Code of Alabama

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27-13-27
Section 27-13-27 Rate-making and making rating systems. Every rating organization and every
insurer which makes its own rates shall make rates that are not unreasonably high or inadequate
for the safety and soundness of the insurer and which do not unfairly discriminate between
risks in this state involving essentially the same hazards and shall, in rate-making and in
making rating systems: (1) Adopt basis classifications, which shall be used as the basis of
all manual, minimum, class, schedule, or experience rates; (2) Adopt reasonable standards
for construction, for protective facilities and for other conditions that materially affect
the hazard or peril, which shall be applied in the determination or fixing of rates; (3) Give
consideration to past experience within the state and without the state when necessary, and
due consideration may be given to prospective loss experience within the state and without
the state when necessary, over such period of years as appears to be fairly...
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27-13-29
Section 27-13-29 Filing of rating systems with department by insurers - Requirement. Beginning
180 days after January 1, 1972, every insurer shall, before using or applying any rate to
any kind of insurance coming within the scope of this article, file with the department a
copy of the rating system upon which such rate is based or by which such rate is fixed or
determined. The filing required in this section may be made on behalf of such insurer by a
rating organization of which such insurer is a member or subscriber. The provisions of this
section shall be deemed to have been complied with by any insurer which had, before January
1, 1972, been a member or subscriber of a rating organization doing business in the state.
From and after the date of the filing of such rating systems, every insurer shall charge and
receive rates fixed or determined in strict conformity therewith, except as in this article
otherwise expressly provided. (Acts 1945, No. 132, p. 133, ยง8; Acts 1971, No. 407,...
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27-12A-2
Section 27-12A-2 Insurance fraud - definition. A person commits the crime of insurance fraud
if, knowingly and with intent to defraud, he or she commits, or conceals any material information
concerning, one or more of the following acts: (1) The solicitation or acceptance of new or
renewal insurance risks on behalf of an insurer, reinsurer, or other person engaged in the
transaction of the business of insurance, by a person who knows the insurer, reinsurer, or
other person responsible for the risk is financially unable to pay its claims at the time
of the transaction. (2) The removal, concealment, alteration, or destruction of the assets
or records relating to the transaction of the business of insurance of an insurer, reinsurer,
or other person engaged in the transaction of the business of insurance. This section does
not prohibit an insurer, reinsurer, or other person engaged in the transaction of the business
of insurance from destroying records or documents relating to the...
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27-13-33
Section 27-13-33 Applications for uniform percentage increase or decrease of rates by insurers.
Any insurer may apply to the commissioner for permission to effect a uniform percentage increase
or decrease in the rates applied to all risks of a particular class in the state in a particular
kind, or kinds, of insurance. Upon the filing of such application, the commissioner shall
give notice thereof by registered or certified mail to the rating organization, if any, of
which such insurer is a member or subscriber and shall fix a time and place for a hearing
upon the merits of such application. At such hearing, such insurer and such rating organization,
or their representatives, shall be entitled to be heard and to present evidence in support
of, or against, such application. The commissioner shall, upon the conclusion of such hearing,
make such order as he shall deem consistent with the establishment and maintenance of reasonable,
adequate and non-discriminatory rates. If the application...
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22-6-151
Section 22-6-151 Regional care organizations; governing board of directors; citizen's advisory
committee; solvency and financial requirements; reporting; provider standards committee. (a)
A regional care organization shall serve only Medicaid beneficiaries in providing medical
care and services. (b) Notwithstanding any other provision of law, a regional care organization
shall not be deemed an insurance company under state law. (c)(1) A regional care organization
and an organization with probationary regional care organization certification shall have
a governing board of directors composed of the following members: a. Twelve members shall
be persons representing risk-bearing participants in the regional care organization or organization
with probationary certification. A participant bears risk by contributing cash, capital, or
other assets to the regional care organization. A participant also bears risk by contracting
with the regional care organization to treat Medicaid beneficiaries...
