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25-5-8
Section 25-5-8 Employers' options to secure payment of compensation. (a) Option to insure
risks. An employer subject to this chapter may secure the payment of compensation under this
chapter by insuring and keeping insured his or her liability in some insurance corporation,
association, organization, insurance association, corporation, or association formed of employers
and workers or formed by a group of employers to insure the risks under this chapter, operating
by mutual assessment or other plans or otherwise. Notwithstanding the foregoing, the insurance
association, organization, or corporation shall have first had its contract and plan of business
approved in writing by the Commissioner of the Department of Insurance of Alabama and have
been authorized by the Department of Insurance to transact the business of workers' compensation
insurance in this state and under the plan. Notwithstanding any other provision of the law
to the contrary, the obligations of employers under law for...
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27-19A-2
Section 27-19A-2 Definitions. As used in this chapter, the following terms shall have
the respective meanings herein set forth, unless the context shall otherwise require: (1)
ALABAMA INSURANCE CODE. Title 27 of the Code of Alabama 1975. (2) INSURER. Such term shall
have the meaning ascribed in Section 27-1-2. (3) PERSON. Such term shall have the meaning
ascribed in Section 27-1-2. (4) COMMISSIONER and DEPARTMENT. Such terms, respectively,
shall have the meanings ascribed in Section 27-1-2. (5) CONTRACTUAL OBLIGATION. Any
obligation under covered policies or employee benefit plans. (6) COVERED POLICY OR PLAN. Any
policy, employee benefit plan, or contract within the scope of this chapter. (7) HEALTH INSURANCE
POLICY. Any individual, group, blanket, or franchise insurance policy, insurance agreement,
or group hospital service contract providing benefits for dental care expenses incurred as
a result of an accident or sickness. (8) EMPLOYEE BENEFIT PLAN. Any plan, fund, or program...
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27-1-17.1
Section 27-1-17.1 Payment of providers through electronic funds transfer methods. (a)
As used in this section, the following words shall have the following meanings: (1)
ACH ELECTRONIC FUNDS TRANSFER. An electronic funds transfer through the Health Insurance Portability
and Accountability Act (HIPPA) standard Automated Clearing House network. (2) COVERED HEALTH
CARE PROVIDER. A physician as defined in Section 34-24-50.1; a dentist as defined in
Section 34-9-1; a chiropractor as defined in Section 34-24-120; an individual
engaged in the practice of optometry as defined in Section 34-22-1; other licensed
health care professionals as defined in Title 34; a hospital as defined in Section
22-21-20; and a health care facility, or other provider who or that is accredited, licensed,
or certified and who or that is performing within the scope of that accreditation, license,
or certification. (3) HEALTH INSURANCE PLAN. Any hospital and medical expense incurred policy,
health maintenance...
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27-21A-15
Section 27-21A-15 Powers of insurers and health care service plans. (a) An insurance
company licensed in this state, or a health care service plan authorized to do business in
this state, may either directly or through a subsidiary or affiliate organize and operate
a health maintenance organization under the provisions of this chapter. Notwithstanding any
other law which may be inconsistent herewith, any two or more such insurance companies, health
care service plans, or subsidiaries or affiliates thereof, may jointly organize and operate
a health maintenance organization. The business of insurance is deemed to include the providing
of health care by a health maintenance organization owned or operated by an insurer or a subsidiary
thereof. (b) Notwithstanding any provision of insurance and health care service plan laws,
Title 10, Chapter 4, Article 6 and Title 27, an insurer or a health care service plan may
contract with a health maintenance organization to provide insurance or...
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34-23-184
Section 34-23-184 Audit procedures; report. (a) The entity conducting an audit shall
follow these procedures: (1) The pharmacy contract shall identify and describe in detail the
audit procedures. (2) The entity conducting the on-site audit shall give the pharmacy written
notice at least two weeks before conducting the initial on-site audit for each audit cycle.
If the pharmacy benefit manager does not include their auditing guidelines within their provider
manual, then the notice must include a documented checklist of all items being audited and
the manual, including the name, date, and edition or volume, applicable to the audit and auditing
guidelines. For on-site audits a pharmacy benefit manager shall also provide a list of material
that is copied or removed during the course of an audit to the pharmacy. The pharmacy benefit
manager may document this material on either a checklist or on an audit acknowledgement form.
