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16-25A-4
Section 16-25A-4 Relationship between benefits and expenses; reasonable controls on
utilization and for stability. The health insurance plan provided for in this article shall
be designed by the board to provide a reasonable relationship between the hospital, surgical,
and medical benefits to be included and the expected hospital, surgical, and medical expenses
to be incurred by the affected employee and retiree and dependents and to include reasonable
controls, which may include, but are not limited to, deductible, copayment, coinsurance, and
other cost containment measures to prevent unnecessary utilization of the various hospital,
surgical, and medical services available and to provide reasonable assurance of stability
in future years for the plan. (Acts 1983, No. 83-455, p. 640, §4; Act 2004-646, 1st Sp. Sess.,
p. 6, §2.)...
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36-29-3
Section 36-29-3 Factors to be considered by board in design of health insurance plan.
The health insurance plan provided for in this chapter shall be designed by the State Employees'
Insurance Board to provide a reasonable relationship between the hospital, surgical, and medical
benefits to be included and the expected hospital, surgical, and medical expenses to be incurred
by the affected employee and retiree and dependents and to include reasonable controls, which
may include, but are not limited to, deductible, copayment, coinsurance, and other cost containment
measures to prevent unnecessary utilization of the various hospital, surgical, and medical
services available and to provide reasonable assurance of stability in future years for the
plan. (Acts 1965, No. 833, p. 1564, §5; Act 2004-647, 1st Sp. Sess., p. 17, §1.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-29-3.htm - 1K - Match Info - Similar pages
11-91A-2
Section 11-91A-2 Local Government Health Insurance Board; governance and administration
of program. (a) The Local Government Health Insurance Board shall govern and administer the
Local Government Health Insurance Program currently governed and administered by the State
Employees' Insurance Board (SEIB) pursuant to Chapter 29 of Title 36. The transfer of the
governance and administration to the board shall take effect at 12:01 a.m. on January 1, 2015,
and thereafter the board shall take all control and responsibility for the program under procedures
and authority set out in this chapter. (b) The program governed and administered by the board
shall provide a reasonable relationship between the health care benefits to be included and
the expected health care expenses to be incurred by affected employees, retirees, and their
dependents. The board may establish a fully insured or self-insured health care plan for employees
and retirees as defined in this chapter and may adopt rules for the...
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27-54A-2
Section 27-54A-2 Treatment under certain policies and contracts. (a) As used in this
section, the following words have the following meanings: (1) APPLIED BEHAVIOR ANALYSIS.
The design, implementation, and evaluation of environmental modifications, using behavioral
stimuli and consequences, to produce socially significant improvement in human behavior, including
the use of direct observation, measurement, and functional analysis of the relationship between
environment and behavior. (2) AUTISM SPECTRUM DISORDER. Any of the pervasive developmental
disorders or autism spectrum disorders as defined by the most recent edition of the Diagnostic
and Statistical Manual of Mental Disorders (DSM) or the edition that was in effect at the
time of diagnosis. (3) BEHAVIORAL HEALTH TREATMENT. Counseling and treatment programs, including
applied behavior analysis that are both of the following: a. Necessary to develop, maintain,
or restore, to the maximum extent practicable, the functioning of an...
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27-19-103
Section 27-19-103 Definitions. Unless the context requires otherwise, the definitions
in this section apply throughout this article. (1) APPLICANT. In the case of: a. An
individual long-term care insurance policy, the person who seeks to contract for benefits.
b. A group long-term care insurance policy, the proposed certificate holder. (2) CERTIFICATE.
Any certificate issued under a group long-term care insurance policy, which policy has been
delivered or issued for delivery in this state. (3) COMMISSIONER. The Alabama Commissioner
of Insurance. (4) GROUP LONG-TERM CARE INSURANCE. A long-term care insurance policy which
is delivered or issued for delivery in this state and issued to any of the following: a. One
or more employers or labor organizations, or to a trust or to the trustees of a fund established
by one or more employers or labor organizations, or a combination thereof, for employees or
former employees or a combination thereof, or for members or former members or a...
