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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....
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-221.htm - 2K - Match Info - Similar pages
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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/25-11-3.htm - 5K - Match Info - Similar pages
27-9A-3
system" means a preprogrammed computer system designed for the collection, data entry,
calculation, and system-generated final resolution of claims which meets all of the following:
1. It shall only be utilized by a licensed independent adjuster, licensed insurance producer,
or by individuals supervised by a licensed independent adjuster or insurance producer pursuant
to this subdivision. 2. It shall comply with all claims payment requirements of the insurance
code. d. For purposes of this subdivision, "portable consumer electronic device"
means a personal, self-contained, easily carried by an individual, battery-operated
electronic communication, viewing, listening, recording, gaming, computing, or global position
device, and other similar devices and their accessories. e. The licensed independent adjuster
or insurance producer who supervises the individuals shall file a report with the commissioner
indicating an intention to operate pursuant to this subdivision. (Act 2011-637, ยง1.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-9A-3.htm - 4K - Match Info - Similar pages
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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-265.htm - 15K - Match Info - Similar pages
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
gross written premiums of the insurance holding company system are at least ten billion dollars
($10,000,000,000). (9) PERSON. An individual, a corporation, a limited liability company,
a partnership, an association, a joint-stock company, a trust, an unincorporated organization,
or any similar entity or any combination of the foregoing acting in concert, but shall not
include any joint venture partnership exclusively engaged in owning, managing, leasing, or
developing real or tangible personal property. (10) SECURITYHOLDER. One who owns any
security of such person, including common stock, preferred stock, debt obligations, and other
security convertible into, or evidencing, the right to acquire any of the foregoing. (11)
SUBSIDIARY. An affiliate controlled by such person, directly or indirectly, through one or
more intermediaries. (12) VOTING SECURITY. The term shall include any security convertible
into, or evidencing, a right to acquire a voting security. (Acts 1973, No. 1042,...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-29-1.htm - 5K - Match Info - Similar pages
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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-7-5.2.htm - 6K - Match Info - Similar pages
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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/16-6F-9.htm - 8K - Match Info - Similar pages
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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-371.htm - 3K - Match Info - Similar pages
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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