|
27-1-16
Section 27-1-16 Standard health insurance claim form; electronic claims form; various claim
forms. (a)(1) The Commissioner of the Department of Insurance shall prescribe a standard health
insurance claim form to be used by all hospitals. The forms shall be prescribed in a format
which allows for the use of generally accepted diagnosis and treatment coding systems by providers
of health care and payors. The standard form shall be accepted and used by all insurers doing
business in the State of Alabama and by all state agencies which pay providers of health care
for hospital services. (2) The Commissioner of the Department of Insurance shall also prescribe
a format for all health insurance claims transmitted or submitted for payment by electronic
or electro-mechanical means. Such a format shall be used by all insurers doing business in
the State of Alabama and by all state agencies which pay providers of health care for hospital
services. (b) An advisory committee of five persons, two...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-16.htm - 3K - Match Info - Similar pages
27-19-33
Section 27-19-33 Addition of endorsements or riders to existing policies. Any insurer writing
disability insurance policies may, with approval of the commissioner, add endorsements or
riders to existing policies of such insurance, with or without increase in premium, provided
there is shown separately on the endorsement or rider a stated premium charge for additional
coverage. (Acts 1957, No. 597, p. 834; Acts 1971, No. 407, p. 707, §453.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-19-33.htm - 751 bytes - Match Info - Similar pages
27-31-17
Section 27-31-17 Determination of financial condition. In determining the financial condition
of a reciprocal insurer, the commissioner shall apply the following rules: (1) He shall charge
as liabilities the same reserves as are required of incorporated insurers issuing nonassessable
policies on a reserve basis; (2) The surplus deposits of subscribers shall be allowed as assets,
except that any premium deposits delinquent for 90 days shall first be charged against such
surplus deposit; (3) The surplus deposits of subscribers shall not be charged as a liability;
(4) All premium deposits delinquent less than 90 days shall be allowed as assets; (5) An assessment
levied upon subscribers and not collected shall not be allowed as an asset; (6) The contingent
liability of subscribers shall not be allowed as an asset; and (7) The computation of reserves
shall be based upon premium deposits, other than membership fees, and without any deduction
for expenses and the compensation of the attorney....
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-31-17.htm - 1K - Match Info - Similar pages
27-31-25
Section 27-31-25 Nonassessable policies. (a) If a reciprocal insurer has a surplus of assets
over all liabilities at least equal to the minimum capital stock required of a domestic stock
insurer authorized to transact like kinds of insurance, upon application of the attorney and
as approved by the subscribers' advisory committee, the commissioner shall issue his certificate
authorizing the insurer to extinguish the contingent liability of subscribers under its policies
then in force in this state and to omit provisions imposing contingent liability in all policies
delivered, or issued for delivery, in this state for so long as all such surplus remains unimpaired.
(b) Upon impairment of such surplus, the commissioner shall forthwith revoke the certificate.
Such revocation shall not render subject to contingent liability any policy then in force
and for the remainder of the period for which the premium has theretofore been paid; but after
such revocation, no policy shall be issued or...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-31-25.htm - 2K - Match Info - Similar pages
27-52-1
Section 27-52-1 Creation; cessation and reestablishment of operations. (a) There is hereby
created the Alabama Health Insurance Plan which shall, as a high risk pool in the State of
Alabama, provide health insurance coverage to eligible individuals as an alternative to requiring
insurers to offer guaranteed-issue policies, as provided in the Health Insurance Portability
and Accountability Act of 1996 (Pub.L. 104-191, also known as HIPAA). (b) In the event any
federal mandate includes market reform provisions which satisfy the guaranteed-issue requirements
of HIPAA, the Alabama Health Insurance Plan may cease operations upon giving sufficient time
for current participants to transition out of the plan. After operation of the Alabama Health
Insurance Plan ceases and all current and future liabilities of the plan have been satisfied,
any unspent and unencumbered funds of the plan shall be transferred to the State General Fund.
