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27-49-3
Section 27-49-3 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) HEALTH BENEFIT PLAN. Any individual or group plan, policy, or contract for health
care services issued, delivered, issued for delivery, renewed in this state by a health care
insurer, health maintenance organization, accident and sickness insurer, fraternal benefit
society, nonprofit hospital service corporation, nonprofit medical service corporation, health
care service plan, or any other person, firm, corporation, joint venture, or other similar
business entity that pays for, purchases, or furnishes health care services to patients, insureds,
or beneficiaries in this state. The term includes, but is not limited to, entities created
pursuant to Article 6 of Chapter 4 of Title 10. For the purposes of this chapter, a health
benefit plan located or domiciled outside of the State of Alabama is deemed to be subject
to the provisions of this chapter if it receives, processes,...
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36-27-50
Section 36-27-50 Temporary legislative employees covered by retirement system and health insurance
plan; limitations; procedure; purchase of prior service. (a) Notwithstanding any provision
of this title to the contrary, any state employee who has worked during at least five regular
sessions of the Legislature since 1971 or any employee who has worked during five consecutive
regular sessions of the Legislature and who is termed "temporary employee" shall
be considered a full-time employee of the State of Alabama and may, at the option of the employee,
be covered as a member of the state Employees' Retirement System and the State Employees'
Health Insurance Plan. Notwithstanding the foregoing, coverage shall continue as if the person
is employed full time. The employee shall pay the full health insurance cost during the time
the employee is not on the legislative payrolls but remains eligible to continue employment
during the next regular or special session of the Legislature. During...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-27-50.htm - 3K - Match Info - Similar pages
22-11A-65
Section 22-11A-65 Monitoring of practice of infected health care worker. The State Health Officer
shall cause the infected health care worker's practice to be reviewed at intervals established
by the expert review panel but not less than annually. The review shall verify the compliance
with any restrictions or conditions on the infected health care worker's practice as established
pursuant to subsection (f) of Section 22-11A-63. For infected health care workers for whom
no restrictions have previously been necessary, the review shall determine if, based upon
factors identified in subsection (c) of Section 22-11A-63, restrictions are necessary. The
findings of any review shall be forwarded to the State Health Officer pursuant to Section
22-11A-63 who shall forward evidence of noncompliance with previously established restrictions
to the appropriate licensing board or to the employer of the infected health care worker if
he or she does not have a professional license. If the review...
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22-4-3
Section 22-4-3 State Board of Health designated as State Health Planning and Development Agency;
powers and duties generally. (a) The State Board of Health is hereby designated as the sole
and official State Health Planning and Development Agency. (b) The State Board of Health is
authorized and empowered: (1) To conduct the health planning and development activities of
the state; (2) To prepare, review and revise as necessary a preliminary state health plan,
which shall be made up of the health systems plans of the health systems agencies within the
state, and which shall be submitted to the Statewide Health Coordinating Council for approval
or disapproval and for use in developing the state health plan; (3) Upon implementation of
Title XVI of the Public Health Service Act and adoption of federal regulations thereto, to
prepare, review and revise as necessary a State Medical Facilities Plan, which shall be submitted
to the Statewide Health Coordinating Council for approval or...
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34-23-181
Section 34-23-181 Definitions. The following words shall have the following meanings as used
in this article: (1) HEALTH BENEFIT PLAN. Any individual or group plan, employee welfare benefit
plan, policy, or contract for health care services issued, delivered, issued for delivery,
or renewed in this state by a health care insurer, health maintenance organization, accident
and sickness insurer, fraternal benefit society, nonprofit hospital service corporation, nonprofit
medical service corporation, health care service plan, or any other person, firm, corporation,
joint venture, or other similar business entity that pays for insureds or beneficiaries in
this state. The term includes, but is not limited to, entities created pursuant to Article
6 of Chapter 20 of Title 10A. A health benefit plan located or domiciled outside of the State
of Alabama is deemed to be subject to this article if it receives, processes, adjudicates,
pays, or denies claims for health care services submitted by or...
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22-4-10
Section 22-4-10 Cooperation of officers, agencies, etc., of state, etc., with State Board of
Health and Statewide Health Coordinating Council. All officers, employees and agents of the
State of Alabama and all departments, divisions, bureaus, commissions, subdivisions and agencies
of the government thereof are hereby authorized to confer, plan and cooperate with the State
Board of Health, Statewide Health Coordinating Council, their agents and employees in health
planning and resource development functions. Any department of the government of Alabama which
has statutory or legally designated authority and responsibility to administer state or state-federal
programs which involve related health functions shall cooperate with the State Board of Health
in its health planning and resources development functions so that these programs shall be
properly considered in the overall health program. (Acts 1975, No. 1197, p. 2365, ยง11.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-4-10.htm - 1K - Match Info - Similar pages
27-49-4
Section 27-49-4 Obstetricians and gynecologists as primary care physicians; direct access to
obstetrician and gynecologist not used as primary care physicians. (a) Each health benefit
plan which is issued, delivered, issued for delivery, or renewed in this state on or after
October 1, 1996, shall allow obstetricians and gynecologists as primary care physicians. This
subsection shall not be construed to require an individual obstetrician or gynecologist to
accept primary care physician status if the obstetrician or gynecologist does not wish to
be designated as a primary care physician, nor to interfere with the credentialing and other
selection criteria usually applied by a health benefit plan with respect to other physicians
within its network. (b) For women not using an obstetrician or gynecologist as their primary
care physician, no health benefit plan which is issued, delivered, issued for delivery, or
renewed in this state on or after October 1, 1996, shall require as a condition...
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27-58-1
Section 27-58-1 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) HEALTH BENEFIT PLAN. Any individual or group plan, employee welfare benefit
plan, policy, or contract for health care services issued, delivered, issued for delivery,
or renewed in this state by a health care insurer, health maintenance organization, accident
and sickness insurer, fraternal benefit society, nonprofit hospital service corporation, nonprofit
medical service corporation, health care service plan, or any other person, firm, corporation,
joint venture, or other similar business entity that pays for insureds or beneficiaries in
this state. The term includes, but is not limited to, entities created pursuant to Article
6 of Chapter 20 of Title 10A. A health benefit plan located or domiciled outside of the State
of Alabama is deemed to be subject to this chapter if it receives, processes, adjudicates,
pays, or denies claims for health care services submitted by or on...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-58-1.htm - 1K - Match Info - Similar pages
27-59-1
Section 27-59-1 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) HEALTH BENEFIT PLAN. Any individual or group plan, employee welfare benefit
plan, policy, or contract for health care services issued, delivered, issued for delivery,
or renewed in this state by a health care insurer, health maintenance organization, accident
and sickness insurer, fraternal benefit society, nonprofit hospital service corporation, nonprofit
medical service corporation, health care service plan, or any other person, firm, corporation,
joint venture, or other similar business entity that pays for insureds or beneficiaries in
this state. The term includes, but is not limited to, entities created pursuant to Article
6 of Chapter 20 of Title 10A. A health benefit plan located or domiciled outside of the State
of Alabama is deemed to be subject to this chapter if it receives, processes, adjudicates,
pays, or denies claims for health care services submitted by or on...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-59-1.htm - 1K - Match Info - Similar pages
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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