|
25-5-290
Section 25-5-290 Ombudsman program, creation; purpose; members; notification of service;
benefit review conferences. (a) The Department of Industrial Relations shall establish an
Ombudsman Program to assist injured or disabled employees, persons claiming death benefits,
employers, and other persons in protecting their rights and obtaining information available
under the Workers' Compensation Law. (b) Providing that the employer and the employee agree
to participate in the benefit review conference, the ombudsmen shall meet with or otherwise
provide information to injured or disabled employees, investigate complaints, and communicate
with employers, insurance carriers, and health care providers on behalf of injured or disabled
employees. (c) Ombudsmen shall be Merit System employees and demonstrate familiarity with
the Workers' Compensation Law. An ombudsman shall not be an advocate for any person who shall
assist a claimant, employer, or other person in any proceeding beyond the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/25-5-290.htm - 4K - Match Info - Similar pages
27-1-21
Section 27-1-21 Uniformity of limits applied to fulfillment of certain drug prescriptions.
(a) For the purposes of this section, the following words shall have the following
meanings: (1) ENROLLEE. A person enrolled in a health benefit plan. (2) 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. The term shall not include any collective bargaining agreement...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-21.htm - 3K - Match Info - Similar pages
25-5-35
Section 25-5-35 Recovery where accident occurs outside state; effect of compensation
under law of another state, etc., upon compensation under this article and Article 3 of chapter,
etc.; recovery under this article and Article 3 of chapter for accident occurring within state
where employment principally localized outside state. (a) As used in this section:
(1) The term "United States" includes only the states of the United States and the
District of Columbia; and (2) The term "state" includes any state of the United
States or the District of Columbia. (b) For the purposes of this section, a person's
employment is principally localized in this or another state when his employer has a place
of business in this or such other state and he regularly works at or from such place of business,
or if he is domiciled and spends a substantial part of his working time in the service of
his employer in this or such other state. (c) An employee whose duties require him to travel
regularly in the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/25-5-35.htm - 5K - Match Info - Similar pages
25-14-3
Section 25-14-3 Definitions. As used in this chapter, the following terms shall have
the following meanings: (1) ADMINISTRATIVE FEE. The fee charged to a client by a professional
employer organization for professional employer services. The term does not include any amount
of a fee by the professional employer organization that is for wages and salaries, benefits,
workers' compensation, payroll taxes, withholding, or other assessments paid by the professional
employer organization to or on behalf of covered employees under the professional employer
agreement. (2) CLIENT. A person or entity that enters into a professional employer agreement
with a professional employer organization, including a worksite employer. (3) CONTROLLING
PERSON. Any of the following: a. An officer or director of a corporation operating as a professional
employer organization, a shareholder holding 25 percent or more of the voting stock of a corporation
operating as a professional employer organization, or a...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/25-14-3.htm - 6K - Match Info - Similar pages
27-45-2
Section 27-45-2 Definitions. As used in this article, the following terms shall have
the respective meanings herein set forth, unless the context shall otherwise require: (1)
ALABAMA INSURANCE CODE. Title 27 of the Code of Alabama 1975. (2) INSURER. Such term shall
have the meaning ascribed in Section 27-1-2. (3) PERSON. Such term shall have the meaning
ascribed in Section 27-1-2. (4) COMMISSIONER and DEPARTMENT. Such terms, respectively,
shall have the meanings ascribed in Section 27-1-2. (5) CONTRACTUAL OBLIGATION. Any
obligation under covered policies or employee benefit plans. (6) COVERED POLICY OR PLAN. Any
policy, employee benefit plan, or contract within the scope of this article. (7) HEALTH INSURANCE
POLICY. Any individual, group, blanket, or franchise insurance policy, insurance agreement,
or group hospital service contract providing for pharmaceutical services, including without
limitation, prescription drugs, incurred as a result of accident or sickness, or to prevent
same....
