Code of Alabama

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36-29-19.9
Section 36-29-19.9 Continued coverage for spouse and dependents of covered person killed in
the line of duty. (a) Notwithstanding any other laws to the contrary, a spouse and dependents
of a person covered under the State Employees' Insurance Board (SEIB) health insurance plan
who is killed in the line of duty or who dies as a result of an injury received in the line
of duty shall continue to be covered under the SEIB plan, with the cost of continued coverage
to be paid from the State Treasury. (b) The continued coverage shall cease for the spouse
if he or she remarries or obtains an alternate health insurance provider. Continued coverage
shall cease for any dependent when his or her eligibility for coverage terminates. (Act 2012-498,
p. 1469, §1.)...
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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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27-56-5
Section 27-56-5 Third-party payment. (a) No insurance policy, plan, or contract providing for
third-party payment or prepayment of health or medical expenses that provides coverage for
eye care services shall be issued or renewed after August 1, 2001, unless such insurance policy,
plan, or contract does the following: (1) Provides a covered person direct access to any eye
care provider participating in, or otherwise eligible to provide services under, the policy,
plan, or contract for all eye care services covered under the policy, plan, or contract, without
any referral or preapproval requirement, including, but not limited to, the following services,
if covered: a. Medical treatment of glaucoma. b. Postoperative eye care. (2) Ensures that
any list of medical or health care providers participating in, or otherwise eligible to provide
services under, the policy, plan, or contract includes eye care providers to the same extent
that such list includes other medical or health care...
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36-1-6.1
Section 36-1-6.1 Professional liability coverage for state employees or agents; duties of Finance
Director; self-insurance; costs of insurance. (a) The various state agencies, departments,
boards, or commissions shall determine and report their needs for liability coverage to the
Finance Director, the Insurance Commissioner, and the Attorney General. The Finance Director,
with the advice of the Insurance Commissioner and Attorney General, shall then determine the
type of blanket policy needed to provide basic coverage for deaths, injuries, or damages arising
out of the negligent or wrongful acts or omissions committed by state employees or agents
of the state, including retired licensed physicians and dentists while they are voluntarily
serving at free health care clinics and individuals serving as foster parents licensed or
approved by the Department of Human Resources to maintain homes for a child or children under
the supervision of the department or serving as adult foster care...
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45-45-110.01
Section 45-45-110.01 Health insurance. (a) During their term of office, members of the Madison
County Board of Registrars and their dependents and the members of the Madison County Personnel
Board and their dependents shall be eligible for coverage under the Madison County Health
Insurance Plan. Upon expiration of their term of office, members of the board may continue
the coverage for the maximum number of months provided by federal law. (b) The premiums for
the insurance coverage for the members of the Madison County Board of Registrars and their
dependents and for the members of the Madison County Personnel Board and their dependents
shall be paid as premiums for the other insured county employees are paid. (c) The Madison
County Health Insurance Board shall promulgate rules and regulations required for the effective
administration of this section. (Act 98-587, p. 1294, §§ 1-3; Act 2000-638, p. 1285, §
1.)...
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16-25A-19
Section 16-25A-19 Maintenance of records; annual report. The board shall maintain records in
sufficient detail to accurately determine the total health insurance costs and the contributions
toward health insurance premiums by employees and retirees, separately and in composite form.
Not later than 90 days after the end of each fiscal year the board shall prepare a written
report that contains a calculation of the total cost of health insurance premiums for such
fiscal year and the amount of contributions by employees and retirees to the cost of such
health insurance premiums and the cost of such coverage that shall be paid by the employer
for the next fiscal year and the total savings to the state realized by the enactment of Act
2004-646, Act 2004-647, Act 2004-648, Act 2004-649, and Act 2004-650 in the First Special
Session of 2004. Such report shall contain sufficient detail to determine the total cost of
health insurance premiums for each class of employees or retirees and the...
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36-29-19.1
Section 36-29-19.1 The State Employees' Insurance Board shall maintain detailed records. The
board shall maintain records in sufficient detail to accurately determine the total health
insurance costs and the contributions toward health insurance premiums by employees and retirees
separately, and in composite form. Not later than 90 days after the end of each fiscal year
the board shall prepare a written report that contains a calculation of the total cost of
health insurance premiums for such fiscal year and the amount of contributions by employees
and retirees to the cost of such health insurance premiums and the cost of such coverage that
shall be paid by the employer for the next fiscal year and the total savings to the state
realized by the enactment of Act 2004-646, Act 2004-647, Act 2004-648, Act 2004-649, and Act
2004-650. Such report shall contain sufficient detail to determine the total cost of health
insurance premiums for each class of employees or retirees and the amount of...
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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.)...
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36-35-3
Section 36-35-3 Alabama Prescription Cost Initiative Board. (a) The Alabama Prescription Cost
Initiative Board is created. (b) The board shall consist of the following voting members:
The executive director or chief staff person of the State Employees Insurance Board (SEIB)
and the Public Education Employees Health Insurance Plan (PEEHIP), the Chair of the Board
of Directors of SEIB, the Chair of the Board of Directors of PEEHIP, and the State Health
Officer. The Director of the Medicaid Agency may serve in a nonvoting capacity. (c) The board
shall promulgate policies to implement this chapter and may hire an executive director and
necessary staff to implement and administer this chapter with or without regard to the state
Merit System. (d) The board through its executive director may enter into agreements with
a prescription drug buying group or manufacturer to negotiate price discounts or rebates on
behalf of the board or any participating department or governmental entity. (e) The...
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