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27-52-1
Section 27-52-1 Creation; cessation and reestablishment of operations. (a) There is hereby
created the Alabama Health Insurance Plan which shall, as a high risk pool in the State of
Alabama, provide health insurance coverage to eligible individuals as an alternative to requiring
insurers to offer guaranteed-issue policies, as provided in the Health Insurance Portability
and Accountability Act of 1996 (Pub.L. 104-191, also known as HIPAA). (b) In the event any
federal mandate includes market reform provisions which satisfy the guaranteed-issue requirements
of HIPAA, the Alabama Health Insurance Plan may cease operations upon giving sufficient time
for current participants to transition out of the plan. After operation of the Alabama Health
Insurance Plan ceases and all current and future liabilities of the plan have been satisfied,
any unspent and unencumbered funds of the plan shall be transferred to the State General Fund.
(c) In the event a federal mandate requires the State of...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-52-1.htm - 1K - Match Info - Similar pages
27-56-7
Section 27-56-7 Applicability to certain providers. (a) This chapter does not require and shall
not be construed to require any insurance policy, plan, or contract to provide health care
coverage for eye care. The provisions of this chapter are applicable only to those insurance
policies, plans, or contracts which provide coverage for eye care. (b) Insurers or other issuers
of any insurance policy, plan, or contract which provides coverage for eye care shall continue
to be able to establish and apply selection criteria and utilization protocols for health
care providers as well as credentialing criteria used in the selection of providers. (c) This
chapter does not require and shall not be construed to require the coverage of eye care services
by providers who are not designated as covered providers, or who are not selected as participating
providers, by an insurance policy, plan, or contract, or the issuer thereof having a participating
network of service providers. Provided, however,...
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36-29-19.8
Section 36-29-19.8 Supplemental coverage for certain retirees. The board may offer a retiree
a supplemental coverage to other employer group health insurance coverage and certain requirements
shall be maintained regarding retiree health coverage and cost sharing. (1) For employees
who retire after September 30, 2005, and who become employed by an employer that provides
employees at least 50 percent of the cost of single health insurance coverage and that qualify
to receive other employer group health insurance coverage through that employer shall be required
to use the employer's health benefit plan for primary coverage and the State Employees' Health
Insurance Plan may provide supplemental coverage. (2) For retirees who have spouses with other
employer group health insurance coverage available to them through their employer or previous
employer, the board may provide such retirees with a supplemental coverage to other employer
group health insurance coverage in lieu of coverage in the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-29-19.8.htm - 1K - Match Info - Similar pages
36-34-2
Section 36-34-2 Local units authorized to participate in certain health insurance plan. As
an alternative to the provisions of Section 36-34-1, the local units are authorized to participate
in a health insurance plan developed by the State Employees' Insurance Board or the Alabama
Retired State Employees' Association to provide health insurance coverage to retirees, designated
beneficiaries, and surviving spouses of active members of the local units who are receiving
benefits from the Employees' Retirement System. The costs of extending the health insurance
to the retirees, designated beneficiaries, or surviving spouses under the aforementioned developed
health insurance plan may be paid from any funds available to the local units which are otherwise
unencumbered. (Acts 1995, No. 95-771, p. 1829, §2.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-34-2.htm - 1K - Match Info - Similar pages
16-25A-5.2
Section 16-25A-5.2 Supplemental policy to provide secondary coverage for retirees. The board
may offer retirees a supplemental policy that provides secondary coverage to other employer
group coverage and certain requirements shall be maintained regarding retiree health coverage
and cost sharing. (1) For employees who retire after September 30, 2005, and who become employed
by an employer that provides employees at least 50 percent of the cost of single health insurance
coverage and that qualify to receive other employer group health insurance coverage through
that employer shall be required to use the employer's health benefit plan for primary coverage
and the Public Education Employees' Health Insurance Plan may provide supplemental secondary
coverage. (2) For retirees who have spouses with other employer group health insurance coverage
available to them through their employer or previous employer, the board may provide such
retirees with a supplemental coverage policy to the other...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/16-25A-5.2.htm - 1K - Match Info - Similar pages
36-29-19.2
Section 36-29-19.2 The State Employees' Insurance Board may offer supplemental coverage. The
board may no later than January 1, 2006, offer employees a supplemental coverage to other
employer group health insurance coverage. (1) For employees who have spouses with other employer
group health insurance coverage available to them through their employer, or previous employer,
the board may provide such employees with a supplemental coverage to the other employer group
health insurance coverage in lieu of coverage in the basic medical plan of the State Employees'
Health Insurance Plan. (2) An employer that provides its employees and their spouses with
other employer group health insurance coverage may not exclude an employee, as defined under
Section 36-29-1, or his or her spouse from coverage by application of a provision which does
not also apply on the same terms and conditions to other employees or their spouses. No provision
of this section requires an employer to amend its plan to...