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-45-2.htm - 3K - Match Info - Similar pages
27-1-20
Section 27-1-20 Patient Right to Know Act. (a) This section shall be known and
may be cited as the "Patient Right to Know Act." (b) As used in this section,
unless the context clearly indicates otherwise, the following words shall have the following
meanings: (1) ENROLLEE. A person who purchases individual health care coverage or an employer
who purchases a group health care plan. (2) PROVIDER. A physician, dentist, podiatrist, pharmacist,
optometrist, psychologist, clinical social worker, advanced nurse practitioner, registered
optician, licensed professional counselor, physical therapist, and chiropractor. (c)(1) All
persons, firms, corporations, associations, health maintenance organizations, health insurance
services, or preferred provider organizations, any employer-sponsored health benefit plan,
or any similar organization or entity, providing health, accident, or dental insurance coverage,
either directly or indirectly, shall provide an enrollee with a written description of the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-20.htm - 3K - Match Info - Similar pages
34-27C-1
Section 34-27C-1 Definitions. For the purposes of this chapter, the following terms
shall have the following meanings: (1) ARMED SECURITY OFFICER. An individual whose principal
duty is that of a security officer and who at any time wears, carries, possesses, or has access
to a firearm in the performance of his or her duties. (2) BOARD. The Alabama Security Regulatory
Board. (3) CERTIFICATION CARD or LICENSURE CARD. The identification card issued by the board
to an individual as evidence that he or she has met the basic qualifications required by this
chapter and is currently certified or licensed with the board to perform the duties of a security
officer. (4) CERTIFIED TRAINER. Any person approved and certified by the board as qualified
to administer, and certify as to the successful completion of, the basic training requirements
for security officers required by this chapter. (5) CONTRACT SECURITY COMPANY. Any individual,
firm, association, company, partnership, limited liability...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/34-27C-1.htm - 3K - Match Info - Similar pages
25-4-8
Section 25-4-8 Employer. (a) Employer, as used in this chapter, prior to January 1,
1978, shall mean any employing unit which was so defined in this chapter prior to such date.
After December 31, 1977, except as otherwise provided in this chapter, employer, as used in
this chapter shall mean: (1) Any employing unit which, after December 31, 1977: a. In any
calendar quarter in either the current or preceding calendar year paid, for service in employment,
wages of one thousand five hundred dollars ($1,500) or more; or b. For some portion of a day
in each of 20 different calendar weeks, whether or not such weeks were consecutive, in either
the current or the preceding calendar year, had in employment at least one individual (irrespective
of whether the same individual was in employment in each such day). (2) Any employing unit
which, having become an employer under this chapter, has not under Sections 25-4-130 and 25-4-131
ceased to be an employer subject to this chapter. (3) For the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/25-4-8.htm - 10K - Match Info - Similar pages
11-104-2
Section 11-104-2 Definitions. As used in this chapter, the following terms shall have
the following meanings: (1) DEPENDENTS. The spouse, children, or other dependents of the retired
employee, as defined by and covered under the documents governing the governmental entities'
benefit plans that provide post-employment benefits. (2) EMPLOYEE. Any person who is an employee
of any governmental entity located in the state who may become eligible for post-employment
benefits from the governmental entity. (3) EMPLOYER. Any governmental entity that sponsors,
in whole or in part, post-employment benefits. (4) FISCAL YEAR. The annual period at the end
of which a governmental entity determines its financial condition. (5) GASB. The Governmental
Accounting Standards Board. (6) GOVERNMENTAL ENTITY. Any political subdivision of the state,
any department, agency, board, commission, or authority of any such political subdivision,
or any public corporation, authority, agency, instrumentality, board,...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/11-104-2.htm - 2K - Match Info - Similar pages
27-54A-2
Section 27-54A-2 Treatment under certain policies and contracts. (a) As used in this
section, the following words have the following meanings: (1) APPLIED BEHAVIOR ANALYSIS.
The design, implementation, and evaluation of environmental modifications, using behavioral
stimuli and consequences, to produce socially significant improvement in human behavior, including
the use of direct observation, measurement, and functional analysis of the relationship between
environment and behavior. (2) AUTISM SPECTRUM DISORDER. Any of the pervasive developmental
disorders or autism spectrum disorders as defined by the most recent edition of the Diagnostic
and Statistical Manual of Mental Disorders (DSM) or the edition that was in effect at the
time of diagnosis. (3) BEHAVIORAL HEALTH TREATMENT. Counseling and treatment programs, including
applied behavior analysis that are both of the following: a. Necessary to develop, maintain,
or restore, to the maximum extent practicable, the functioning of an...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-54A-2.htm - 10K - Match Info - Similar pages
|