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27-36A-8
Section 27-36A-8 Reserve valuation method - Life insurance and endowment benefits. (a) Except
as otherwise provided in Sections 27-36A-9, 27-36A-12, and 27-36A-14, reserves according to
the commissioners reserve valuation method, for the life insurance and endowment benefits
of policies providing for a uniform amount of insurance and requiring the payment of uniform
premiums, shall be the excess, if any, of the present value, at the date of valuation, of
the future guaranteed benefits provided for by the policies over the then present value of
any future modified net premiums therefor. The modified net premiums for a policy shall be
the uniform percentage of the respective contract premiums for the benefits, excluding extra
premiums on a substandard policy, that the present value, at the date of issue of the policy,
of all modified net premiums shall be equal to the sum of the then present value of the benefits
provided for by the policy and the excess of subdivision (1) over...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-36A-8.htm - 4K - Match Info - Similar pages
27-17-16
Section 27-17-16 Valuation of life insurance reserve liabilities for burial insurance policies;
increase in amount of insurance; minimum standards for valuation; notice to commissioner as
to change in valuation standards; increase in retail value, nonforfeiture value, and cash
surrender value; construction with other laws. (a) Except as hereinafter provided, any authorized
insurer who issues or has heretofore issued "burial insurance" in this state shall
value the life insurance reserve liabilities for such policies (hereinafter "burial reserves")
in accordance with the provisions of Section 27-36-7. (b) An insurer shall increase the amount
of insurance on which its burial reserves are based, not to exceed the retail value of such
benefits as stated in the policies, when appropriate to reflect an increase in the costs to
the insurer of providing the policy benefits. When an insurer shall increase the amount of
insurance for this purpose, it shall be permitted to change the assumed...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-17-16.htm - 3K - Match Info - Similar pages
27-19-52
Section 27-19-52 Definitions. For purposes of this article, the following terms shall have
the meaning indicated herein: (1) APPLICANT. Includes either of the following: a. In the case
of an individual Medicare supplement policy or subscriber contract, the person who seeks to
contract for insurance benefits. b. In the case of a group Medicare supplement policy or subscriber
contract, the proposed certificate holder. (2) CERTIFICATE. Any certificate issued under a
group Medicare supplement policy, which policy has been delivered or issued for delivery in
this state. (3) CERTIFICATE FORM. The form on which the certificate is delivered or issued
for delivery by the issuer. (4) ISSUER. Insurance companies, fraternal benefit societies,
health care service plans, health maintenance organizations, and any other entity delivering
or issuing for delivery in this state Medicare supplement policies or certificates. (5) MEDICARE.
The "Health Insurance for the Aged Act," Title XVIII of the Social...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-19-52.htm - 2K - Match Info - Similar pages
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
27-19-54
Section 27-19-54 Minimum standards for benefits, compensation arrangement, etc.; conformity
with federal provisions. (a) The commissioner shall issue reasonable regulations to establish
minimum standards for benefits, claims payment, marketing practices, compensation arrangements,
and reporting practices, for Medicare supplement policies and certificates. For the purposes
of this section, the term compensation arrangements shall not include payment methods, fee
schedules, or other compensation arrangements between licensed health care providers and purchasers
of health care services. (b) The commissioner may, from time to time, adopt reasonable regulations
as are necessary to conform Medicare supplement policies and certificates to the requirements
of federal law and regulations promulgated thereunder, including, but not limited to, the
following: (1) Requiring refunds or credits if the policies or certificates do not meet loss
ratio requirements. (2) Establishing a uniform methodology...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-19-54.htm - 1K - Match Info - Similar pages
27-22-2
Section 27-22-2 Industrial fire insurance policies. (a) Industrial fire insurance policies
are policies issued by insurers writing fire and allied lines of insurance through agents
operating on the debit agency system under which system a weekly or monthly collection percentage
is paid based either on actual weekly or monthly premium collections or weekly or monthly
increases of premium collections. (b) No such policy, or such policies, covering any of the
same subjects of insurance shall be issued which provides indemnity exceeding the limits set
by the commissioner as to any one loss resulting from any, or all, of the hazards or perils
insured against. (c) No such policy shall be issued except upon a monthly or weekly premium
payment basis. No discount for premiums paid in advance shall exceed five percent for premiums
paid for six months in advance or 10 percent for premiums paid for 12 months in advance. In
no event shall premiums be collected for more than 12 months in advance....
