# Georgia Office of Commissioner of Insurance and Safety Fire

**Type:** State regulatory agency  
**Commissioner:** John F. King (Republican)  
**Jurisdiction:** Insurance regulation, Georgia  
**Domain:** Health insurance enforcement, MHPAEA compliance

## Overview

Georgia's insurance regulatory body responsible for market conduct examinations and enforcement actions against insurers operating in the state.

## Timeline

- **2023** — Issued report flagging widespread mental health parity compliance gaps across Georgia insurance market
- **2024-2025** — Conducted comprehensive market conduct examinations of major insurers
- **2026-01-12** — Issued $25M in fines across 22 insurers for MHPAEA violations, largest state mental health parity enforcement action in US history

## Significance

The January 2026 enforcement action represents the most aggressive state-level MHPAEA enforcement to date, naming every major national insurer (UnitedHealthcare, Anthem, Cigna, Aetna, Humana, Kaiser, Oscar, CareSource, Alliant) and documenting systematic violations of non-quantitative treatment limitations and benefit design requirements. The action occurred during federal enforcement rollback, demonstrating state regulatory displacement effect.