Code of Alabama

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36-26-121
Section 36-26-121 Annual itemized statement of employee and retirement benefits, and
total employer contributions to retirement systems and health insurance plans. (a) As used
in this article, the following words have the following meanings: (1) EMPLOYEE BENEFIT. Any
benefit a public employee received or accrued from his or her employer, including, but not
limited to, salary or wages; insurance; allowance for days off such as vacation, holidays,
sick leave, or personal days; and contributions toward retirement or pension benefits. (2)
HEALTH INSURANCE PLAN. Either of the following health insurance plans as it applies to an
individual public employee or retiree: a. The State Employees' Health Insurance Plan. b. The
Public Education Employees' Health Insurance Plan. (3) RETIREE. A retiree or a beneficiary
of a deceased retiree who receives an employee benefit or pension benefit from a retirement
system, as defined in this section. (4) RETIREMENT SYSTEM. One of the following as
it applies...
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36-29-16
Section 36-29-16 Group insurance for retired judges of probate and legislators; payment
of cost. Any judge of probate who qualifies to retire from active service with a benefit from
the Judicial Retirement Fund or any legislator shall be entitled to participate in the State
Employees' Health Insurance Plan. The entire cost for the group health insurance during retirement
for a judge of probate or for a legislator shall be paid by such retired judge or legislator
under such terms and conditions as the group insurer may, from time to time, prescribe for
such group health insurance. (Acts 1994, No. 94-608, p. 1123, §1.)...
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36-29-19.8
Section 36-29-19.8 Supplemental coverage for certain retirees. The board may offer a
retiree a supplemental coverage to other employer group health insurance coverage and certain
requirements shall be maintained regarding retiree health coverage and cost sharing. (1) For
employees who retire after September 30, 2005, and who become employed by an employer that
provides employees at least 50 percent of the cost of single health insurance coverage and
that qualify to receive other employer group health insurance coverage through that employer
shall be required to use the employer's health benefit plan for primary coverage and the State
Employees' Health Insurance Plan may provide supplemental coverage. (2) For retirees who have
spouses with other employer group health insurance coverage available to them through their
employer or previous employer, the board may provide such retirees with a supplemental coverage
to other employer group health insurance coverage in lieu of coverage in the...
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36-29-7
Section 36-29-7 Payment of employer's contribution; coverage for dependents; changes
to contributions; withholding of employee's contribution; State Employees' Insurance Fund.
(a) The board is hereby authorized to provide under the provisions of this chapter that the
employer's contribution to the cost of such plan for coverage of the employee and retiree
shall be paid by the employer. (b) Each employee and retiree shall be entitled to have his
or her spouse and dependent children, as defined by the rules and regulations of the board,
included in the coverage provided upon agreeing to pay the employee's contribution of the
health insurance premium for such dependents. The board shall adopt regulations governing
the discontinuance and resumption by such employees and retirees of coverage for dependents.
(c) Subject to Section 36-29-19.3, any further changes in employee or retiree contribution
to the health insurance premium or other out-of-pocket expenses including, but not limited
to,...
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36-29-9
Section 36-29-9 Contracts to provide for health insurance for retiring state employees,
spouses and dependents; adoption of rules and regulations for election by retiring employees
or surviving spouses and dependents as to participation, etc., in plan. The contract or contracts
shall provide for health insurance for retiring state employees and their spouses and dependents
as defined by rules and regulations of the board on such terms as the board may deem appropriate.
The board shall adopt rules and regulations prescribing the conditions under which retiring
employees, and in the event of the death of a retired employee their spouses and dependents,
may elect to participate in or withdraw from the plan. (Acts 1965, No. 833, p. 1564, §7;
Acts 1982, No. 82-519, p. 866, §1.)...
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16-25A-5.2
Section 16-25A-5.2 Supplemental policy to provide secondary coverage for retirees. The
board may offer retirees a supplemental policy that provides secondary coverage to other employer
group coverage and certain requirements shall be maintained regarding retiree health coverage
and cost sharing. (1) For employees who retire after September 30, 2005, and who become employed
by an employer that provides employees at least 50 percent of the cost of single health insurance
coverage and that qualify to receive other employer group health insurance coverage through
that employer shall be required to use the employer's health benefit plan for primary coverage
and the Public Education Employees' Health Insurance Plan may provide supplemental secondary
coverage. (2) For retirees who have spouses with other employer group health insurance coverage
available to them through their employer or previous employer, the board may provide such
retirees with a supplemental coverage policy to the other...
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16-25A-9
Section 16-25A-9 Eligible employees covered. (a) All employees and, under certain conditions,
retired employees as defined in Section 16-25A-1 at the time of adoption and execution
by the board of a contract or other arrangement providing for group health insurance plans
and who are eligible for coverage under the provisions of this article and the rules and regulations
of the board adopted pursuant thereto shall have the option to be included in such coverage
of the plan and shall have an option as to whether they will subscribe to such coverage for
their dependents, such option to be exercised in the manner and within the time limitation
prescribed by the board. (b) All persons who become employees, as defined by the terms of
this article and the rules and regulations promulgated by the board pursuant thereto, shall
become eligible for membership in the group health insurance plan offered by their employing
board and shall have an option as to whether they will subscribe to such...
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27-21A-32
Section 27-21A-32 HMO enrollment requirements. (a) The state government, or any agency,
board, commission, institution, or political subdivision thereof, and any city or county,
or board of education, which offers its employees a health benefits plan may make available
to and inform its employees or members of the option to enroll in at least one health maintenance
organization holding a valid certificate of authority which provides health care services
in the geographic areas in which such employees or members reside. (b) The first time a health
maintenance organization is offered by an employer, either public or private, each covered
employee must make an affirmative written selection among the different alternatives included
in the health benefits plan. Thereafter, those who wish to change from one plan to another
will be allowed to do so annually, provided, that nothing in this section shall prevent
any health maintenance organization or insurer from requiring evidence of...
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27-55-3
Section 27-55-3 Prohibited practices; disclosure of information. (a) No insurer may:
(1) Deny, refuse to issue, renew, or reissue, cancel, or otherwise terminate, restrict, or
exclude coverage on an insurance policy or health benefit plan on the basis of an applicant's
or insured's abuse status, or on the basis of any association, relationship, or assistance
to a subject of abuse. (2) Exclude or limit coverage for a loss, deny benefits, or deny a
claim on the basis of the insured's abuse status, or on the basis of any association, relationship,
or assistance to a subject of abuse, except as otherwise permitted or required by the laws
of this state relating to acts of abuse committed by a life insurance beneficiary. Notwithstanding
anything to the contrary in this section, a liability insurer may include policy provisions
providing that a payment required by this subsection may be denied or, if paid, recovered
by the insurer from the insured, if the claim arose out of an act of abuse by...
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27-59-3
Section 27-59-3 Implementation of coverage. (a) The benefits provided in this chapter
shall be subject to the same annual deductible or co-insurance established for all covered
benefits within a given policy. Private third party payors may not reduce or eliminate coverage
due to the requirements of this chapter. (b) A health benefit plan subject to this chapter
may not terminate services, reduce capitation payment, or otherwise penalize an attending
physician or health care provider who orders medical care consistent with this chapter. (c)
Nothing in this chapter is intended to expand the list of designations of covered providers
as specified in any health benefit plan. (Act 2008-502, p. 1106, §3.)...
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