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-22-2.htm - 1K - Match Info - Similar pages
27-32-40
Section 27-32-40 Priority of claims of policyholders and beneficiaries - Classification of
policyholders and beneficiaries. The circuit court having jurisdiction over a receivership
for liquidation or rehabilitation pursuant to the insurance laws of this state may distinguish
between classes of policyholders or beneficiaries and establish priorities for each such class
for payment of claims, sharing in the assets remaining or for reinsurance purposes. In establishing
priorities among classes of policyholders and beneficiaries, death claims payable on life
insurance contracts, cash surrenders payable, annuity holders, paid up policies, single premium
policies, and other such classifications may be used by the court in establishing priorities
for payment of claims or for reinsurance of policies. (Acts 1975, No. 1040, p. 2085, ยง4.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-32-40.htm - 1K - Match Info - Similar pages
16-25A-45
Section 16-25A-45 Rules and regulations; contracts for services. The board shall promulgate
rules and regulations to implement the flexible benefits program, including, but not limited
to, setting policies and requirements concerning the administration of employee payments,
amounts deducted pursuant to salary reduction agreements, and advances from the Public Employees'
Health Insurance Plan and appropriations, if any. The board may contract for services with
the Flexible Employees' Benefit Board for the first year of operation of the plan regarding
pretax deductions for the payment of employee health insurance premium payments authorized
by the board and may contract for services with the Flexible Employees' Benefit Board or other
entities in subsequent years. The board may contract for necessary services to implement the
flexible benefits program including, but not limited to, the administration of salary reduction
agreements and non-health insurance premium components of the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/16-25A-45.htm - 1K - Match Info - Similar pages
27-1-10.1
Section 27-1-10.1 Insurance coverage for drugs to treat life-threatening illnesses. (a) The
Legislature finds and declares the following: (1) The citizens of this state rely upon health
insurance to cover the cost of obtaining health care and it is essential that the citizens'
expectation that their health care costs will be paid by their insurance policies is not disappointed
and that they obtain the coverage necessary and appropriate for their care within the terms
of their insurance policies. (2) Some insurers deny payment for drugs that have been approved
by the Federal Food and Drug Administration, hereafter referred to as FDA, when the drugs
are used for indications other than those stated in the labelling approved by the FDA, off-label
use, while other insurers with similar coverage terms do pay for off-label use. (3) Denial
of payment for off-label use can interrupt or effectively deny access to necessary and appropriate
treatment for a person being treated for a...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-10.1.htm - 6K - Match Info - Similar pages
27-12-14
Section 27-12-14 Inducements as to property, casualty, or surety insurance. (a) No property,
casualty, or surety insurer, or any employee thereof, and no broker, agent, or solicitor shall
pay, allow, or give, or offer to pay, allow, or give, directly or indirectly, as an inducement
to insurance or after insurance has been effected, any rebate, discount, abatement, credit,
or reduction of the premium named in a policy of insurance, or any special favor or advantage
in the dividends or other benefits to accrue thereon or any valuable consideration or inducement
whatever not specified in the policy except to the extent provided for in rating systems filed
with the commissioner by, or on behalf of, the insurer and approved by the commissioner. (b)
No insured named in a policy nor any employee of such insured shall knowingly receive or accept,
directly or indirectly, any such rebate, discount, abatement, credit, or reduction of premium.
(c) Nothing in this section shall be construed as...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-12-14.htm - 4K - Match Info - Similar pages
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