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31-12-7
Section 31-12-7 Health insurance for public employees; participation in retirement systems.
(a) Any public employee who receives compensation from a public employer as provided by this
chapter, while he or she is serving on active duty in the Armed Forces of the United States,
may elect to continue with his or her individual or dependent coverage under the health insurance
plan of the public employer for the duration of the time he or she receives the compensation.
Premiums for dependent coverage shall be deducted from the compensation in the amount in effect
at the time for an active employee with dependent coverage. (b) Any public employee covered
under the Employees' Retirement System or the Teachers' Retirement System who is serving on
active duty in the Armed Forces of the United States during the war on terrorism that commenced
in September 2001, as determined by the Adjutant General of the Alabama National Guard, shall
be deemed an active and contributing member of the...
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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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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.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-29-19.9.htm - 1K - Match Info - Similar pages
22-1-14
Section 22-1-14 Licensure Freedom Act. (a) State licensure requirements for physicians, chiropractors,
optometrists, and dentists in this state shall be granted based on demonstrated skill and
academic competence. Licensure approval for physicians, chiropractors, optometrists, and dentists
in this state may not be conditioned upon or related to participation in any public or private
health insurance plan, public health care system, public service initiative, or emergency
room coverage. (b) The licensure of dentists, osteopaths, chiropractors, optometrists, and
physicians shall be conducted exclusively pursuant to Chapter 9 of Title 34; Division 1, commencing
with Section 34-24-50, of Article 3 of Chapter 24 of Title 34; Article 4, commencing with
Section 34-24-120, of Chapter 24 of Title 34; Chapter 22 of Title 34; and Division 1, commencing
with Section 34-24-310, of Article 8 of Title 34, respectively. (c) Physician or optometric
licensure shall not be conditioned upon or related to...
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22-5D-4
Section 22-5D-4 Coverage and costs. (a) This chapter does not expand the coverage required
of an insurer. (b) A health plan, third party administrator, or governmental agency is not
required to provide coverage for the cost of an investigational drug, biological product,
or device, or the cost of services related to the use of an investigational drug, biological
product, or device under this chapter. (c) This chapter does not require any governmental
agency to pay costs associated with the use, care, or treatment of a patient with an investigational
drug, biological product, or device. (d) This chapter does not require a hospital or other
health care facility to provide new or additional services, unless approved by the hospital
or facility. (Act 2015-320, §4.)...
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26-10B-8
Section 26-10B-8 Department to provide coverage and benefits not provided by residence state;
procedure for reimbursement. The State Department of Human Resources shall provide coverage
and benefits for a child who is in another state and who is covered by an adoption assistance
agreement made by the State Department of Human Resources for coverage or benefits, if any,
not provided by the residence state. To this end, the adoptive parents acting for the child
must obtain prior approval from the State Department of Human Resources and may submit evidence
of payment for services or benefit amounts not payable in the residence state and shall be
reimbursed therefor. However, there shall be no reimbursement for services or benefit amounts
covered under any insurance or other third party medical contract or arrangement held by the
child or the adoptive parents. The State Department of Human Resources shall make regulations
implementing this section. Among other things, such regulations...
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27-52-3
Section 27-52-3 Additional powers; guidelines. (a) The commissioner shall, by regulation, establish
additional powers and duties of the plan and may adopt such rules as are necessary and proper
to implement this article. For the purpose of this section, the term "insurer" means
any entity covered by the Health Insurance Portability Act, including, but not limited to,
as the terms are defined in the Health Insurance Portability Act, a health insurance issuer,
a health maintenance organization and, notwithstanding Section 10-4-115, any health benefit
plan. In the case of a self-funded health benefit plan operating through a third party administrator,
the third party administrator shall be the insurer for the purpose of this section. The commissioner
may, by regulation, define health insurance premiums consistent with the purpose of this section.
(b) The regulations shall set forth coverage eligibility criteria consistent with the requirements
of Health Insurance Portability and...
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27-55-8
Section 27-55-8 Construction. This chapter does not and shall not be construed as creating
a private cause of action and does not and shall not require insurers, including any health
benefit plan, to extend coverage to any providers or type of providers for which coverage
is not specifically provided within the policy or certificate of insurance or health benefit
plan, or to add additional providers to existing networks, or to add any health care benefits.
(Act 2000-595, p. 1185, §8.)...
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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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36-36-3
Section 36-36-3 Definitions. As used in this chapter, the following words and phrases shall
have the following respective meanings: (1) ALABAMA RETIRED EDUCATION EMPLOYEES' HEALTH CARE
TRUST. The Alabama Retired Education Employees' Health Care Trust created by the state and
the Public Education Employees' Health Insurance Board pursuant to this chapter. (2) ALABAMA
RETIRED STATE EMPLOYEES' HEALTH CARE TRUST. The Alabama Retired State Employees' Health Care
Trust created by the state and the State Employees' Insurance Board pursuant to this chapter.
(3) BOARDS. The State Employees' Insurance Board and the Public Education Employees' Health
Insurance Board. (4) DEPENDENTS. The spouse and dependent children, as defined by the rules
and regulations of the respective boards, of a retired employee who are covered by either
the Public Education Employees' Health Insurance Plan pursuant to Chapter 25A of Title 16,
as amended from time to time, or the State Employees' Health Insurance Plan...
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