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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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-17.htm - 17K - Match Info - Similar pages
27-13-20
Section 27-13-20 Definitions. For the purposes of this article, unless otherwise stated,
the following terms shall have the meanings respectively ascribed to them by this section.
(1) RATE. The unit charge by which the measure of exposure or the amount of insurance specified
in a policy of insurance or covered thereunder is multiplied to determine the premium. (2)
PREMIUM. The consideration paid, or to be paid, to an insurer for the issuance and delivery
of any binder or policy of insurance. (3) RATE-MAKING. The examination and analysis of every
factor and influence related to, and bearing upon, the hazard and risk made the subject of
insurance, the collection and collation of such factors and influences into rating systems
and the application of such rating systems to individual risks. (4) RATING SYSTEM. Every schedule,
class, classification, rule, guide, standard, manual, table, rating plan, policy, policy form,
or compilation, by whatever name described, containing the rates used by...
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27-13-60
Section 27-13-60 Definitions. For the purposes of this article, unless otherwise stated,
the following terms shall have the meanings respectively ascribed to them by this section:
(1) RATE. The unit charge by which the measure of exposure or the amount of insurance specified
in a policy of insurance or covered thereunder is multiplied to determine the premium. (2)
PREMIUM. The consideration paid or to be paid to an insurer for the issuance and delivery
of any binder or policy of insurance. (3) RATE-MAKING. The examination and analysis of every
factor and influence related to and bearing upon the hazard and risk made the subject of insurance;
the collection and collation of such factors and influences into rating plans; systems; and
the application of such rating systems to individual risks. (4) RATING PLAN. Every schedule,
class, classification, rule, guide, standard, manual, table, rating plan, policy, policy form,
or compilation by whatever name described, containing the rates used...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-13-60.htm - 2K - Match Info - Similar pages
27-35-6
Section 27-35-6 Conversion into stock or mutual life insurance company - Certificates
of incorporation and authority. The society shall have corporate existence as a domestic stock
or mutual life insurer upon issuance of the certificate of incorporation by the commissioner
or approval of the amended articles of incorporation, as the case may be; but it shall not
transact business as an insurer until all its authorized capital stock, if a stock insurer,
has been subscribed and paid in full and it has otherwise qualified for, and received from
the commissioner, a certificate of authority as provided in this title for legal reserve insurers.
(Acts 1971, No. 407, p. 707, §732.)...
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27-55-3
Section 27-55-3 Prohibited practices; disclosure of information. (a) No insurer may:
(1) Deny, refuse to issue, renew, or reissue, cancel, or otherwise terminate, restrict, or
exclude coverage on an insurance policy or health benefit plan on the basis of an applicant's
or insured's abuse status, or on the basis of any association, relationship, or assistance
to a subject of abuse. (2) Exclude or limit coverage for a loss, deny benefits, or deny a
claim on the basis of the insured's abuse status, or on the basis of any association, relationship,
or assistance to a subject of abuse, except as otherwise permitted or required by the laws
of this state relating to acts of abuse committed by a life insurance beneficiary. Notwithstanding
anything to the contrary in this section, a liability insurer may include policy provisions
providing that a payment required by this subsection may be denied or, if paid, recovered
by the insurer from the insured, if the claim arose out of an act of abuse by...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-55-3.htm - 8K - Match Info - Similar pages
27-55-8
Section 27-55-8 Construction. This chapter does not and shall not be construed as creating
a private cause of action and does not and shall not require insurers, including any health
benefit plan, to extend coverage to any providers or type of providers for which coverage
is not specifically provided within the policy or certificate of insurance or health benefit
plan, or to add additional providers to existing networks, or to add any health care benefits.
(Act 2000-595, p. 1185, §8.)...
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32-7C-4
Section 32-7C-4 Coverage exclusions; disclosures. (a) Insurers that write automobile
insurance in this state may exclude any and all coverage afforded under the policy issued
to an owner or operator of a personal vehicle for any loss or injury that occurs while a TNC
driver is logged on to the digital network of a TNC or while a TNC driver provides a prearranged
ride. (b) The right to exclude all coverage may apply to any coverage included in an automobile
insurance policy, including, but not limited to, any of the following: (1) Liability coverage
for bodily injury and property damage. (2) Personal injury protection coverage as defined
by state law. (3) Uninsured and underinsured motorist coverage. (4) Medical payments coverage.
(5) Comprehensive physical damage coverage. (6) Collision physical damage coverage. (c) The
exclusions under this section shall apply notwithstanding any requirements under the
Motor Vehicle Safety-Responsibility Act, Chapter 7 of this title. (d) Nothing in...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/32-7C-4.htm - 5K - Match Info - Similar pages
27-11-5
Section 27-11-5 Secretary of State as agent for service of process on insurer; service
of process; attachment of jurisdiction; fees for service. (a) Any insurer not qualified under
the laws of this state to transact the business of insurance as evidenced by a license or
certificate of authority from the Commissioner of Insurance which shall transact, or attempt
to transact, the business of insurance in this state or which shall do, or attempt to do,
any of the acts and occurrences set out in Section 27-11-3 shall, by the doing of such
business or the performing or attempting to perform any of such acts, be deemed to have appointed
the Secretary of State, or his successor or successors in office, to be the true and lawful
attorney or agent of such insurer whom process may be served in any action accrued or accruing
from the transacting of such business or the performing of such act by any such insurer, or
by its agent, servant, or employee. Service of such process shall be made by...
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27-25-3
Section 27-25-3 Definitions. For the purposes of this chapter, the following terms shall
have the following meanings: (1) ABSTRACT OF TITLE. A compilation or summary of all instruments
of public record of whatever kind or nature which in any manner affect title to a specified
parcel of real property. (2) BUSINESS ENTITY. A domestic entity properly formed and existing
under Title 10A. (3) COMMISSIONER. The Commissioner of the Alabama Department of Insurance.
(4) INDIVIDUAL. A natural person. (5) NAIC. The National Association of Insurance Commissioners,
its subsidiaries and affiliates, and any successor thereof. (6) OPINION OF TITLE. A written
expression of the status of title, including, but not limited to, the validity or invalidity
thereof, based upon an examination by an attorney at law, who is licensed to practice law
in this state, of instruments of public record or an abstract thereof affecting title to a
specified parcel of real property to ascertain the history and present...
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27-31C-4
Section 27-31C-4 Issuance of license - Requirements. (a)(1) The commissioner may not
issue a license to an Alabama Coastal Captive Insurance Company unless the company possesses
and maintains unimpaired paid-in capital of not less than one million dollars ($1,000,000);
however, in the case of an Alabama Coastal Captive Insurance Company formed as a sponsored
captive insurance company that does not assume any risk, where the risks insured by the protected
cells are homogenous, the commissioner may reduce this amount to an amount not less than five
hundred thousand dollars ($500,000). (2) a. Except for an Alabama Coastal Captive Insurance
Company formed as a sponsored captive insurance company that does not assume any risk, the
capital must be in the form of cash, cash equivalent, or an irrevocable letter of credit issued
by a bank chartered by this state or a member bank of the Federal Reserve System with a branch
office in this state or as approved by the commissioner. b. For an...
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