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34-29-61
Section 34-29-61 Definitions. For the purposes of this article, the following terms
shall have the following meanings ascribed by this section: (1) ACCREDITED SCHOOL OF
VETERINARY MEDICINE. Any veterinary college or division of a university or college that offers
the degree of doctor of veterinary medicine or its equivalent and is accredited by the American
Veterinary Medical Association (AVMA). (2) ANIMAL. Any animal or mammal other than man, including
birds, fish, reptiles, wild or domestic, living or dead. (3) APPLICANT. A person who files
an application to be licensed to practice veterinary medicine or licensed as a veterinary
technician. (4) BOARD. Alabama State Board of Veterinary Medical Examiners. (5) CONSULTING
VETERINARIAN. A veterinarian licensed in another state who gives advice or demonstrates techniques
to a licensed Alabama veterinarian or group of licensed Alabama veterinarians. A consulting
veterinarian shall not utilize this privilege to circumvent the law. (6) DIRECT...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/34-29-61.htm - 12K - Match Info - Similar pages
25-5-1
Section 25-5-1 Definitions. Throughout this chapter, the following words and phrases
as used therein shall be considered to have the following meanings, respectively, unless the
context shall clearly indicate a different meaning in the connection used: (1) COMPENSATION.
The money benefits to be paid on account of injury or death, as provided in Articles 3 and
4. The recovery which an employee may receive by action at law under Article 2 of this chapter
is termed "recovery of civil damages," as provided for in Sections 25-5-31 and 25-5-34.
"Compensation" does not include medical and surgical treatment and attention, medicine,
medical and surgical supplies, and crutches and apparatus furnished an employee on account
of an injury. (2) CHILD or CHILDREN. The terms include posthumous children and all other children
entitled by law to inherit as children of the deceased; stepchildren who were members of the
family of the deceased, at the time of the accident, and were dependent upon him or...
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27-55-2
Section 27-55-2 Definitions. As used in this chapter, these terms shall have the following
meanings: (1) ABUSE. The occurrence of one or more of the following acts by a family or household
member, as defined by subdivision (3) of subsection (b) of Section 15-10-3: a. Attempting
to cause or intentionally, knowingly, or recklessly causing another person, including a minor
child, bodily injury, severe emotional injury, or psychological trauma or conduct which constitutes
the crime of rape. b. Intentionally following another person, including a minor child, without
proper authority, under circumstances that place the person in reasonable fear of bodily injury
or physical harm. c. Subjecting another person, including a minor child, to false imprisonment
or kidnapping. d. Attempting to cause or intentionally, knowingly, or recklessly causing damage
to property to intimidate or attempt to control the behavior of another person, including
a minor child. e. Assault, child abuse, criminal...
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34-25A-3
Section 34-25A-3 Definitions. As used in this chapter, the following terms shall have
the following meanings: (1) ACCREDITED FACILITY. A facility where prosthetic, orthotic, prosthetic
and orthotic, or pedorthic care is provided to patients needing such care and has met the
requirements of the board for such designation. The board shall require that all accredited
facilities meet the requirements of a national certifying board, recognized by the state board
in prosthetics, orthotics, and pedorthics accredited by the National Commission for Certifying
Agencies (NCCA) in the discipline or disciplines for which the application is made and meet
any other requirements of the board. The requirements may include custom and non-custom items
the board may determine are necessary to perform quality care and are typical in the course
of business. (2) ACCREDITED PEDORTHIC FACILITY. A facility where pedorthic care may be provided
that has met the requirements of the board for such designation. An...
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27-19-31
Section 27-19-31 Renewability. (a) Every individual policy of insurance providing hospital,
medical, or surgical benefits in which an insurer reserves the right to refuse renewal on
an individual basis shall provide, in substance, in a provision thereof, or in an endorsement
thereon or in a rider attached thereto that, subject to the right to terminate the policy
upon nonpayment of premium when due, such right to refuse renewal shall not be exercised before
the renewal date occurring on, or after and nearest, each policy anniversary or, in the case
of lapse and reinstatement, before the renewal date occurring on, or after and nearest, each
anniversary of the last reinstatement and that any refusal of renewal shall be without prejudice
to any claim originating while the policy is in force. Subject to the right to terminate for
nonpayment of premium, the right to refuse renewal by an insurer shall only be exercised after
having given the insured no less than 30 days' notice in writing of...
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