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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...
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27-15-11
Section 27-15-11 Life insurance policy provisions - Reinstatement. There shall be a provision
that unless the policy has been surrendered for its cash value, or its cash surrender value
has been exhausted or the period of any extended insurance provided by the policy has expired,
the policy will be reinstated at any time within three years after the date of premium default
upon written application therefor, the production of evidence of insurability satisfactory
to the insurer, the payment of all overdue premiums and payment, or, within the limits permitted
by the then cash value of the policy, reinstatement, of any other indebtedness to the insurer
upon the policy, with interest as to both premiums and indebtedness at a rate not exceeding
the rate of interest on policy loans specified in the policy in accordance with the provisions
of Section 27-15-8, as may be amended from time to time. (Acts 1971, No. 407, p. 707, §356;
Acts 1981, No. 81-381, p. 564, §1.)...
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27-16-9
Section 27-16-9 Policy provisions - Reinstatement. (a) There shall be a provision that unless
the policy has been surrendered for its cash value, or its cash surrender value has been exhausted
or the period of any extended insurance provided by the policy has expired, the policy will
be reinstated at any time within two years after the date of premium default upon written
application therefor, the production of evidence of insurability satisfactory to the insurer,
the payment of all overdue premiums and payment or, within the limits permitted by the then
cash value of the policy, reinstatement of any other indebtedness to the insurer upon the
policy with interest as to both premiums and indebtedness at a rate not exceeding six percent
per annum compounded annually. (b) If for the purpose of or toward reinstatement of a policy
after its lapse the insurer receives a payment or tender of premium or other funds in amount
less than as required to effectuate the reinstatement so as to place...
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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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27-36A-2
Section 27-36A-2 Definitions. For purposes of this chapter, the following definitions shall
apply on or after the operative date of the valuation manual as defined by Section 27-36A-15:
(1) ACCIDENT AND HEALTH INSURANCE. Contracts that incorporate morbidity risk and provide protection
against economic loss resulting from accident, sickness, or medical conditions and as may
be specified in the valuation manual. (2) APPOINTED ACTUARY. A qualified actuary who is appointed
in accordance with the valuation manual to prepare the actuarial opinion required in subsection
(b) of Section 27-36A-4. (3) COMPANY. An entity, which (i) has written, issued, or reinsured
life insurance contracts, accident and health insurance contracts, or deposit-type contracts
in this state and has at least one such policy in force or on claim or (ii) has written, issued,
or reinsured life insurance contracts, accident and health insurance contracts, or deposit-type
contracts in any state and is required to hold a...
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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...
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27-52-6
Section 27-52-6 Exemptions. The plan established pursuant to this article shall be exempt from
payment of all fees and all taxes levied by this state or any of its subdivisions. If the
Commissioner of Insurance enters into a contract with one or more third parties to provide
any or all of the services in the operation of the plan, this exemption shall not extend to
said third parties except as to the tax on the premiums collected through the plan and any
fees required for the filing of forms, rates, and other reports with the Commissioner of Insurance
as may be specifically related to the plan. (Acts 1997, No. 97-713, p. 1476, §6.)...
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5-18-16
Section 5-18-16 Duties of licensees as to making and payment of loans. (a) Copy of contract
or statement; receipts; payment in advance; release of obligation and security. - Every licensee
shall: (1) At the time a loan is made deliver to the borrower or, if there are two or more
borrowers, to one of them a copy of the loan contract, executed by the borrower, in the English
language showing in clear and distinct terms: a. The name and address of the lender and one
of the primary obligors on the loan. b. The date of the loan contract. c. Schedule of installments
or description thereof. d. The cash advance. e. The face amount of the note evidencing the
loan. f. The amount collected or paid for insurance, if any. g. The amount collected or paid
for filing or other fees allowed by this chapter. h. The collateral or security for the loan.
(2) Give to the person making any cash payment on account of any loan a receipt at the time
the payment is made which receipt need only show the total...
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7-9A-405
Section 7-9A-405 Modification of assigned contract. (a) Effect of modification on assignee.
A modification of or substitution for an assigned contract is effective against an assignee
if made in good faith and in accordance with reasonable commercial standards. The assignee
acquires corresponding rights under the modified or substituted contract. The assignment may
provide that the modification or substitution is a breach of contract by the assignor. This
subsection is subject to subsections (b) through (d). (b) Applicability of subsection (a).
Subsection (a) applies to the extent that: (1) the right to payment or a part thereof under
an assigned contract has not been fully earned by performance; or (2) the right to payment
or a part thereof has been fully earned by performance and the account debtor has not received
notification of the assignment under Section 7-9A-406(a). (c) Rule for individual under other
law. This section is subject to law other than this article which establishes...
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25-4-16
Section 25-4-16 Wages. (a) Prior to January 1, 1983, "wages," as used in this chapter,
shall mean such remuneration as was defined in this section prior to such date. (b) On and
after January 1, 1983, "wages," as used in this chapter, shall mean every form of
remuneration paid or received for personal services, including the cash value of any remuneration
paid in any medium other than cash. The reasonable cash value of remuneration paid in any
medium other than cash shall be determined in accordance with rules prescribed by the director;
except that effective on May 28, 1980, and for the purposes of reporting and computing the
amount of contributions due, back pay awarded as the result of an agreement, arbitration,
or order of a court of competent jurisdiction on a retroactive basis shall be considered "wages"
during the calendar quarter in which such retroactive payments are made. The term "wages,"
however, shall not include: (1) That part of remuneration, which after remuneration...
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