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27-23-20
Section 27-23-20 Definitions. For the purposes of this article, the following terms shall have
the meanings respectively ascribed to them by this section: (1) POLICY OF AUTOMOBILE LIABILITY
INSURANCE. A policy delivered, or issued for delivery, in this state insuring a natural person
as named insured or one or more related individuals, resident of the same household, and under
which the insured vehicles therein designated are of the following types only: a. A motor
vehicle of the private passenger or station type that is not used as a public or livery conveyance
for passengers nor rented to others; or b. Any other four-wheel motor vehicle with a load
capacity of 1,500 pounds or less which is not used in the occupation, profession, or business
of the insured; provided, however, that this article shall not apply: 1. To policies of automobile
liability insurance issued under an automobile assigned risk plan; 2. To any policy insuring
more than four automobiles; nor 3. To any policy...
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27-20A-2
Section 27-20A-2 Chapter applicable to group, etc., policies. No group, blanket, franchise,
or association health insurance policy providing coverage on an expense incurred basis, nor
group, blanket, franchise, or association service or indemnity type contract issued by a nonprofit
corporation, nor group-type self insurance plan providing protection, insurance, or indemnity
against hospital, medical, or surgical expenses, nor health maintenance organization plan
shall be issued, delivered, executed, or renewed in this state, or approved for issuance or
renewal in this state by the Commissioner of Insurance after 90 days beyond the effective
date of this chapter, unless such policy, contract, or plan, at the option of the policyholder
or sponsor, provides benefits to any insured, subscriber, or other person covered under the
policy, contract, or plan for expenses incurred in connection with the treatment of alcoholism
when such treatment is prescribed by a duly licensed doctor of...
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27-57-1
Section 27-57-1 Definitions. As used in this chapter, the following words and terms shall have
the following meanings: (1) COLORECTAL CANCER EXAMINATIONS. Examinations and laboratory tests
specified in current American Cancer Society guidelines for colorectal cancer screening of
asymptomatic individuals. (2) HEALTH BENEFIT PLAN. A group health insurance policy that covers
hospital, medical, or surgical expenses, health maintenance organizations, preferred provider
organizations, medical service organizations, physician-hospital organizations, 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. For the purposes of this chapter, a health benefit plan located or domiciled outside
of the State of Alabama is deemed to be subject to this chapter if it receives, processes,
adjudicates, pays, or denies claims for health care services submitted...
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27-25-6
Section 27-25-6 Companies to file rates. (a) Every title insurer shall file with the commissioner
its schedule of premium rates and every modification of any premium rate that it proposes
to use in this state. The premium rates shall not be subject to rebate and the rebate of premiums
to the insured are expressly prohibited. If a reissue premium rate is filed by an insurer,
an insured may receive reissue credit only when the insured physically produces the prior
title insurance policy, including schedules associated therewith, issued by a title insurer
licensed to be engaged in the business of title insurance in this state. A title insurer that
has not filed its premium rates pursuant to the provisions hereof shall not engage in the
business of title insurance until such time as its premium rates are filed. No person, title
insurer, agency, or agent shall charge any premium rate for any policy or contract of title
insurance except in accordance with the filed premium rates which are in...
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8-32-2
Section 8-32-2 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) ADMINISTRATOR. The person designated by a provider to be responsible for the
administration of service contracts or the service contracts plan or to make the filings required
by this chapter. (2) COMMISSIONER. The Commissioner of Insurance of this state. (3) CONSUMER.
A natural person who buys, primarily for personal, family, or household purposes, and not
for resale, any tangible personal property normally used for personal, family, or household
purposes and not for commercial or research purposes. (4) MAINTENANCE AGREEMENT. A contract
of limited duration that provides for scheduled maintenance only. (5) MANUFACTURER. A person
that is one of the following: a. A manufacturer or producer of property that sells the property
under its own name or label. b. A subsidiary of the person who manufactures or produces the
property. c. A corporation which owns at least 80 percent of the...
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25-5-332
Section 25-5-332 Premium discount where drug-free workplace program implemented. (a) If an
employer implements a drug-free workplace program substantially in accordance with this article,
the employer shall qualify for certification for a five percent premium discount under the
employer's workers' compensation insurance policy. (b) For each policy of workers' compensation
insurance issued or renewed in the state on and after July 1, 1996, there shall be granted
by the insurer a five percent reduction in the premium for the policy if the insured has been
certified by the Department of Labor, Workers' Compensation Division, as having a drug-free
workplace program which complies with the requirements of this article and has notified its
insurer in writing of the certification. (c)(1) The premium discount provided by this section
shall be applied to an insured's policy of workers' compensation insurance pro rata as of
the date the insured receives certification by the Department of Labor,...
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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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27-19A-7
Section 27-19A-7 Contracting directly with patient; distribution of information about policy
or plan; payment and reimbursement procedures. The provisions of this chapter do not prohibit
the following conduct and shall be construed to provide that: (1) A dentist may contract directly
with a patient for the furnishing of dental care services to said patient as may be otherwise
authorized by law; (2) Any person providing a health insurance policy or employee benefit
plan, or an employer, or an employee organization may: a. Make available to its insureds,
beneficiaries, participants, employees, or members information relating to dental care services
by the distribution of factually accurate information regarding dental care services, rates,
fees, location, and hours of service, provided such distribution is made upon the request
of any dentist licensed by this state; or b. Establish an administrative mechanism which facilitates
payment for dental care services by insureds, beneficiaries,...
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27-49-3
Section 27-49-3 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) 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. For the purposes of this chapter, a health
benefit plan located or domiciled outside of the State of Alabama is deemed to be subject
to the provisions of this chapter if it receives, processes,...
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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...
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