> <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION" value="/wEWCAKbkLmLBQLniKOhBALV5cpNAoa5iIEFAoznisYGAsrv5u0MAsrv4u0MAsrv3u0MM5hwAcWpZtJ10OJpTT5uUkJovvY=" /> <div class='popup'> <div class='cnt223'> <div style="margin-bottom:6px;"> <img alt="Rules and Regulations of the State of Georgia" src="/images/new.gif"/> </div> <div class="header"> Terms and Conditions of Agreement for Access to Rules and Regulations of the State of Georgia Website </div> <div class="scroll"> <p>(Note: certain features of this site have been disabled for the general public to prevent digital piracy. If you are an entitled government entity pursuant the Georgia Administrative Procedures Act, <a target="_new" href="http://links.casemakerlegal.com/states/GA/books/Code_of_Georgia/browse?ci=25id=gasos&amp;codesec=50-13-7&amp;title=50&amp;#50-13-7(d)">O.C.G.A.§ 50-13-7(d)</a> contact the State of Georgia's Administrative Procedures Division at 678-364-3785 to enable these features for your location.)</p> <p>To access this website, you must agree to the following: </p> <p> These terms of use are a contract between you and/or your employer (if any), and Lawriter, LLC. </p> <p> You agree that you will not copy, print, or download anything from this website for any commercial use. </p> <p> You agree not to use any web crawler, scraper, or other robot or automated program or device to obtain data from the website.</p> <p> You agree that you will not sell, will not license, and will not otherwise make available in exchange for anything of value, anything that you download, print, or copy from this site.</p> <p> You agree that you will not copy, print, or download any portion of the regulations posted on this site exceeding a single chapter of regulations for sale, license, or other transfer to a third party, except that you may quote a reasonable portion of the regulations in the course of rendering professional advice.</p> <p> If you violate this agreement, or if you access or use this website in violation of this agreement, you agree that Lawriter will suffer damages of at least $20,000. </p> <p> THIS WEBSITE AND ITS CONTENT ARE PROVIDED "AS IS." 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If you are an entitled government entity pursuant the Georgia Administrative Procedures Act, <a target="_new" href="http://links.casemakerlegal.com/states/GA/books/Code_of_Georgia/browse?ci=25id=gasos&amp;codesec=50-13-7&amp;title=50&amp;#50-13-7(d)">O.C.G.A.§ 50-13-7(d)</a> contact the State of Georgia's Administrative Procedures Division at 678-364-3785 to enable these features for your location.)</p> <p>To access this website, you must agree to the following: </p> <p> These terms of use are a contract between you and/or your employer (if any), and Lawriter, LLC. </p> <p> You agree not to use any web crawler, scraper, or other robot or automated program or device to obtain data from the website. </p> <p> You agree that you will not sell or license anything that you download, print, or copy from this website.</p> <p> THIS WEBSITE AND ITS CONTENT ARE PROVIDED "AS IS." 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class="mnemonic">S</em>earch tips</a></div><ul class="breadcrumb"> <li><a href="/GAC" name="GAC" title="GAC">GA R&amp;R</a></li> <li>&raquo; <a href="/GAC/120" title="120">Department 120</a></li> <li>&raquo; <a href="/GAC/120-2" title="120-2">Chapter 120-2</a></li> <li>&raquo; Subject 120-2-72</li> </ul> </div> </div><div id="doc" class="container"> <div id="doc-content" class="content"> <h1><nllsubject>Subject 120-2-72 SPECIAL INSURANCE FRAUD FUND</nllsubject></h1> <h2><a href="/GAC/120-2-72-.01" name="120-2-72-.01" title="120-2-72-.01">Rule 120-2-72-.01 Authority</a></h2> <P>This Regulation Chapter is made and promulgated by the Commissioner of Insurance pursuant to the authority set forth in O.C.G.A. § <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=33-1-17&amp;title=33#" target="_newtab">33-1-17</a>.</P> <h2><a href="/GAC/120-2-72-.02" name="120-2-72-.02" title="120-2-72-.02">Rule 120-2-72-.02 Purpose</a></h2> <P>The purpose of this Regulation Chapter is:</P> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.02(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> to provide for the proper and expeditious investigation and prosecution of fraudulent insurance acts through the establishment of a Special Insurance Fraud Fund;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.02(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> to establish guidelines for the administration of the Special Insurance Fraud Fund, including the annual assessment of insurers doing business in this State;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.02(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> to provide terms and conditions for the use of the funds of the Special Insurance Fraud Fund.