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36-29-6
Section 36-29-6 Authorization and execution of contracts; documentation of benefits. (a) The
board is hereby authorized to execute a contract or contracts to provide the plan determined
in accordance with the provisions of this chapter. Such contract or contracts may be executed
with one or more agencies or corporations licensed to transact or administer group health
insurance business in this state. All of the benefits to be provided under this chapter may
be included in one or more similar contracts issued by the same or different companies. (b)
Before entering into any contract or contracts authorized by subsection (a) of this section,
the board shall invite competitive bids from all qualified entities who may wish to administer
or offer plans for the health insurance coverage desired. The board shall award such contract
or contracts on a competitive basis as determined by the benefits afforded, administrative
costs, the costs to be incurred by employee, retiree, and employer, the...
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27-41-2
Section 27-41-2 Definitions. As used in this chapter, the following terms shall have the respective
meanings herein set forth, unless the context shall otherwise require: (1) ALABAMA INSURANCE
CODE. Title 27 of this code. (2) INSURER. The term shall have the meaning ascribed in Section
27-1-2 and shall include health maintenance organizations. (3) PERSON. The term shall have
the meaning ascribed in Section 27-1-2. (4) COMMISSIONER and DEPARTMENT. The terms, respectively,
shall have the meanings ascribed in Section 27-1-2. (5) INVESTMENT. Any asset owned by an
insurer. (6) ELIGIBLE INVESTMENT. Any investment permitted by Sections 27-41-7 to 27-41-35,
inclusive, provided the investment meets all the other requirements of this chapter. (7) DOMESTIC
INSURER, FOREIGN INSURER, and ALIEN INSURER. The terms shall have the meanings ascribed in
Section 27-1-2 and shall include health maintenance organizations. (8) ADMITTED ASSET. Any
asset of an insurer permitted by the Commissioner of Insurance...
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27-54-6
Section 27-54-6 Cost report. Every issuer of a group health benefit plan subject to this chapter
shall provide a cost report for each calendar year to the Commissioner of Insurance no later
than April 30th of the following year. The report shall be in a form prescribed by the commissioner
and shall include certification of parity in mental health benefits and total annual costs
of mental health services relative to total health costs. The commissioner shall compile this
data for all health benefit plans in an annual report solely for the purpose of demonstrating
the health cost impact of the requirements of this chapter. (Act 2000-386, p. 605, §7.)...
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34-19-21
Section 34-19-21 Coverage or reimbursement for services not required. Nothing contained in
this chapter shall be construed to create a requirement that any health benefit plan, group
insurance plan, policy, or contract for health care services 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 group health care services to patients, insureds, or beneficiaries in this state,
including entities created pursuant to Article 6, commencing with Section 10A-20-6.01, of
Chapter 20, Title 10A, provide coverage or reimbursement for the services described or authorized
in this chapter. (Act 2017-383, §4.)...
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16-25A-7
Section 16-25A-7 Authorization and execution of contracts; evidence of coverage; denial of
claims. (a) The board is hereby authorized to execute a contract or contracts to provide for
the benefits or the administration of the plan determined in accordance with the provisions
of this article. Such contract or contracts may be executed with one or more agencies or corporations
licensed to transact or administer group health insurance business in this state. All of the
benefits to be provided under this article may be included in one or more similar contracts
issued by the same or different companies. The board is further authorized to develop a plan
whereby it may become self-insured upon its finding that such arrangement would be financially
advantageous to the state and plan participants. (b) Before entering into any contract or
contracts authorized by subsection (a), the board shall invite competitive bids from all qualified
entities who may wish to administer or offer plans for the...
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27-13-2
Section 27-13-2 Administration of laws relating to rates and rating systems. The commissioner
is charged with the duty of the administration of all laws now relating, or hereafter relating,
to insurance rates and rating systems of all companies authorized to do business in the State
of Alabama, with the exception of rates of life and health and accident business and rates
of title insurance. (Acts 1945, No. 118, p. 111, §2; Acts 1971, No. 407, p. 707, §253.)...
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27-31B-9
Section 27-31B-9 Reports and statements. (a) Captive insurance companies shall not be required
to make any annual report except as provided in this chapter. (b) Prior to March 1 of each
year, each captive insurance company shall submit to the commissioner a report of its financial
condition, verified by oath of two of its executive officers. Except as provided in Section
27-31B-6, each captive insurance company shall report using statutory accounting principles,
unless the commissioner approves the use of generally accepted accounting principles, with
any useful or necessary modifications or adaptations thereof required or approved or accepted
by the commissioner for the type of insurance and kinds of insurers to be reported upon, and
as supplemented by additional information required by the commissioner. Except as otherwise
provided, each association captive insurance company and each industrial insured captive insurance
company insuring the risks of an industrial insured group...
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22-6-154
Section 22-6-154 Quality assurance committee; collection and publication of information. (a)
The Medicaid Agency shall create a quality assurance committee appointed by the Medicaid Commissioner.
The members of the committee shall serve two-year terms. At least 60 percent of the members
shall be physicians who provide care to Medicaid beneficiaries served by a regional care organization.
In making appointments to the committee, the Medicaid Commissioner shall seek input from the
appropriate professional associations. (b) The committee shall identify objective outcome
and quality measures, including measures of outcome and quality for ambulatory care, inpatient
care, chemical dependency and mental health treatment, oral health care, and all other health
services provided by coordinated care organizations. Quality measures adopted by the committee
shall be consistent with existing state and national quality measures. The Medicaid Commissioner
shall incorporate these measures into...
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27-14-11.1
Section 27-14-11.1 Contents of policies - Denial or reduction of benefits due to Medicaid eligibility
void. (a) For purposes of this section, "private insurer" is defined as any of the
following: (1) Any commercial insurance company offering health or casualty insurance to individuals
or groups, including both experience-rated contracts and indemnity contracts. (2) Any profit
or nonprofit prepaid plan offering either medical services or full or partial payment for
the diagnosis or treatment of an injury, disease, or disability. (3) Any organization administering
health or casualty insurance plans for professional associations, unions, fraternal groups,
employer-employee benefit plans, and any similar organization offering these payments or services,
including self-insured and self-funded plans. (4) Any health insurer, including group health
plans, as defined in Section 607(1) of the Employee Retirement Income Security Act of 1974,
self-insured plans, service benefit plans, managed care...
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9-2-107
Section 9-2-107 State Park Revolving Fund. In addition to the State Park Fund established by
Section 9-2-106, there is also hereby created and established a fund to be known as the State
Park Revolving Fund, which fund shall be constituted from all moneys received for admissions
charged or rentals, sales of goods or services and such other miscellaneous charges collected
by the Department of Conservation and Natural Resources in the operation of its state parks,
monuments, historical sites and other facilities. The Commissioner of Conservation and Natural
Resources, with the approval of the state Department of Finance, is authorized and empowered
to provide for and open an account or accounts at any state or federal bank whose deposits
are insured within the State of Alabama for the purpose of providing a depository or depositories
for said revolving fund. The Commissioner of Conservation and Natural Resources is further
authorized and empowered to draw on or make expenditures from...
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