Code of Alabama

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36-29-13
Section 36-29-13 Appropriations to board; recognition of Medicaid premiums paid by retiree.
(a) There is hereby provided from the funds of the State Employees' Health Insurance Plan
$1,592,605.00 (estimated) for the fiscal year beginning October 1, 1985. The State Employees'
Insurance Board is hereby authorized to expend $22.35 per month per eligible retired employee
towards coverage for said retired employee for the fiscal year beginning October 1, 1985.
(b) It is the intent of the Legislature that subsequent appropriations to the State Employees'
Insurance Board pursuant to this section shall be included in the appropriations made for
active employees from employer funds pursuant to subsection (d) of Section 36-29-7 beginning
with the fiscal year 1986-87 and each year thereafter and shall be increased to fully fund
the employer's portion of the benefits provided for in Section 36-29-10. (c) The board shall
recognize any Medicare premium paid by a retiree in determining any increases...
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16-25A-21
Section 16-25A-21 Flexible employees' benefits programs. Employee premium contributions shall
be deducted, by all employers, from payroll on a pretax basis as permitted under Section 125
of the Internal Revenue Code. The board is authorized to transfer the necessary funds from
the Public Education Employees' Health Insurance Plan to the fund established by the Public
Education Flexible Employees Benefit Board for the administration of the Public Education
Flexible Employees Benefits Program. All public education employees shall be offered flexible
spending accounts by employers for pretax deductions for medical and childcare expenses. (Act
2004-646, 1st Sp. Sess., p. 6, ยง4.)...
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22-21-361
Section 22-21-361 Definitions. The following terms shall have the meanings respectively ascribed
by this section unless the context clearly indicates otherwise: (1) COMMISSIONER. The commissioner
of insurance of this state. (2) DENTAL SERVICE PLAN or PLAN. Any plan or other arrangement
whereby dental services are provided in whole or in part through a dental service corporation
by dentists participating in the plan to provide dental services to those members of the public
who become subscribers to the plan under a contract with such corporation. The terms "dental
service plan" or "plan" do not include an insurer authorized by the insurance
department to transact insurance in this state or to a nonprofit health insurance plan organized
pursuant to Section 10-4-100, or to any policy of insurance or contract which includes dental
benefits issued by such insurer or nonprofit health insurance plan. (3) DEPARTMENT. The Department
of Insurance. (4) LICENSE. The certificate of authority issued...
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27-19-28
Section 27-19-28 Exclusion of hospitalization benefits for mental patients in tax-supported
institutions. (a) No policy of health, sickness, or accident insurance delivered, or issued
for delivery, in this state, including both individual and group policies, which provide coverage
for psychiatric treatment or mental illness shall exclude hospitalization benefits for mental
patients in tax-supported institutions of the State of Alabama, or any county or municipality
thereof. (b) The provisions of this section shall not apply to any policy of insurance in
effect prior to September 20, 1971, nor shall the provisions of this section apply to any
employee benefit plan providing hospital benefits for mental patients where such employee
benefit plan is established by the employer and contributions to the plan are provided by
the employer and the employee, or either of them, and such plan is not evidenced by individual,
or group or blanket policies of health, sickness, or accident insurance...
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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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27-38-1
Section 27-38-1 Establishment of separate accounts by life insurers to provide for life insurance
or annuities and benefits incidental thereto. A life insurer organized under the laws of this
state may, by or pursuant to a resolution of its board of directors, establish one or more
separate accounts and may allocate thereto amounts, including without limitation proceeds
applied under optional modes of settlement or under dividend options, to provide for life
insurance or annuities, and benefits incidental thereto, payable in fixed or variable amounts
or both, subject to the following: (1) The income, gains, and losses, realized or unrealized,
from assets allocated to a separate account shall be credited to, or charged against, the
account, without regard to other income, gains, or losses of the insurer; (2) Except as provided
in this section, amounts allocated to any separate account, and accumulations thereon, may
be invested and reinvested without regard to any requirements or...
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27-45-2
Services ordinarily and customarily rendered by a pharmacy or pharmacist, including without
limitation, the dispensing of prescriptions, drugs, medicines, chemicals, or poisons. (12)
DRUGS. All medical substances, preparations, and devices recognized by the United States Pharmacopoeia
and National Formulary, or any revision thereof, and all substances and preparations intended
for external and internal use in the cure, diagnosis, mitigation, treatment, or prevention
of disease in man or animal and all substances and preparations other than food intended
to affect the structure or any function of the body of man or animal. (13) PRESCRIPTION.
Any order for drug or medical supplies, written or signed or transmitted by word of mouth,
telephone, telegraph, closed circuit, television, or other means of communication by a legally
competent practitioner, licensed by law to prescribe and administer such drugs and medical
supplies intended to be filled, compounded, or dispensed by a...
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36-29-14.1
Section 36-29-14.1 Election by soil and water conservation districts to receive coverage for
officers and employees. (a) The governing body of any county soil and water conservation district
may, by resolution legally adopted to conform to rules prescribed by the State Employees'
Insurance Board, elect to have its officers and employees who are full-time employees working
at least a 40-hour work week and its retiring employees who worked full time at least a 40-hour
work week during their active employment become eligible to participate in the State Employees'
Health Insurance Plan. The term "officers" and "employees" as used in
this section shall include those persons appointed or employed by the individual officers
and performing their duties in public offices, but shall not include members of soil and water
conservation district boards, known as district supervisors who are expressly prohibited from
participating in said health insurance plan. (b) Each employee who is covered by the...
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36-29-17
Section 36-29-17 Election by employees and officers of Alabama Sports Hall of Fame Board to
receive coverage. (a) Notwithstanding the provisions of Section 36-29-1, an employee or executive
officer of the Alabama Sports Hall of Fame Board and his or her dependents shall be eligible
for coverage under the State Employees' Health Insurance Plan and upon the expiration of the
employment may continue the coverage for a maximum of 36 months. (b) Preexisting conditions
shall not be covered until the insured has been covered under the plan for a period of 12
months. An employee enrolling within 30 days of August 7, 1995 or within 30 days of the beginning
of a calendar year thereafter shall not be subject to this limitation of benefits. A preexisting
condition is a condition for which the insured or their covered dependent received medical
treatment, advice, or consultation, or received a prescribed medication within 12 months of
the effective date of the insured's coverage under the plan. (c)...
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45-8A-22.102
Section 45-8A-22.102 Powers and duties of the retirement board.. (a) The retirement board shall
be responsible for the general administration and proper operation of the plan and shall administer
the plan for the exclusive benefit of participants and their beneficiaries, subject to the
terms of the plan. The retirement board shall administer the plan in accordance with its terms
and shall have the power and discretion to construe the terms of the plan and this subpart
and to determine all questions arising in connection with the administration, interpretation,
and application of the plan. Any such determination by the retirement board shall be conclusive
and binding upon all persons. (1) The retirement board shall have all powers necessary or
appropriate to accomplish the retirement board's duties under the plan, including, but not
limited to, the following: a. To determine all questions relating to the eligibility of a
sworn police officer or a sworn firefighter of the City of...
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