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36-29-4
Section 36-29-4 Establishment and provisions of health insurance plan; rules and regulations.
The board is hereby empowered and authorized to establish a fully insured or self-insured
health insurance plan for employees and retirees of the State of Alabama and to adopt and
promulgate rules and regulations for the administration of such plan, subject to such limitations
as may be contained in this chapter. Such plan may provide for group hospitalization, surgical,
and medical insurance against the financial costs of hospitalization, surgical, and medical
treatment and care and may also include, among other things, prescribed drugs, medicines,
prosthetic appliances, hospital inpatient and outpatient service benefits, and medical expenses
indemnity benefits, including major medical benefits or such other coverage or benefits as
may be deemed appropriate and desirable by the board. (Acts 1965, No. 833, p. 1564, §3; Act
2004-647, 1st Sp. Sess., p. 17, §1.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-29-4.htm - 1K - Match Info - Similar pages
27-3A-3
Section 27-3A-3 Definitions. As used in this chapter, the following words and phrases shall
have the following meanings: (1) DEPARTMENT. The Alabama Department of Public Health. (2)
ENROLLEE. An individual who has contracted for or who participates in coverage under an insurance
policy, a health maintenance organization contract, a health service corporation contract,
an employee welfare benefit plan, a hospital or medical services plan, or any other benefit
program providing payment, reimbursement, or indemnification for health care costs for the
individual or the eligible dependents of the individual. (3) PROVIDER. A health care provider
duly licensed or certified by the State of Alabama. (4) UTILIZATION REVIEW. A system for prospective
and concurrent review of the necessity and appropriateness in the allocation of health care
resources and services given or proposed to be given to an individual within this state. The
term does not include elective requests for clarification of...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-3A-3.htm - 3K - Match Info - Similar pages
45-4-110.01
Section 45-4-110.01 Health insurance for board members. Beginning May 1, 1998, the Bibb County
Commission may, by resolution, provide for the reimbursement of all or a portion of the cost
of health insurance premiums for the members of the Bibb County Board of Registrars. Upon
authorization by the resolution, the cost of reimbursement shall be paid from the county general
fund in an amount not to exceed the amount of the county's contribution toward health insurance
coverage provided for each regular county employee. Reimbursement to each member of the Bibb
County Board of Registrars shall be made on a quarterly basis upon presentation to the Bibb
County Commission of evidence of payment of the member's health insurance premiums. (Act 98-586,
p. 1294, §1.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/45-4-110.01.htm - 1K - Match Info - Similar pages
16-25A-5.1
Section 16-25A-5.1 Supplemental policy to provide secondary coverage for employees. The board
may, no later than January 1, 2006, offer employees a supplemental policy that provides secondary
coverage to other employer group coverage. (1) For employees who have spouses with other employer
group health insurance coverage available to them through their employer or previous employer,
the board may provide such employees and retirees with a supplemental coverage policy to the
other employer group health insurance coverage in lieu of full basic medical plan coverage
through the plan. (2) An employer that provides its employees and their spouses with other
employer group health insurance coverage may not exclude an employee, as defined under Section
16-25A-1(1), or his or her spouse from coverage by application of a provision which does not
also apply on the same terms and conditions to other employees or their spouses. No provision
of this section requires an employer to amend its plan to...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/16-25A-5.1.htm - 1K - Match Info - Similar pages
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