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27-13-72
Section 27-13-72 Application for uniform percentage increase or decrease in rates by insurers.
(a) Any insurer may apply to the commissioner for permission to effect a uniform percentage
increase or decrease in the rates applied to all kinds of a particular class in the state
in a particular kind, or kinds, of insurance. Upon the filing of such application, the commissioner
shall give notice thereof by registered or certified mail to the rating organization, if any,
of which such insurer is a member or subscriber and shall fix a time and place for a hearing
upon the merits of such application. At such hearing, such insurer and such rating organization,
or their representatives, shall be entitled to be heard and to present evidence in support
of, or against, such application. The commissioner shall, upon the conclusion of such hearing,
make such order as he shall deem consistent with the establishment and maintenance of reasonable,
adequate, and nondiscriminatory rates. If the...
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27-13-24
Section 27-13-24 Rating organizations - License; application therefor; renewal thereof; fee
for same. (a) No rating organization shall do business in this state unless it shall have
been licensed to do so by the commissioner. Application for such license shall be made on
such forms as the commissioner shall prepare for that purpose. Upon applying for such license,
every rating organization shall file with the department: (1) A copy of its constitution,
its articles of agreement or association or its certificate of incorporation and of its bylaws
or rules governing the conduct of its business or such of the foregoing, if any, as such rating
organization may have; (2) A list of insurers who are, or who have agreed to become, members
of, or subscribers to, such rating organization; (3) The name and address of a person, or
persons, in this state upon whom notices or orders of the commissioner affecting such rating
organization may be served; and (4) Such other information as the...
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27-13-30
Section 27-13-30 Filing of rating systems with department by insurers - Examination and approval
or disapproval by commissioner. If, after examination thereof, the commissioner shall find
that such rating systems filed by, or on behalf of, an insurer provide for, result in or produce
rates that are unreasonably high or excessive, or are not adequate for the safeness and soundness
of the insurer or are unfairly discriminatory between risks in this state involving essentially
the same hazards, he shall issue an order to such insurer, or to the rating organization of
which such insurer is a member or subscriber, directing that such rating systems be altered
in the manner, and to the extent, stated in such order to produce rates that are reasonable
and adequate and not unfairly discriminatory. If the commissioner shall find that such rating
systems provide for, result in or produce rates that are not unreasonably high, are not inadequate
for the safeness and soundness of the insurer and...
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27-13-62
Section 27-13-62 Rating organizations - License; application therefor; renewal thereof; fee
for same. No rating organization shall do business in this state until it shall have been
licensed to do so by the commissioner. Application for such license shall be made on such
forms as the commissioner shall prepare for that purpose. Upon applying for such license,
every rating organization shall file with the department: (1) A copy of its constitution,
its articles of agreement or association, or its certificate of incorporation and of its bylaws
or rules governing the conduct of its business or such of the foregoing, if any, as such rating
organization may have; (2) A list of insurers who are or, who have agreed to, become members
of, or subscribers to, such rating organization; (3) The name and address of a person, or
persons, in this state upon whom notices or orders of the commissioner affecting such rating
organization may be served; and (4) Such other information as the commissioner...
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27-13-68
Section 27-13-68 Filing of rating plans with department by insurers - Examination and approval
or disapproval by commissioner. If, after examination thereof, the commissioner shall find
that such rating plans filed by, or on behalf of, an insurer provide for, result in or produce
rates that are unreasonably high or excessive, or are not adequate for the safeness and soundness
of the insurer or are unfairly discriminatory between risks in this state involving essentially
the same risks, he shall issue an order to such insurer, or to the rating organization of
which such insurer is a member or subscriber, directing that such rating plans be altered
in the manner, and to the extent, stated in such order to produce rates that are reasonable
and adequate and not unfairly discriminatory. If the commissioner shall find that such rating
plans provide for, result in or produce rates that are not unreasonably high, are not inadequate
for the safeness and soundness of the insurer and are not...
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