GEORGIA HOUSE BILL 454 EFFECTIVE JANUARY 1, 2022

BULLETIN 21-EX-16 TO: ALL HEALTH INSURERS CONDUCTING BUSINESS IN THE STATE OF GEORGIA FROM: JOHN F. KING INSURANCE AND SAFETY FIRE COMMISSIONER DATE: DECEMBER 9, 2021 RE: GEORGIA HOUSE BILL 454 EFFECTIVE JANUARY 1, 2022 ______________________________________________________________________________ The purpose of this Bulletin is to inform all health insurers conducting business in the state of Georgia that House Bill 454 goes into effect on January 1, 2022. This legislation requires an insurer to reimburse a provider at in-network rates for 180 days (or through the last day of a covered persons’s coverage, whichever comes sooner) if the provider is listed as a participating provider in the insurer’s provider directory at the time a prospected covered person selects their health benefit plan and that provider becomes out of network “subsequent to open enrollment in the succeeding plan year.” Beginning January 1, 2022, OCI will track consumer complaints regarding potential violations of this law and contact relevant insurers for clarificaiton or correction. _____________________________________________ JOHN F. KING INSURANCE AND SAFETY FIRE COMMISSIONER STATE OF GEORGIA