(c) In the event a federal mandate requires the State of...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-52-1.htm - 1K - Match Info - Similar pages
27-18-2
Section 27-18-2 Policy provisions - Generally. No policy of group life insurance shall be delivered
in this state unless it contains in substance the applicable provisions set forth in Sections
27-18-3 through 27-18-13, or provisions which in the opinion of the commissioner are more
favorable to the persons insured or at least as favorable to the persons insured and more
favorable to the policyholder; except, however, that: (1) Sections 27-18-9 and 27-18-13 inclusive
shall not apply to policies issued to a creditor to insure debtors of such creditor; (2) The
standard provisions required for individual life insurance policies shall not apply to group
life insurance policies; and (3) If the group life insurance policy is on a plan of insurance
other than the term plan, it shall contain a nonforfeiture provision, or provisions, which,
in the opinion of the commissioner, is, or are, equitable to the insured persons and to the
policyholder, but nothing in this section shall be construed to...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-18-2.htm - 1K - Match Info - Similar pages
27-27-17
Section 27-27-17 Domestic mutual insurers - Solicitation of qualifying applications for insurance.
(a) Upon receipt of the commissioner's approval of the bond or deposit as provided in Section
27-27-16 the directors and officers of the proposed domestic mutual insurer may commence solicitation
of such requisite applications for insurance policies as they may accept and may receive deposits
of premiums thereon. (b) All such applications shall be in writing signed by the applicant,
covering subjects of insurance resident, located or to be performed in this state. (c) All
such applications shall provide that: (1) Issuance of the policy is contingent upon the insurer
qualifying for and receiving a certificate of authority; (2) No insurance is in effect unless
and until the certificate of authority has been issued; and (3) The prepaid premium or deposit
and membership or policy fee, if any, shall be refunded in full to the applicant if organization
is not completed and the certificate of...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-27-17.htm - 2K - Match Info - Similar pages
27-29B-5
Section 27-29B-5 Contents of Corporate Governance Annual Disclosure. (a) The insurer or insurance
group shall have discretion over the responses to the CGAD inquiries, provided the CGAD shall
contain the material information necessary to permit the commissioner to gain an understanding
of the insurer's or insurance group's corporate governance structure, policies, and practices.
The commissioner may request additional information that the commissioner deems material and
necessary to provide the commissioner with a clear understanding of the corporate governance
policies or the reporting or information system or controls implementing those policies. (b)
Notwithstanding subsection (a), the CGAD shall be prepared consistent with rules adopted by
the commissioner which shall be substantially similar to the Corporate Governance Annual Disclosure
Model Regulation developed by the NAIC. Documentation and supporting information shall be
maintained and made available upon examination or upon...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-29B-5.htm - 1K - Match Info - Similar pages
27-17-2
Section 27-17-2 Policy provisions - Generally. No policy of burial insurance shall be delivered
or issued for delivery in this state unless it contains in substance the provisions set forth
in Sections 27-17-3 through 27-17-14, or corresponding provisions, which in the opinion of
the commissioner are not less favorable in any respect to the policyholder. Any of such provisions,
or portions thereof, not applicable to single premium policies shall to that extent be omitted
therefrom. (Acts 1971, No. 407, p. 707, §393.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-17-2.htm - 828 bytes - Match Info - Similar pages
27-30-16
Section 27-30-16 Contracts - Annual valuation - Benefits payable in cash. (a) The commissioner
shall each year compute the net value as of December 31 of the preceding year of all benefits
payable in cash under all outstanding contracts or policies of each mutual aid association.
Such valuation shall be made upon the basis of the "combined experience" or "actuaries
table" or "the American experience table" rate of mortality (Illinois standard
of valuation), with interest at the rate of four percent per annum. The aggregate net value
so ascertained of such contracts or policies of the association shall be deemed its liability
on account of such cash benefits, other than accrued claims, for the purpose of any determination
of its financial condition. (b) Funds of the association in amount not less than the value
of such benefits, as valued under this section, shall be held by the association in cash or
in investments as authorized under Section 27-30-20. (Acts 1935, No. 114, p. 165; Acts...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-30-16.htm - 1K - Match Info - Similar pages
|