27-48-1
Section 27-48-1 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) HEALTH BENEFIT PLAN. A health insurance policy that covers hospital, medical,
or surgical expenses, 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 beneficiaries in this state. For
the purpose of this chapter, a health benefit plan located or domiciled outside of the State
of Alabama is deemed to be subject to the provisions of this chapter if it receives, processes,
adjudicates, pays, or denies claims for health care services submitted by or on behalf of
the State of Alabama or who receive health care services in the State of Alabama. The term
includes, but is not limited to, entities created pursuant to Article 6 of...
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27-17-9
Section 27-17-9 Policy provisions - Furnishing of merchandise and services - Cash benefit in
lieu thereof. There shall be a provision that if the death of the insured or, if a vault or
monument policy, the burial of the insured occurs outside the State of Alabama or at a greater
distance from an authorized funeral director or monument dealer of the insurer than that specified
in Section 27-17-8, the insurer will, in lieu of furnishing such merchandise and services,
pay a cash benefit of not less than one half of the specified retail value of the merchandise
and services provided in the policy; provided, however, that the insurer may provide for a
reduced benefit as to an insured less than one year of age at death. The policy may contain
a provision for the payment of such cash benefit at the option of the insurer under any other
circumstances where it is impractical for any reason to furnish the merchandise and services
provided by the policy. (Acts 1971, No. 407, p. 707, §400.)...
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27-20-3
Section 27-20-3 Group disability insurance - Direct payment of those rendering services. Any
group disability policy may, on request by the group policyholder, provide that all, or any
portion, of any indemnities provided by any such policy on account of hospital, nursing, medical,
or surgical services may, at the insurer's option, be paid directly to the hospital or person
rendering such services. Payment so made shall discharge the insurer's obligation with respect
to the amount of insurance so paid. (Acts 1971, No. 407, p. 707, §460.)...
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27-45-5
Section 27-45-5 Article does not mandate that pharmaceutical services be provided. The provisions
of this article do not mandate that any type of benefits for pharmaceutical services, including
without limitation, prescription drugs, be provided by a health insurance policy or an employee
benefit plan. (Acts 1988, No. 88-379, p. 565, §5.)...
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27-1-15
Section 27-1-15 Payment for services of podiatrist. Notwithstanding any other provision of
law, when any contract of health insurance or any plan or agreement for health services provides
for the reimbursement or payment for services which are within the scope of a podiatrist's
professional license as defined in the general laws of Alabama, such policy shall be construed
to include payment to a podiatrist who has performed such procedures. (Acts 1976, No. 678,
p. 927.)...
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27-55-8
Section 27-55-8 Construction. This chapter does not and shall not be construed as creating
a private cause of action and does not and shall not require insurers, including any health
benefit plan, to extend coverage to any providers or type of providers for which coverage
is not specifically provided within the policy or certificate of insurance or health benefit
plan, or to add additional providers to existing networks, or to add any health care benefits.
(Act 2000-595, p. 1185, §8.)...
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27-56-8
Section 27-56-8 Implementation of coverage. (a) Any insurance policy, plan, or contract that
provides coverage for eye care services may contain provisions for maximum benefits and coinsurance
limitations, deductibles, exclusions, and utilization review protocols to the extent that
these provisions are not inconsistent with the requirements of this chapter. (b) If eye care
coverage is provided, the eye care benefits for services provided by optometrists within the
scope of their licenses shall be subject to the same annual deductible or coinsurance established
for all other eye care providers for which coverage is provided. (Act 2001-477, p. 640, §8.)...

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27-57-1
Section 27-57-1 Definitions. As used in this chapter, the following words and terms shall have
the following meanings: (1) COLORECTAL CANCER EXAMINATIONS. Examinations and laboratory tests
specified in current American Cancer Society guidelines for colorectal cancer screening of
asymptomatic individuals. (2) HEALTH BENEFIT PLAN. A group health insurance policy that covers
hospital, medical, or surgical expenses, 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 beneficiaries in this
state. For the purposes of this chapter, a health benefit plan located or domiciled outside
of the State of Alabama is deemed to be subject to this chapter if it receives, processes,
adjudicates, pays, or denies claims for health care services submitted...
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32-7-22
Section 32-7-22 Motor vehicle liability policy defined; policy provisions. (a) A motor vehicle
liability policy, as the term is used in this chapter, means an owner's or an operator's policy
of liability insurance, certified as provided in Section 32-7-20 or Section 32-7-21 as proof
of financial responsibility, and issued, except as otherwise provided in Section 32-7-21,
by an insurance carrier duly authorized to transact business in this state, to or for the
benefit of the person named in the policy as insured. (b) The owner's policy of liability
insurance: (1) Shall designate by explicit description or by appropriate reference all motor
vehicles to be insured; and (2) Shall insure the person named in the policy and any other
person, as insured, using any motor vehicle or motor vehicles designated in the policy with
the express or implied permission of the named insured, against loss from the liability imposed
by law for damages arising out of the ownership, maintenance, or use of...
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27-1-18
Section 27-1-18 Contract providing for mental health services to entitle insured to reimbursement
for outpatient and inpatient services by qualified psychiatrist or psychologist. (a) Whenever
any group, or blanket hospital or medical expense insurance policy or hospital or medical
service contract issued for delivery in this state provides for the reimbursement of health
or health related services which includes mental health services, and such services are within
the lawful scope of practice of a duly qualified psychiatrist or psychologist, the insured
or other person entitled to benefits under such policy or contract shall be entitled to reimbursement
for outpatient services, and inpatient services if requested by the attending physician, performed
by a duly qualified psychiatrist or psychologist notwithstanding any provisions of the policy
or contract to the contrary. (b) For purposes of this section, a duly qualified psychologist
means, one who is duly licensed or certified at the...
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