27-19-100
Section 27-19-100 Purpose of article. The purpose of this article is to promote the public
interest, to promote the availability of long-term care insurance policies, to protect applicants
for long-term care insurance, as defined, from unfair or deceptive sales or enrollment practices,
to establish standards for long-term care insurance, to facilitate public understanding and
comparison of long-term care insurance policies, and to facilitate flexibility and innovation
in the development of long-term care insurance coverage. The Legislature recognizes the viability
of a long-term care product funded through a life insurance vehicle, and this article is not
intended to prohibit approval of this product. (Act 2000-795, p. 1876, §5.)...
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16-25A-44
Section 16-25A-44 Participation of employees; purchase of benefits. In order to carry out the
provisions of the flexible employee benefit plan or any long-term care plan, or both, the
head of each department, agency, board of education, or other employer with employees as defined
by Section 16-25A-1 shall provide, at no local administrative cost to the employee, the flexible
employee benefit plan as provided for in this article to every employee and is authorized
on behalf of the state to deduct or reduce from salary or wages amounts voluntarily designated
by the employees pursuant to salary reduction agreements or benefit deduction agreements for
purchasing benefits offered under the plan and such reduction from salary and wages shall
be remitted to the board for administration of the program. Employers with employees as defined
by Section 16-25A-11 must offer such benefits as required by and under such conditions as
established by the board. (Act 2004-650, 1st Sp. Sess., p. 31, §5.)...
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27-18-16
Section 27-18-16 Assignment of rights and benefits under group policies. Any person insured
under a group insurance policy may, in accordance with Section 27-14-21 and pursuant to the
terms of such policy or an arrangement among the insured, the group policyholder and the insurer,
make an assignment of the rights and benefits conferred by any provision of such policy or
by law, including specifically, but not by way of limitation, the right to have issued to
the insured an individual policy arising from conversion or otherwise and the right to name
a beneficiary. Any assignment permitted in this section, whether made before or after January
1, 1972, shall be valid for the purpose of vesting in the assignee all such rights and benefits
so assigned and shall entitle the insurer to deal with the assignee as the owner of all rights
and benefits conferred on the insured under the policy in accordance with the terms of the
assignment without prejudice to the insurer on account of any payment...
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27-19-21
Section 27-19-21 Optional policy provisions - Insurance with other insurers - Other benefits.
(a) There may be a provision as follows: "Insurance with Other Insurers: If there be
other valid coverage, not with this insurer, providing benefits for the same loss on other
than an expense-incurred basis and of which this insurer has not been given written notice
prior to the occurrence or commencement of loss, the only liability for such benefits under
this policy shall be for such proportion of the indemnities otherwise provided hereunder for
such loss as the like indemnities of which the insurer had notice (including the indemnities
under this policy) bear to the total amount of all like indemnities for such loss and for
the return of such portion of the premium paid as shall exceed the pro rata portion for the
indemnities thus determined." (b) If the foregoing policy provision is included in a
policy which also contains the policy provision set out in Section 27-19-20, there shall be...

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7-9A-408
Section 7-9A-408 Restrictions on assignment of promissory notes, health-care-insurance receivables,
and certain general intangibles ineffective. (a) Term restricting assignment generally ineffective.
Except as otherwise provided in subsection (b), a term in a promissory note or in an agreement
between an account debtor and a debtor which relates to a health-care-insurance receivable
or a general intangible, including a contract, permit, license, or franchise, and which term
prohibits, restricts, or requires the consent of the person obligated on the promissory note
or the account debtor to, the assignment or transfer of, or creation, attachment, or perfection
of a security interest in, the promissory note, health-care-insurance receivable, or general
intangible, is ineffective to the extent that the term: (1) would impair the creation, attachment,
or perfection of a security interest; or (2) provides that the assignment or transfer or the
creation, attachment, or perfection of the...
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27-19-20
Section 27-19-20 Optional policy provisions - Insurance with other insurers - Expense-incurred
benefits. (a) There may be a provision as follows: "Insurance with Other Insurers: If
there be other valid coverage, not with this insurer, providing benefits for the same loss
on a provision of service basis or on an expense-incurred basis and of which this insurer
has not been given written notice prior to the occurrence or commencement of loss, the only
liability under any expense-incurred coverage of this policy shall be for such proportion
of the loss as the amount which would otherwise have been payable hereunder plus the total
of the like amounts under all such other valid coverages for the same loss of which this insurer
had notice bears to the total like amounts under all valid coverages for such loss, and for
the return of such portion of the premiums paid as shall exceed the pro rata portion for the
amount so determined. For the purpose of applying this provision when other...
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25-5-270
Section 25-5-270 Certain employers authorized to purchase insurance with optional deductibles.
(a) Each insurer issuing a policy under this article shall offer, as a part of the policy
or as an optional endorsement to the policy, deductibles optional to the policyholder for
benefits payable under this article. Deductible amounts offered shall be fully disclosed to
the prospective policyholder in writing in the amount of $100.00, $200.00, $300.00, $400.00,
$500.00, or increments of $500.00 up to a maximum of $2,500.00 per compensable claim. The
policyholder exercising the deductible option shall choose only one deductible amount. (b)
If the policyholder exercises the option and chooses a deductible, the insured employer shall
be liable for the amount of the deductible for benefits paid for each compensable claim of
work injury suffered by an employee. The insurer shall pay all or part of the deductible amount,
whichever is applicable to a compensable claim, to the person or medical...
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27-19-101
Section 27-19-101 Applicability of article. The requirements of this article shall apply to
policies delivered or issued for delivery in this state on or after August 1, 2000. This article
is not intended to supersede the obligations of entities subject to this article to comply
with the substance of other applicable insurance laws insofar as they do not conflict with
this article, except that laws and regulations designed and intended to apply to Medicare
supplement insurance policies shall not be applied to long-term care insurance. Entities subject
to this article shall continue to comply with other applicable insurance legislation not in
conflict with this article. (Act 2000-795, p. 1876, §5.)...
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36-29-24
Section 36-29-24 Authorization to deduct or reduce salary or wages designated by employee.
In order to carry out the provisions of the flexible employee benefit plan or any long-term
care plan, or both, the board or the head of each department, agency, or county health department
is authorized on behalf of the state to deduct or reduce from salary or wages amounts voluntarily
designated by the employees pursuant to salary reduction agreements or benefit deduction agreements
for purchasing benefits offered under the plan. (Acts 1989, No. 89-644, p. 1272, §5; Act
98-639, p. 1410, §1.)...
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22-6-232
Section 22-6-232 Coverage of Medicaid beneficiaries by integrated care networks. (a) The Medicaid
Agency shall determine by rule which groups of Medicaid beneficiaries to include for coverage
by an integrated care network. The Medicaid Agency, without the approval of the Governor,
shall not make a coverage decision that would affect Medicaid beneficiaries who are directly
served by another state agency. (b) Notwithstanding subsection (a), the current Medicaid long-term
care programs shall continue as currently administered by the Medicaid Agency until one or
more integrated care networks are fully operational and has entered into a risk contract as
provided herein. (Act 2015-322, §14.)...
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