|
22-21-366
Section 22-21-366 Subscriber rates subject to approval of department; provisions in
contract between corporation and dentist. (a) The rates charged by a dental service plan corporation
to the subscribers for dental services shall at all times be subject to the approval of the
department. (b) Every contract between a dental service plan corporation and a dentist, whereby
the plan provides for payment of a fee or fees to the dentist for dental services rendered
by the dentist to subscribers, shall contain a clause stating that the dental service plan
corporation shall be liable for such fee or fees rather than the subscribers receiving said
dental services. Such contract shall also contain a clause whereby, upon termination of the
contract by either party or upon expiration thereof, a dentist is obligated to complete any
procedure which he has undertaken upon any subscriber. (Acts 1982, No. 82-463, p. 741, ยง7.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-366.htm - 1K - Match Info - Similar pages
22-21-375
Section 22-21-375 Issuance of license; revocation; procedures for review and mediation
of complaints. (a) The Department of Insurance shall issue a license to each applicant upon
payment of the prescribed fees and upon being satisfied that: (1) The applicant has been organized
in a bona fide manner for the purpose of establishing, maintaining, and operating a dental
service plan. (2) Each contract executed, or proposed to be executed, by the applicant and
a dentist obligates, or will when executed obligate, such dentist to render the service or
accept payment for the service to which each subscriber may be entitled under the terms of
the contract issued to the subscriber. (3) Each contract issued, or proposed to be issued,
to subscribers is in a form approved by the department and that the rates charged, or proposed
to be charged, for each form of such contract and benefits to be provided pursuant thereto
are fair and reasonable and are actuarially sound. (4) No contributions to the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-375.htm - 4K - Match Info - Similar pages
22-21-371
Section 22-21-371 Individual, group, blanket or franchise contracts authorized; certificates
of coverage; filing and approval of contracts and certificates; requirements; grounds for
disapproval. (a) Dental service plan contracts may be written on individual, group, blanket
or franchise basis. Each contractual obligation for such dental service(s) must be evidenced
by a contract. Each person covered under a group contract must be issued a certificate of
coverage. (b) No contract or certificate of dental service benefits may be issued in this
state unless a copy of the form has been filed and approved by the commissioner. (c) The commissioner
may not approve any form that does not meet the following requirements: (1) Contracts must
contain a list and description of the dental service payments promised or the dental work
for which expenses are to be reimbursed, and any limits on the amounts to be paid or reimbursed;
(2) Contracts and certificates must indicate the name of the dental...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-371.htm - 3K - Match Info - Similar pages
22-27-3
Section 22-27-3 Authority of local governing bodies as waste collections and disposal;
household exemptions; state regulatory program. (a) Generally. (1) The county commission or
municipal governing body may, and is hereby authorized to, make available to the general public
collection and disposal facilities for solid wastes in a manner acceptable to the department.
The county commission or municipal governing body may provide such collection or disposal
services by contract with private or other controlling agencies and may include house-to-house
service or the placement of regularly serviced and controlled bulk refuse receptacles within
reasonable (generally less than eight miles) distance from the farthest affected household
and the wastes managed in a manner acceptable to the department. (2) Any county commission
or municipal governing body providing services to the public under this article shall have
the power and authority by resolution or ordinance to adopt rules and...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-27-3.htm - 11K - Match Info - Similar pages
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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-361.htm - 1K - Match Info - Similar pages
22-21-370
Section 22-21-370 Posting of securities or surety bond; custody of securities; exemption
from taxation; release of securities or bond; modification orders; hearing; effect of failure
to comply. (a) To assure the faithful performance of its obligations in the event of insolvency
each dental service corporation authorized under Section 22-21-364 shall, through the
commissioner, deposit and maintain with the Treasurer of the State Securities of the type
eligible for deposit by insurers under Section 27-6-3, which securities shall have
at all times a market value as follows: (1) A corporation which has operated no dental service
plan in this state prior to January 1, 1983, shall, prior to the issuance of its certificate
of authority and before receiving any subscription payments, place in trust with the Treasurer
of the State, through the commissioner an initial amount of $50,000.00; (2) A corporation
operating a dental service plan business in this state prior to January 1, 1983, and...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-370.htm - 4K - Match Info - Similar pages
22-21-389
Section 22-21-389 Nonprofit corporations organized prior to May 4, 1982. No nonprofit
corporation, organized under the laws of this state prior to May 4, 1982 to operate a dental
service plan in the state or any of the counties thereof, the charter or certificate of incorporation
of which has been approved or consented to by the insurance commissioner prior to May 4, 1982,
shall be required to incorporate or reincorporate as provided herein. However, every such
corporation desiring to operate such a plan shall file with the insurance commissioner its
acceptance of this article within six months from May 4, 1982, and every such corporation
so accepting this article shall continue, shall have all the powers, authority, and exemptions
of this article, and shall be subject to all the provisions hereof except as otherwise provided
herein. At the time of filing its acceptance, each such corporation must demonstrate to the
satisfaction of the department that it is in compliance with the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-389.htm - 1K - Match Info - Similar pages
22-21-363
Section 22-21-363 Application for certificate of authority; contents. (a) The incorporators
shall file with the commissioner an application for a certificate of authority to do business
upon a form to be furnished by the department, which shall include or have attached the following:
(1) The names, and for the preceding 10 years, all addresses and all occupations of all incorporators
and proposed directors and officers; (2) A certified copy of the corporate articles and bylaws
and all amendments thereto, a list of the names, addresses, and occupations of all directors
and principal officers and, if previously incorporated, for the three most recent years, the
corporation annual statements and reports; (3) All agreements relating to the corporation
to which any incorporator or proposed director or officer is a party; (4) A statement of the
amount and sources of the funds available for organization expenses and the proposed arrangements
for reimbursement and compensation of incorporators...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-363.htm - 2K - Match Info - Similar pages
27-1-17
Section 27-1-17 Limitation periods for payment of claims; overdue claims; retroactive
denials, adjustments, etc.; penalties. (a) Each insurer, health service corporation, and health
benefit plan that issues or renews any policy of accident or health insurance providing benefits
for medical or hospital expenses for its insured persons shall pay for services rendered by
Alabama health care providers within 45 calendar days upon receipt of a clean written claim
or 30 calendar days upon receipt of a clean electronic claim. If the insurer, health service
corporation, or health benefit plan is denying or pending the claim, the insurer, health service
corporation, or health benefit plan shall, within 45 calendar days for a written claim and
30 calendar days for an electronic claim, notify the health care provider or certificate holder
of the reason for denying or pending the claim and what, if any, additional information is
required to process the claim. Any undisputed portion of the claim...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-17.htm - 17K - Match Info - Similar pages
27-55-2
Section 27-55-2 Definitions. As used in this chapter, these terms shall have the following
meanings: (1) ABUSE. The occurrence of one or more of the following acts by a family or household
member, as defined by subdivision (3) of subsection (b) of Section 15-10-3: a. Attempting
to cause or intentionally, knowingly, or recklessly causing another person, including a minor
child, bodily injury, severe emotional injury, or psychological trauma or conduct which constitutes
the crime of rape. b. Intentionally following another person, including a minor child, without
proper authority, under circumstances that place the person in reasonable fear of bodily injury
or physical harm. c. Subjecting another person, including a minor child, to false imprisonment
or kidnapping. d. Attempting to cause or intentionally, knowingly, or recklessly causing damage
to property to intimidate or attempt to control the behavior of another person, including
a minor child. e. Assault, child abuse, criminal...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-55-2.htm - 5K - Match Info - Similar pages
|