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27-15-78
Section 27-15-78 Calculations of adjusted premiums by the nonforfeiture net level premium
method. (a) This section shall apply to all policies issued on or after the operative
date of this section as defined herein. Except as provided in subsection (g), the adjusted
premiums for any policy shall be calculated on an annual basis and shall be such uniform percentage
of the respective premiums specified in the policy for each policy year, excluding extra premiums
on a substandard policy and also excluding any uniform annual contract charge or policy fee
specified in the policy in a statement of the method to be used in calculating the cash surrender
values and paid-up nonforfeiture benefits, that the present value, at the date of issue of
the policy, of all adjusted premiums shall be equal to the sum of: (1) The then present value
of the future guaranteed benefits provided for by the policy. (2) One percent of either the
amount of insurance, if the insurance be uniform in amount, or the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-15-78.htm - 12K - Match Info - Similar pages
16-22-17
Section 16-22-17 Payroll deductions for participation in statewide programs. (a) When
used in this section, the following terms shall have the following meanings, respectively:
(1) EMPLOYEE. Any person employed full-time as provided by law by those employers enumerated
in this section and adult bus drivers. (2) EMPLOYER. All public city and county boards
of education; the Board of Trustees of the Alabama Institute for Deaf and Blind; the Alabama
Youth Services Department District Board in its capacity as the Board of Education for the
Youth Services Department District; the Board of Directors of the Alabama School of Fine Arts;
the Board of Trustees of the Alabama High School of Mathematics and Science; the State Board
of Education as applied to the payroll office of two-year postsecondary education institutions;
and the Board of Trustees of Alabama A and M University. (3) PROFESSIONAL ORGANIZATION or
ORGANIZATION. The employees' local professional organization representing the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/16-22-17.htm - 4K - Match Info - Similar pages
27-14-19
Section 27-14-19 Delivery of policies. (a) Subject to the insurer's requirements as
to payment of premium, every policy shall be mailed or delivered to the insured or to the
person entitled thereto within a reasonable period of time after its issuance, except where
a condition required by the insurer has not been met by the insured. (b) In event the original
policy is delivered, or is so required to be delivered, to or for deposit with any vendor,
mortgagee, or pledgee of any motor vehicle, and in which policy any interest of the vendee,
mortgagor, or pledgor in or with reference to such vehicle is insured, a duplicate of such
policy, setting forth the name and address of the insurer, insurance classification of vehicle,
type of coverage, limits of liability, premiums for the respective coverages, and duration
of the policy, or memorandum thereof containing the same such information, shall be delivered
by the vendor, mortgagee, or pledgee to each such vendee, mortgagor, or pledgor...
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27-21A-1
Section 27-21A-1 Definitions. As used in this chapter, the following terms shall have
the following meanings, respectively: (1) AGENT. A person who is appointed or employed by
a health maintenance organization and who engages in solicitation of membership in such organization.
This definition does not include a person enrolling members on behalf of an employer, union,
or other organization. (2) BASIC HEALTH CARE SERVICES. Emergency care, inpatient hospital
and physician care, and outpatient medical services. (3) COMMISSIONER. The Commissioner of
Insurance. (4) ENROLLEE. An individual who is enrolled in a health maintenance organization.
(5) EVIDENCE OF COVERAGE. Any certificate, agreement, or contract issued to an enrollee setting
out the coverage to which he is entitled. (6) HEALTH CARE SERVICES. Any services included
in the furnishing to any individual of medical or dental care, or hospitalization or incident
to the furnishing of such care or hospitalization, as well as the...
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27-7-4.2
Section 27-7-4.2 Licenses - Applicability to insurance producer. (a) Nothing in this
chapter shall be construed to require an insurer to obtain an insurance producer license.
