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22-6-221
Section 22-6-221 Service by integrated care network; board of directors. (a) An integrated
care network shall serve only Medicaid beneficiaries in providing medical care and services.
For the purposes of this article, a beneficiary cannot be a member of both an integrated care
network and a regional care organization. (b) An integrated care network shall provide required
medical care and services to Medicaid beneficiaries and may coordinate care provided by or
through an affiliation of other health care providers or other programs as the Medicaid Agency
shall determine. (c) Notwithstanding any other provision of law, the integrated care network
shall not be deemed an insurance company under state law. (d)(1) An integrated care network
shall have a governing board of directors composed of the following members: a. Twelve members
shall be persons representing risk bearing participants. A participant bears risk by contributing
cash, capital, or other assets to the integrated care network....
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25-11-3
Section 25-11-3 Definitions. When used in this chapter, the following words and phrases
shall have the following meanings: (1) CLAIM INFORMATION. Data related to whether an individual
is receiving, has received, or has made application for unemployment compensation, the amount
of such compensation being received or to be received by the individual, and the individual's
current or most recent home address. (2) COMMISSIONER. The Commissioner of the State of Alabama,
Department of Human Resources. (3) CUSTODIAN OF RECORDS. The person within the Department
of Labor authorized to maintain the data collected under this chapter, including, but not
limited to, all employment hiring data entered into the State Directory of New Hires, wage
information, and unemployment claim and compensation information. (4) DEPARTMENT. The State
of Alabama, Department of Industrial Relations. (5) EMPLOYEE. An individual in the employ
of another who performs a service for hire and receives wages. For purposes of...
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27-9A-3
Section 27-9A-3 Independent adjuster defined; exclusions. (a) For purposes of this chapter,
an "independent adjuster" is a person who, for compensation as an independent contractor
or as an employee of an independent contractor, undertakes on behalf of an insurer to ascertain
and determine the amount of any claim, loss, or damage payable under a contract of property,
casualty, or workers' compensation insurance or to effect settlement of such claim, loss,
or damage. This chapter shall not be construed to permit persons not licensed as attorneys
to engage in activities constituting the practice of law. (b) An independent adjuster does
not include any of the following: (1) Attorneys-at-law admitted to practice in this state
when acting in their professional capacity as an attorney. (2) A salaried employee of an insurer.
(3) A person employed solely to obtain facts surrounding a claim or to furnish technical assistance
to a licensed independent adjuster. (4) An individual who is employed...
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22-21-265
Section 22-21-265 Certificates of need - Required for new institutional health service.
(a) On or after July 30, 1979, no person to which this article applies shall acquire, construct,
or operate a new institutional health service, as defined in this article, or furnish or offer,
or purport to furnish a new institutional health service, as defined in this article, or make
an arrangement or commitment for financing the offering of a new institutional health service,
unless the person shall first obtain from the SHPDA a certificate of need therefor. Notwithstanding
any provisions of this article to the contrary, those facilities and distinct units operated
by the Department of Mental Health, and those facilities and distinct units operating under
contract or subcontract with the Department of Mental Health where the contract constitutes
the primary source of income to the facility, shall not be required to obtain a certificate
of need under this article. (b) Notwithstanding all other...
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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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27-29-1
Section 27-29-1 Definitions. For purposes of this chapter, unless otherwise stated,
the following terms shall have the meanings respectively ascribed to them by this section:
(1) AFFILIATE. The term shall include an affiliate of, or person affiliated with, a specific
person, and shall mean a person that directly, or indirectly through one or more intermediaries,
controls, or is controlled by, or is under common control with, the person specified. (2)
COMMISSIONER. The Commissioner of Insurance, his or her deputies, or the Insurance Department
as appropriate. (3) CONTROL. The term shall include controlling, controlled by, or under common
control with and shall mean the possession, direct or indirect, of the power to direct or
cause the direction of the management and policies of a person, whether through the ownership
of voting securities, by contract other than a commercial contract for goods or nonmanagement
services, or otherwise, unless the power is the result of an official...
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27-7-5.2
Section 27-7-5.2 Licenses - Limited license for travel insurance producers. (a) As used
in this section, the following terms shall have the following meanings: (1) OFFER AND
DISSEMINATE. Provide general information, including a description of the coverage and price,
as well as processing the application, collecting premiums, and performing other non-licensable
activities permitted by the state. (2) TRAVEL INSURANCE. a. Insurance coverage for personal
risks incident to planned travel, including, but not limited to: 1. Interruption or cancellation
of trip or event. 2. Loss of baggage or personal effects. 3. Damages to accommodations or
rental vehicles. 4. Sickness, accident, disability, or death occurring during travel. b. Travel
insurance does not include major medical plans which provide comprehensive medical protection
for travelers with trips lasting six months or longer, including for example, those working
overseas or military personnel being deployed. (3) TRAVEL INSURANCE...
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16-6F-9
Section 16-6F-9 Legal status and powers of public charter schools; employees. (a) Legal
status of a public charter school. (1) Notwithstanding any provision of law to the contrary,
to the extent that any provision of this chapter is inconsistent with any other state or local
law, rule, or regulation, the provisions of this chapter shall govern and be controlling.
(2) A public charter school shall be subject to all federal laws and authorities enumerated
herein or arranged by charter contract with the school's authorizer, where such contracting
is consistent with applicable laws, rules, and regulations. (3) Except as provided in this
chapter, a public charter school shall not be subject to the state's education statutes or
any state or local rule, regulation, policy, or procedure relating to non-charter public schools
within an applicable local school system regardless of whether such rule, regulation, policy,
or procedure is established by the local school board, the State Board of...
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22-21-371
Section 22-21-371 Individual, group, blanket or franchise contracts authorized; certificates
of coverage; filing and approval of contracts and certificates; requirements; grounds for
disapproval. (a) Dental service plan contracts may be written on individual, group, blanket
or franchise basis. Each contractual obligation for such dental service(s) must be evidenced
by a contract. Each person covered under a group contract must be issued a certificate of
coverage. (b) No contract or certificate of dental service benefits may be issued in this
state unless a copy of the form has been filed and approved by the commissioner. (c) The commissioner
may not approve any form that does not meet the following requirements: (1) Contracts must
contain a list and description of the dental service payments promised or the dental work
for which expenses are to be reimbursed, and any limits on the amounts to be paid or reimbursed;
(2) Contracts and certificates must indicate the name of the dental...
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22-57-4
Section 22-57-4 Alabama Interagency Autism Coordinating Council - Composition. (a) The
composition of the council shall reflect the racial, gender, geographic, urban and rural,
and economic diversity of the state and shall include all of the following: (1) Three adult
individuals with ASD, appointed by the Governor. (2) Three individuals who are the parent
or guardian of a child with ASD, appointed by the Governor. (3) Five individuals who are service
providers, appointed by the Governor. (4) One member of the Senate, appointed by the President
of the Senate. (5) One member of the House of Representatives, appointed by the Speaker of
the House. (6) The chief executive officer, or his or her designee, of each of the following
participating agencies: a. The Alabama Department of Early Childhood Education. b. The Alabama
Institute for Deaf and Blind. c. The Alabama Department of Education. d. The Alabama Department
of Human Resources. e. The Alabama Department of Insurance. f. The Alabama...
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