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22-6-233
Section 22-6-233 Legislative findings; certification of collaborators; powers of Medicaid Agency;
state action immunity. (a) The Legislature declares that collaboration among public payers,
private health carriers, third party purchasers, and providers to identify appropriate service
delivery systems and reimbursement methods in order to align incentives in support of integrated
and coordinated health care delivery is in the best interest of the public. Collaboration
pursuant to this article is to provide quality health care at the lowest possible cost to
Alabama citizens who are Medicaid eligible. The Legislature, therefore, declares that this
health care delivery system affirmatively contemplates the foreseeable displacement of competition,
such that any anti-competitive effect may be attributed to the state's policy to displace
competition in the delivery of a coordinated system of health care for the public benefit.
In furtherance of this goal, the Legislature declares its intent...
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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...
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26-1A-210
Section 26-1A-210 Insurance and annuities. Unless the power of attorney otherwise provides,
language in a power of attorney granting general authority with respect to insurance and annuities
authorizes the agent to: (1) continue, pay the premium or make a contribution on, modify,
exchange, rescind, release, or terminate a contract procured by or on behalf of the principal
which insures or provides an annuity to either the principal or another person, whether or
not the principal is a beneficiary under the contract; (2) procure new, different, and additional
contracts of insurance and annuities for the principal and the principal's spouse, children,
and other dependents, and select the amount, type of insurance or annuity, and mode of payment;
(3) pay the premium or make a contribution on, modify, exchange, rescind, release, or terminate
a contract of insurance or annuity procured by the agent; (4) apply for and receive a loan
secured by a contract of insurance or annuity; (5) surrender...
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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...
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33-1-5.2
Section 33-1-5.2 Life and health insurance for certain salaried officers and employees of state
docks. (a) The Alabama State Port Authority is hereby authorized to provide and establish
a plan of life and health insurance for the salaried officers and employees of Alabama state
docks who work full time for the Alabama state docks and receive their compensation on a bi-weekly
basis and also a plan of health insurance for the spouses and dependent children of such officers
and employees and to pay the costs and premiums of such life and health insurance from the
revenues of the Alabama State Port Authority. (b) Such health insurance plan may provide for
group hospitalization, surgical, medical and dental insurance against the financial costs
of hospitalization, surgical, medical and dental treatment and care, and may also include,
among other things, prescribed drugs, medicines, prosthetic appliances, hospital in-patient
and out-patient service benefits, including major medical benefits,...
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38-9D-2
Section 38-9D-2 Definitions. The following words are defined for the purposes of this chapter:
(1) COORDINATED SYSTEM OF CARE. The total effort in the state, inclusive of service coordination/case
management, that is directed at meeting the needs of individuals who are at risk of elder
abuse. (2) COUNCIL. The Alabama Interagency Council for the Prevention of Elder Abuse. (3)
ELDER ABUSE. The maltreatment of an older person, age 60 or above, by any person, including
the following: a. Emotional/Psychological Abuse. The intentional infliction of mental or emotional
anguish by threat, humiliation, intimidation, or other verbal or non-verbal abusive conduct.
Examples of psychological abuse include name calling, insulting, ignoring for extended periods
of time, frightening, intimidating, and isolating from friends and family. b. Material Exploitation.
The unauthorized use of funds or any resources of an elderly individual or the misuse of power
of attorney or representative payee status for...
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45-39-30.02
Section 45-39-30.02 Definitions. The following words are defined for the purposes of this article:
(1) COORDINATED SYSTEM OF CARE. The total effort in the county, inclusive of service coordination/case
management, that is directed at meeting the needs of individuals who are at risk of elder
abuse. (2) COUNCIL. The Lauderdale County Council for the Prevention of Elder Abuse. (3) ELDER
ABUSE. The maltreatment of an older person, age 60 or above, by any person, including the
following: a. Emotional/Psychological Abuse. The intentional infliction of mental or emotional
anguish by threat, humiliation, intimidation, or other verbal or nonverbal abusive conduct.
Examples of psychological abuse Examples of psychological abuse include name calling, insulting,
ignoring for extended periods of time, frightening, intimidating, and isolating from friends
and family. b. Material Exploitation. The unauthorized use of funds or any resources of an
elderly individual; the misuse of power of attorney or...
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10A-2A-15.12
Section 10A-2A-15.12 Filing of verified statement with Commissioner of Revenue by foreign corporation
prior to acting as fiduciary. Prior to the time when any foreign corporation acts pursuant
to the authority of this article in any fiduciary capacity or capacities in this state, the
foreign corporation shall file with the Commissioner of Revenue of this state a verified statement
which shall state: (1) The correct corporate name of the foreign corporation; (2) The name
of the state under the laws of which it is incorporated or if the foreign corporation is a
national banking association or other corporation organized under the laws of the United States
shall state that fact; (3) The address of its principal business office; (4) In what fiduciary
capacity, or capacities, it desires to act in the State of Alabama; (5) That it is authorized
to act in a similar fiduciary capacity or capacities in the state in which it is incorporated
or, if it is a national banking association or other...
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16-18A-2
Section 16-18A-2 Definitions. As used in this chapter, the following words and terms shall
have the following meanings unless the context clearly indicates otherwise: (1) AUTHORITY.
The Private Colleges and Universities Facilities Authority created by this chapter and any
successor or successors thereto. Any change in name or composition of the authority shall
in no way affect the vested rights of any person under the provisions of this chapter. (2)
PROJECT. A structure or structures available for use as a dormitory or other student housing
facility, a dining hall, student union, administration building, academic building, library,
laboratory, research facility, classroom, athletic facility, health care facility, maintenance,
storage or utility facility and other structures or facilities related thereto or required
or useful for the instruction of students or the conducting of research or the operation of
an institution of higher education, whether proposed, under construction or...
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16-25A-7
Section 16-25A-7 Authorization and execution of contracts; evidence of coverage; denial of
claims. (a) The board is hereby authorized to execute a contract or contracts to provide for
the benefits or the administration of the plan determined in accordance with the provisions
of this article. Such contract or contracts may be executed with one or more agencies or corporations
licensed to transact or administer group health insurance business in this state. All of the
benefits to be provided under this article may be included in one or more similar contracts
issued by the same or different companies. The board is further authorized to develop a plan
whereby it may become self-insured upon its finding that such arrangement would be financially
advantageous to the state and plan participants. (b) Before entering into any contract or
contracts authorized by subsection (a), the board shall invite competitive bids from all qualified
entities who may wish to administer or offer plans for the...
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