In this section, the term "insurer" does not include an insurer's officers,
directors, employees, subsidiaries, or affiliates. (b) A license as an insurance producer
shall not be required of any of the following: (1) An officer, director, or employee of an
insurer or of an insurance producer, provided that the officer, director, or employee does
not receive any commission on policies written or sold to insure risks residing, located,
or to be performed in this state and any of the following: a. The officer, director, or employee's
activities are executive, administrative, managerial, clerical, or a combination of these,
and are only indirectly related to the sale, solicitation, or negotiation of insurance. b.
The officer, director, or employee's function relates to underwriting, loss control, inspection,
or the...
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36-29-23
Section 36-29-23 Authorization to establish flexible employee benefit plan; provisions
of plan. The board, with the approval of the Governor, is authorized to establish a flexible
employee benefit plan for state employees in compliance with Section 125 and any other
applicable sections of the Internal Revenue Code. The flexible employee benefit plan may provide
for payments or salary reductions for qualified benefits in accordance with Section
125 of the Internal Revenue Code, which presently include health insurance premiums, group
life insurance, disability insurance, supplemental health and accident insurance, dependent
care expenses, and such other types of employee benefits permitted under Section 125
and any other applicable sections of the Internal Revenue Code. Futhermore, the board may
establish a long-term care plan for employees. (Acts 1989, No. 89-644, p. 1272, §4; Act 98-639,
p. 1410, §1.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-29-23.htm - 1K - Match Info - Similar pages
27-19A-12
Section 27-19A-12 Dental services - Coverages; fees; exceptions. (a) As used in this
section, the following terms shall have the following meanings: (1) COVERED PERSON.
Any individual, family, or family member on whose behalf third-party payment or prepayment
of health or medical expenses is provided under an insurance policy, plan, or contract providing
for third-party payment or prepayment of health care or medical expenses. (2) COVERED SERVICES.
Dental care services for which a reimbursement is available under an enrollee's plan contract,
or for which a reimbursement would be available but for the application of contractual limitations
such as deductibles, copayments, coinsurance, waiting periods, annual or lifetime maximums,
frequency limitations, alternative benefit payments, or any other limitation. (3) DENTAL CARE
PROVIDER. A licensed dentist. (4) DENTAL PLAN. Includes any policy of insurance which is issued
by a health care service contractor which provides for coverage of...
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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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25-5-290
Section 25-5-290 Ombudsman program, creation; purpose; members; notification of service;
benefit review conferences. (a) The Department of Industrial Relations shall establish an
Ombudsman Program to assist injured or disabled employees, persons claiming death benefits,
employers, and other persons in protecting their rights and obtaining information available
under the Workers' Compensation Law. (b) Providing that the employer and the employee agree
to participate in the benefit review conference, the ombudsmen shall meet with or otherwise
provide information to injured or disabled employees, investigate complaints, and communicate
with employers, insurance carriers, and health care providers on behalf of injured or disabled
employees. (c) Ombudsmen shall be Merit System employees and demonstrate familiarity with
the Workers' Compensation Law. An ombudsman shall not be an advocate for any person who shall
assist a claimant, employer, or other person in any proceeding beyond the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/25-5-290.htm - 4K - Match Info - Similar pages
27-54-2
Section 27-54-2 Definitions. For purposes of this chapter, the following terms have
the following meanings: (1) DAY TREATMENT SERVICES. Includes, but is not limited to: Physiological,
psychological, and psychosocial concepts, techniques, and processes necessary to maintain
or develop functional skills of clients, provided to individuals and groups for periods of
more than two hours but less than 24 hours a day. (2) HEALTH BENEFIT PLAN. A health care service
plan governed by the provisions of Article 6, Chapter 4, Title 10, and a group health insurance
policy, including an employee welfare health benefit plan, that covers hospital, medical,
or surgical expenses, issued by insurers, health maintenance organizations, preferred provider
organizations, medical service organizations, physician-hospital organizations, or any other
person, firm, corporation, joint venture, or other similar business entity that pays for,
purchases, or furnishes health care services to patients, insureds, or...
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