11-91-2
Section 11-91-2 Contracting for and purchase of insurance policies generally; requirements
as to amounts of insurance under policies and coverage of policies. (a) All such governing
bodies shall have authority to contract for and purchase any or all such policies of insurance
from any insurer or insurers admitted to transact the business of such insurance in the State
of Alabama, and the governing bodies of all state colleges and universities shall have, in
addition to powers previously granted, the authority to contract for and purchase any or all
such policies of insurance from any nonprofit corporation organized and operated without profit
to any private shareholder or individual exclusively for the purpose of aiding or strengthening
educational institutions by issuing insurance and annuity contracts only to or for the benefit
of such institutions and individuals engaged in the services of such institutions. (b) The
amounts of insurance under any such policy must be based upon some...
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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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27-19-107
Section 27-19-107 Nonforfeiture benefits. (a) Except as provided in subsection (b), a long-term
care insurance policy may not be delivered or issued for delivery in this state unless the
policyholder or certificateholder has been offered the option of purchasing a policy or certificate
including a nonforfeiture benefit. The offer of a nonforfeiture benefit may be in the form
of a rider that is attached to the policy. In the event the policyholder or certificateholder
declines the nonforfeiture benefit, the insurer shall provide a contingent benefit upon lapse
that shall be available for a specified period of time following a substantial increase in
premium rates. (b) When a group long-term care insurance policy is issued, the offer required
in subsection (a) shall be made to the group policyholder. However, if the policy is issued
as group long-term care insurance, as defined in Section 27-19-103(4)d., other than to a continuing
care retirement community or other similar entity, the...
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27-19A-5
Section 27-19A-5 Provisions contrary to chapter. Any provision in a health insurance policy
or employee benefit plan which is delivered, renewed, issued for delivery, or otherwise contracted
for in this state which is contrary to this chapter shall to the extent of such conflict be
void. (Acts 1984, No. 84-411, p. 960, §4.)...
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27-19-37
Section 27-19-37 Disability insurance on franchise plan. Disability insurance on a franchise
plan is hereby declared to be that form of disability insurance issued to: (1) Three or more
employees of any corporation, copartnership, or individual employer, or any governmental corporation,
agency, or department thereof; or (2) Ten or more members, employees, or employees of members
of any trade or professional association, or of a labor union or of any other association
having had an active existence for at least two years where such association or union has
a constitution or bylaws and is formed in good faith for purposes other than that of obtaining
insurance where such persons, with or without their dependents, are issued the same form of
an individual policy varying only as to amounts and kinds of coverage applied for by such
persons under an arrangement whereby the premiums on such policies may be paid to the insurer
periodically by the employer, with or without payroll deductions,...
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27-45-6
Section 27-45-6 Compliance with article. It shall be unlawful for any insurer or any person
to provide any health insurance policy or employee benefit plan providing for pharmaceutical
services, including without limitation, prescription drugs, that does not conform to the provisions
of this article. (Acts 1988, No. 88-379, p. 565, §6.)...
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22-21-375
Section 22-21-375 Issuance of license; revocation; procedures for review and mediation of complaints.
(a) The Department of Insurance shall issue a license to each applicant upon payment of the
prescribed fees and upon being satisfied that: (1) The applicant has been organized in a bona
fide manner for the purpose of establishing, maintaining, and operating a dental service plan.
(2) Each contract executed, or proposed to be executed, by the applicant and a dentist obligates,
or will when executed obligate, such dentist to render the service or accept payment for the
service to which each subscriber may be entitled under the terms of the contract issued to
the subscriber. (3) Each contract issued, or proposed to be issued, to subscribers is in a
form approved by the department and that the rates charged, or proposed to be charged, for
each form of such contract and benefits to be provided pursuant thereto are fair and reasonable
and are actuarially sound. (4) No contributions to the...
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27-21A-15
Section 27-21A-15 Powers of insurers and health care service plans. (a) An insurance company
licensed in this state, or a health care service plan authorized to do business in this state,
may either directly or through a subsidiary or affiliate organize and operate a health maintenance
organization under the provisions of this chapter. Notwithstanding any other law which may
be inconsistent herewith, any two or more such insurance companies, health care service plans,
or subsidiaries or affiliates thereof, may jointly organize and operate a health maintenance
organization. The business of insurance is deemed to include the providing of health care
by a health maintenance organization owned or operated by an insurer or a subsidiary thereof.
(b) Notwithstanding any provision of insurance and health care service plan laws, Title 10,
Chapter 4, Article 6 and Title 27, an insurer or a health care service plan may contract with
a health maintenance organization to provide insurance or...
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22-21-371
Section 22-21-371 Individual, group, blanket or franchise contracts authorized; certificates
of coverage; filing and approval of contracts and certificates; requirements; grounds for
disapproval. (a) Dental service plan contracts may be written on individual, group, blanket
or franchise basis. Each contractual obligation for such dental service(s) must be evidenced
by a contract. Each person covered under a group contract must be issued a certificate of
coverage. (b) No contract or certificate of dental service benefits may be issued in this
state unless a copy of the form has been filed and approved by the commissioner. (c) The commissioner
may not approve any form that does not meet the following requirements: (1) Contracts must
contain a list and description of the dental service payments promised or the dental work
for which expenses are to be reimbursed, and any limits on the amounts to be paid or reimbursed;
(2) Contracts and certificates must indicate the name of the dental...
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22-21-390
Section 22-21-390 Violations; penalties; injunctive relief. (a) Any person or corporation engaging
in the business of operating a dental service plan without first having procured a license
from the Department of Insurance, as required by this article, and any person or corporation
violating any of the provisions of this article is guilty of a misdemeanor of the first degree
and upon conviction thereof shall be punished as provided by law. (b) Any person making any
willfully false statement in any written document required by this article to be filed with
the department, or with any examiner at any investigation or hearing conducted by the department
or examiner, is guilty of perjury and shall be punished as provided by law. (c) In addition
to any other penalties provided for in this article, the department is authorized to apply
to the appropriate circuit court by sworn affidavit that it has reason to believe that a violation
of any of the provisions of this article, or of any rules...
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