16-25A-14
Section 16-25A-14 Companies presently providing supplemental coverage to have access to payroll
deduction. All insurance companies presently providing hospital indemnity coverage, cancer
insurance and dental coverage as supplemental coverage for the employees of any board of education,
institution, or other employer as defined in Section 16-25A-1 at July 14, 1983, shall have
access to payroll deduction. (Acts 1983, No. 83-455, p. 640, §14.)...
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27-1-22
Section 27-1-22 Uniform prescription drug information card or technology. (a) Every health
benefit plan that provides coverage for prescription drugs or devices, or administers a plan,
including, but not limited to, third party administrators for self-insured plans and state
administered plans, excluding the Alabama Medicaid Program, shall issue to its insureds a
card or other technology containing prescription drug information. The uniform prescription
drug information card or technology shall be in the format approved by the National Council
for Prescription Drug Programs (NCPDP) and shall include all of the required fields and conform
to the most recent pharmacy ID card or technology implementation guide produced by NCPDP or
conform to a national format acceptable to the Commissioner of Insurance. If a health care
plan includes a conditional or situational field, it shall conform to the most recent pharmacy
information card or technology implementation guide by the NCPDP or conform...
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27-52-20
Section 27-52-20 Alabama Small Employer Allocation Program created. There is hereby created
the Alabama Small Employer Allocation Program which shall promote the availability of health
insurance coverage to small employers regardless of their health status or claims experience,
to prevent abusive rating practices, to prevent segmentation of the health insurance market
based upon health risk, to spread health insurance risk more broadly, to require disclosure
of rating practices to purchasers, to establish rules regarding renewability of coverage,
to limit use of preexisting conditions exclusions, and to improve the overall fairness and
efficiency of the small group health insurance market. (Acts 1997, No. 97-713, p. 1476, §7.)...

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41-9-351
Section 41-9-351 Commission may provide for insurance for properties and employees. (a) The
commission may provide insurance covering loss or damage to its properties or any properties
of others in its custody, care, or control or any properties as to which it has any insurable
interest caused by fire or other casualty and may likewise provide insurance for the payment
of damages on account of the injury or death of persons and the loss or destruction of properties
of others, and may pay the premiums out of the revenues of the commission. Nothing in this
section shall be construed to authorize or permit the institution of any civil action or proceeding
in any court against the commission for or on account of any matter referred to in this section.
Any contracts of insurance authorized by this section may, in the discretion of the chair
of the commission, provide for a direct right of action against the insurance carrier for
the enforcement of any claims or causes of action. (b) The...
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45-44-120
Section 45-44-120 Participation in Employees' Retirement System and Health Insurance Plan.
The Board of Directors of the Star-Mindingall Water and Fire Protection Authority and the
boards of directors of all other public boards and authorities located in Macon County may
elect by resolution to have their employees participate in the Employees' Retirement System
and the State Employees' Health Insurance Plan, and to transfer to that system whatever funds
are necessary to accomplish that purpose. (Act 99-420, p. 749, § 1.)...
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45-45-120
Section 45-45-120 Group health insurance. In Madison County, any municipality is hereby authorized,
in its discretion, to pay all or any part of the costs of group health insurance premiums
for retired municipal employees. Any municipal governing body, by ordinance, may implement
this section. (Act 85-598, p. 927, § 1.)...
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26-23C-2
Section 26-23C-2 Legislative findings. (a) The Legislature of the State of Alabama finds all
of the following: (1) Under the Patient Protection and Affordable Care Act, P.L. 111-148,
federal tax dollars, via affordability credits, subsidies provided to individuals between
150-400 percent of the federal poverty level, are routed to exchange participating health
insurance plans, including plans that provide coverage for abortions. (2) Federal funding
of insurance plans that provide abortions is an unprecedented change in federal abortion funding
policy. The Hyde Amendment, as passed each year in the Labor Health and Human Services Appropriations
bill, and the Federal Employee Health Benefits Program, FEHBP, prohibit federal funds from
subsidizing health insurance plans that provide abortions. Under this new law, however, exchange
participating health insurance plans that provide abortions can receive federal funds. (3)
The provision of federal funding for health insurance plans that...
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27-54-3
Section 27-54-3 Additional benefits. Each group health benefit plan shall offer to provide,
at a minimum, the following additional benefits for a person suffering from a mental or nervous
condition: (1) Inpatient services. (2) Day treatment services. (3) Outpatient services. (Act
2000-386, p. 605, §4.)...
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27-57-5
Section 27-57-5 Coverage by participating providers; selection criteria and utilization protocols;
maximum benefits, exclusions, etc. (a) This chapter does not require and shall not be construed
to require the coverage of services of providers who are not designated as covered providers,
or who are not selected as a participating provider, by a group health benefit plan or insurer
having a participating network of service providers. Nothing in this chapter is intended to
expand the list or designation of participating providers as specified in any health benefit
plan. (b) Insurers or other issuers of any health benefit plan covered by this chapter shall
continue to be able to establish and apply selection criteria and utilization protocols for
health care providers including the designation of types of providers for which coverage is
provided as well as credentialing criteria used in the selection of providers. (c) A group
health benefit plan, policy, or contract that provides coverage...
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35-11-371
Section 35-11-371 Perfection of lien. (a) For the purposes of this section, the following terms
shall have the following meanings: (1) HEALTH CARE PAYOR. A health care insurer, health maintenance
organization, or health care service plan organized under Article 6, Chapter 20, Title 10A,
authorized to provide health care coverage in the state. (2) SATISFY THE CLAIM. Receipt by
the hospital of either of the following: a. Full payment for services as billed. b. If the
hospital has a contract with the injured person's health care payor, payment together with
all credits, discounts, and contractual adjustments that the patient's bill would be entitled
under the contract, including recoupments, between the hospital and the patient's health care
payor which extinguish the patient's obligation for the services rendered. (b) Unless specifically
contrary to any contractual agreement between the hospital and the injured person's health
care payor or unless contrary to any statute or governmental...
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