</td> </tr> </table> <h2><a href="/GAC/120-2-72-.03" name="120-2-72-.03" title="120-2-72-.03">Rule 120-2-72-.03 Applicability</a></h2> <P>This Regulation Chapter shall apply to foreign, alien and domestic insurance companies doing business in the State of Georgia.</P> <h2><a href="/GAC/120-2-72-.04" name="120-2-72-.04" title="120-2-72-.04">Rule 120-2-72-.04 Definitions</a></h2> <P>For the purposes of this Regulation Chapter, the following words shall be defined as follows: </P> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.04(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> "Commissioner" shall mean the Commissioner of Insurance of the State of Georgia; and </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.04(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> "Special Insurance Fraud Fund" shall mean the fund established by O.C.G.A. § <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=33-1-17&amp;title=33#" target="_newtab">33-1-17</a> for the purpose of funding the investigation of insurance fraud.</td> </tr> </table> <h2><a href="/GAC/120-2-72-.05" name="120-2-72-.05" title="120-2-72-.05">Rule 120-2-72-.05 Participation in Fund</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.05(1)">(1)</a></td> <td valign="top" style="text-align:left" class="leftalign"> On or before July 1 of the year of the approval of the appropriation specified in O.C.G.A. § <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=33-1-17&amp;title=33#" target="_newtab">33-1-17</a>, the Commissioner shall assess each foreign, alien and domestic insurance company doing business in Georgia on the following basis: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.05(1)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Each insurer whose Georgia written premium is less than $1,000,000.00, including those insurers whose Georgia written premium is zero or less than zero, will each be assessed a fixed amount not more than the minimum amount assessed an insurer with Georgia written premium of $1,000,000.00 or greater;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.05(1)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Each insurer whose Georgia written premium is $40,000,000.00 or greater but less than $100,000,000.00, an assessment equal to .0035 times the appropriated amount;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.05(1)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Each insurer whose Georgia written premium is $100,000,000.00 or greater but less than $500,000,000.00, an assessment equal to .0045 times the appropriated amount;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.05(1)(d)">(d)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Each captive insurer shall be assessed a fixed amount of $100.00, without regard to the amount of premium written;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.05(1)(e)">(e)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Each insurer whose Georgia written premium is $500,000,000.00 or greater but less than $1,000,000,000.00, an assessment equal to .0055 times the appropriated amount;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.05(1)(f)">(f)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Each insurer whose Georgia written premium is $1,000,000,000.00 or greater, an assessment equal to .0065 times the appropriated amount;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.05(1)(g)">(g)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Regarding each insurer not included in (a) through (f) herein, an assessment shall be computed on a pro-rata basis of the remainder of the appropriation for each insurer whose Georgia written premium is $1,000,000.00 or greater but less than $40,000,000.00.</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.05(2)">(2)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Written premium is premiums written in GEORGIA ONLY, including annuity considerations and is determined prior to reinsurance transactions. Written premium is determined from the most recent annual statement on file with the Commissioner at the time the assessment calculations are made.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.05(3)">(3)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Assessments based on the annual appropriation shall be due on September 1 of the year of the assessment.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.05(4)">(4)</a></td> <td valign="top" style="text-align:left" class="leftalign"> In the event of a supplemental appropriation, the assessment will be made as soon as practicable after approval of the appropriation, and will be due thirty (30) days after assessment.