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16-25A-5.1
Section 16-25A-5.1 Supplemental policy to provide secondary coverage for employees. The board
may, no later than January 1, 2006, offer employees a supplemental policy that provides secondary
coverage to other employer group coverage. (1) For employees who have spouses with other employer
group health insurance coverage available to them through their employer or previous employer,
the board may provide such employees and retirees with a supplemental coverage policy to the
other employer group health insurance coverage in lieu of full basic medical plan coverage
through the plan. (2) An employer that provides its employees and their spouses with other
employer group health insurance coverage may not exclude an employee, as defined under Section
16-25A-1(1), or his or her spouse from coverage by application of a provision which does not
also apply on the same terms and conditions to other employees or their spouses. No provision
of this section requires an employer to amend its plan to...
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27-20A-2
Section 27-20A-2 Chapter applicable to group, etc., policies. No group, blanket, franchise,
or association health insurance policy providing coverage on an expense incurred basis, nor
group, blanket, franchise, or association service or indemnity type contract issued by a nonprofit
corporation, nor group-type self insurance plan providing protection, insurance, or indemnity
against hospital, medical, or surgical expenses, nor health maintenance organization plan
shall be issued, delivered, executed, or renewed in this state, or approved for issuance or
renewal in this state by the Commissioner of Insurance after 90 days beyond the effective
date of this chapter, unless such policy, contract, or plan, at the option of the policyholder
or sponsor, provides benefits to any insured, subscriber, or other person covered under the
policy, contract, or plan for expenses incurred in connection with the treatment of alcoholism
when such treatment is prescribed by a duly licensed doctor of...
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36-29-3
Section 36-29-3 Factors to be considered by board in design of health insurance plan. The health
insurance plan provided for in this chapter shall be designed by the State Employees' Insurance
Board to provide a reasonable relationship between the hospital, surgical, and medical benefits
to be included and the expected hospital, surgical, and medical expenses to be incurred by
the affected employee and retiree and dependents and to include reasonable controls, which
may include, but are not limited to, deductible, copayment, coinsurance, and other cost containment
measures to prevent unnecessary utilization of the various hospital, surgical, and medical
services available and to provide reasonable assurance of stability in future years for the
plan. (Acts 1965, No. 833, p. 1564, §5; Act 2004-647, 1st Sp. Sess., p. 17, §1.)...
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45-37A-51.192
Section 45-37A-51.192 City's contributions. (a) The city shall pick up employer payment of
required participants' contributions in lieu of salary or wages through a program and plan
amendments relating to the city's employees meeting the requirements of the United States
Internal Revenue Code, as amended. (b)(1) Beginning July 1, 1995, the contribution of the
employer, excluding the board of health and employees of the board of health, shall be determined
by the actuary of the board at the level necessary to fully fund the system. The actuary shall
be required to make the determination for each actuarial year. (2) Beginning on July 1, 2017,
the employer's total minimum rate of contribution into the fund, excluding the board of health,
shall increase to 7.25 percent. (3) Beginning on July 1, 2018, the employer's total minimum
rate of contribution into the fund, excluding the board of health, shall increase to 8.50
percent. (4) Beginning on July 1, 2020, the employer's total minimum rate...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/45-37A-51.192.htm - 1K - Match Info - Similar pages
25-14-4
Section 25-14-4 Construction of provisions; scope of business; taxation; competitive bidding;
employment information provided by professional employer organization. (a) Neither this chapter
nor a professional employer agreement may affect, modify, or amend any collective bargaining
agreement, or the rights or obligations of any client, professional employer organization,
or covered employee under the federal National Labor Relations Act, or any other similar law.
(b) Neither this chapter nor a professional employer agreement may affect, modify, or amend
any state, local, or federal licensing, registration, or certification requirement applicable
to any professional employer organization, client, or covered employee. (c) A covered employee
who is required to be licensed, registered, or certified according to law or regulation is
solely an employee of the client for purposes of the license, registration, or certification
requirement. (d) A professional employer organization does not...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/25-14-4.htm - 3K - Match Info - Similar pages
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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40-18-15.3
Section 40-18-15.3 Deductions for health insurance premiums. (a) As used in this section, the
following terms shall have the following meanings: (1) QUALIFYING EMPLOYEES. Alabama resident
employees who are employed by qualifying employers, earn no more than $50,000 of wages in
the applicable tax year, and report no more than $75,000 of adjusted gross income on their
Alabama individual income tax return ($150,000 if married filing jointly) for the applicable
year. (2) QUALIFYING EMPLOYERS. Employers with less than 25 employees. (b) For tax years beginning
after December 31, 2010, in addition to any other Alabama income tax deduction that a qualifying
employee may be entitled to with respect to the payment of health insurance premiums, qualifying
employees shall be allowed to deduct from Alabama gross income 100 percent of the amounts
they pay as health insurance premiums as part of an employer provided health insurance plan
provided by a qualifying employer. (c) In addition to any other...
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16-25-153
Section 16-25-153 Incentives for participation in plan. Notwithstanding the foregoing provisions
of this article or any other laws to the contrary, no employer whose employees are covered
under the Teachers' Retirement System shall offer any incentives of value including, but not
limited to, monetary payments, prepayment of health insurance, or extraordinary payments for
accrued leave, contingent on the member applying for or electing to participate in DROP. This
provision shall not apply to regular payments for leave or contributions toward health insurance,
but shall serve to prevent any extraordinary benefits or incentives offered during a limited
time period solely for the purpose of enticing employees to elect to participate in DROP.
(Act 2002-23, p. 31, §3.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/16-25-153.htm - 1K - Match Info - Similar pages
16-25A-5
Section 16-25A-5 Authorization for health insurance plan; election of optional or supplemental
coverage. (a) The board is hereby empowered and authorized to establish a fully insured or
self-insured health insurance plan for employees and, under certain conditions, retired employees
and to adopt and promulgate rules and regulations for the administration of such plan subject
to such limitations as may be contained in this article. Such plan may provide for group hospitalization,
surgical, medical, cancer, cash indemnity, and dental insurance against the financial costs
of hospitalization, surgical, and medical treatment and care and may also include, among other
things, prescribed drugs, medicines, prosthetic appliances, hospital inpatient and outpatient
service benefits, and hospital/medical expenses indemnity benefits, including major medical
benefits or such other coverage or benefits as may be deemed appropriate and desirable by
the board, within the limits of such funds as may be...
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27-19A-4
Section 27-19A-4 Required provisions. Any health insurance policy or employee benefit plan
which is delivered, renewed, issued for delivery, or otherwise contracted for in this state
shall, to the extent that it provides benefits for dental care expenses: (1) Disclose, if
applicable, that the benefit offered is limited to the least costly treatment; (2) Define
and explain the standard upon which the payment of benefits or reimbursement for the cost
of dental care services is based, such as "usual and customary," "reasonable
and customary," "usual, customary, and reasonable," fees or words of similar
import or specify in dollars and cents the amount of the payment or reimbursement for dental
care services to be provided. Said payment or reimbursement for a noncontracting provider
dentist shall be the same as the payment or reimbursement for a contracting provider dentist;
provided, however, that the health insurance policy or the employee benefit plan shall not
be required to make...
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