The pharmacy shall produce any items during the course of the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/34-23-184.htm - 9K - Match Info - Similar pages
11-91-2
Section 11-91-2 Contracting for and purchase of insurance policies generally; requirements
as to amounts of insurance under policies and coverage of policies. (a) All such governing
bodies shall have authority to contract for and purchase any or all such policies of insurance
from any insurer or insurers admitted to transact the business of such insurance in the State
of Alabama, and the governing bodies of all state colleges and universities shall have, in
addition to powers previously granted, the authority to contract for and purchase any or all
such policies of insurance from any nonprofit corporation organized and operated without profit
to any private shareholder or individual exclusively for the purpose of aiding or strengthening
educational institutions by issuing insurance and annuity contracts only to or for the benefit
of such institutions and individuals engaged in the services of such institutions. (b) The
amounts of insurance under any such policy must be based upon some...
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11-91A-8
Section 11-91A-8 Awarding of contracts. (a) Before entering into any contract or contracts
for a carrier or third party administrator, the board shall solicit competitive proposals
from companies or agencies qualified to administer or offer plans for group health care coverage.
The board shall carefully evaluate all proposals received and award the contract or contracts
to the most qualified company or agency taking into consideration all relevant factors, including,
but not limited to, the following: The benefits offered; the proposed administrative costs
and the costs to be incurred by the employer participant and its employees, retirees, and
dependents; and the experience of the companies or agencies submitting proposals. In evaluating
these factors, the board may employ the services of impartial professional insurance analysts
or actuaries. The contract or contracts executed by the board with the selected carrier or
third party administrator shall be a contract to offer coverage to...
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45-8-173.01
Section 45-8-173.01 Additional recording fee; Mental Health Advisory Board; disposition
fee. (a) In addition to any fees currently assessed, the probate office of Calhoun County
shall charge an additional fee of four dollars ($4) on certain transactions as provided herein
in the probate office of Calhoun County. For purposes of this section, a transaction
means the recording of any document in the probate office and the issuance of a marriage license
by the judge of probate. The fee shall be paid by the party filing the document or persons
receiving the marriage license at the time of the transaction in the probate court. After
the first year of the operation of this part, the Calhoun County Mental Health Advisory Board
may increase or lower the fee, provided the fee may not exceed six dollars ($6). The fee shall
not apply to matters filed in the Calhoun County Probate Court. (b) There is established the
Calhoun County Mental Health Advisory Board which shall have five members as...
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16-6D-6
Section 16-6D-6 Innovation plan. (a) The innovation plan of a local school system shall
include, at a minimum, all of the following: (1) The school year that the local school system
expects the school flexibility contract to begin. (2) The list of state laws, regulations,
and policies, including rules, regulations, and policies promulgated by the State Board of
Education and the State Department of Education, that the local school system is seeking to
waive in its school flexibility contract. (3) A list of schools included in the innovation
plan of the local school system. (b) A local school system is accountable to the state for
the performance of all schools in its system, including innovative schools, under state and
federal accountability requirements. (c) A local school system may not, pursuant to this chapter,
waive requirements imposed by federal law, requirements related to the health and safety of
students or employees, requirements imposed by ethics laws, requirements imposed...
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22-21-371
Section 22-21-371 Individual, group, blanket or franchise contracts authorized; certificates
of coverage; filing and approval of contracts and certificates; requirements; grounds for
disapproval. (a) Dental service plan contracts may be written on individual, group, blanket
or franchise basis. Each contractual obligation for such dental service(s) must be evidenced
by a contract. Each person covered under a group contract must be issued a certificate of
coverage. (b) No contract or certificate of dental service benefits may be issued in this
state unless a copy of the form has been filed and approved by the commissioner. (c) The commissioner
may not approve any form that does not meet the following requirements: (1) Contracts must
contain a list and description of the dental service payments promised or the dental work
for which expenses are to be reimbursed, and any limits on the amounts to be paid or reimbursed;
(2) Contracts and certificates must indicate the name of the dental...
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