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.05(5)">(5)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Any assessment levied pursuant to this Regulation Chapter which is not remitted to the Georgia Insurance Department on or before the due date shall be deemed delinquent and subject to a penalty of 10% of the amount owed, together with interest on the principal at the rate of 1% per month, or any part of a month, from the date due until the date paid. Such penalty and interest, if any, shall be transmitted by the Commissioner to the State Treasury and shall not act to increase the funds available for the purposes described in O.C.G.A. § <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=33-1-17&amp;title=33#" target="_newtab">33-1-17</a>.</td> </tr> </table> <h2><a href="/GAC/120-2-72-.06" name="120-2-72-.06" title="120-2-72-.06">Rule 120-2-72-.06 Terms and Conditions for Use of Funds</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.06(1)">(1)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The Commissioner may utilize the funds from the Special Insurance Fraud Fund for the investigation of insurance fraud. For purposes of this Regulation, investigation of insurance fraud shall include but not be limited to investigations carried out under official authority by law enforcement personnel employed by the Commissioner, and examinations of annual or other required statements by personnel employed or appointed by the Commissioner to identify any false material statement therein. In addition, the Commissioner may utilize a portion of said funds to reimburse prosecuting attorneys for some or all of the costs of retaining assistant prosecuting attorneys to prosecute insurance fraud cases when it is determined by the Commissioner that extraordinary circumstances exits necessitating such reimbursement. </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.06(2)">(2)</a></td> <td valign="top" style="text-align:left" class="leftalign"> In an effort to spend the funds from the Special Insurance Fraud Fund responsibly and in a manner that will lead to proper and expeditious investigation and prosecution of fraudulent insurance acts, the following conditions apply: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.06(2)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Expenses of independent contractors reimbursed with funds from the Special Insurance Fraud Fund shall be calculated in accordance with Georgia Insurance Department procedures regarding expense accounts;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.06(2)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> All items submitted for reimbursement must be fully documented and are subject to audit by the Georgia Insurance Department;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-72-.06(2)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Any independent contractors utilized by the Georgia Insurance Department for the purposes outlined in O.C.G.A. § <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=33-1-17&amp;title=33#" target="_newtab">33-1-17</a> must receive advance written authorization from the Commissioner before any request for reimbursement will be considered.</td> </tr> </table> </td> </tr> </table> <h2><a href="/GAC/120-2-72-.07" name="120-2-72-.07" title="120-2-72-.07">Rule 120-2-72-.07 Penalties</a></h2> <P>Any person failing to comply with the requirements of this Regulation Chapter shall be subject to penalties and other enforcement action as may be appropriate under the insurance laws of this State as well as any other applicable Georgia law.</P> <h2><a href="/GAC/120-2-72-.08" name="120-2-72-.08" title="120-2-72-.08">Rule 120-2-72-.08 Severability</a></h2> <P>If any provision of this Regulation Chapter or the application thereof to any person or circumstance is for any reason held to be invalid by a court of competent jurisdiction, the remainder of the Regulation Chapter or the applicability of such provision to other persons or circumstances shall not be affected.</P> </div> </div> </HTML> </div> <div id="toc" class="sidebar noprint"> <ul id="toc-children" class="children"><li><a href="/GAC/120-2-72-.01" name="120-2-72-.01" title="120-2-72-.01">Rule 120-2-72-.01 Authority</a></li><li><a href="/GAC/120-2-72-.02" name="120-2-72-.02" title="120-2-72-.02">Rule 120-2-72-.02 Purpose</a></li><li><a href="/GAC/120-2-72-.03" name="120-2-72-.03" title="120-2-72-.03">Rule 120-2-72-.03 Applicability</a></li><li><a href="/GAC/120-2-72-.04" name="120-2-72-.04" title="120-2-72-.04">Rule 120-2-72-.04 Definitions</a></li><li><a href="/GAC/120-2-72-.05" name="120-2-72-.05" title="120-2-72-.05">Rule 120-2-72-.05 Participation in Fund</a></li><li><a href="/GAC/120-2-72-.06" name="120-2-72-.06" title="120-2-72-.06">Rule 120-2-72-.06 Terms and Conditions for Use of Funds</a></li><li><a href="/GAC/120-2-72-.07" name="120-2-72-.07" title="120-2-72-.07">Rule 120-2-72-.07 Penalties</a></li><li><a href="/GAC/120-2-72-.08" name="120-2-72-.08" title="120-2-72-.08">Rule 120-2-72-.08 Severability</a></li></ul> </div> </div> <!--content ends here--> <div id="footer" class="noprint"><span class="footer">Copyright &copy; 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