|
27-54-2
Section 27-54-2 Definitions. For purposes of this chapter, the following terms have the following
meanings: (1) DAY TREATMENT SERVICES. Includes, but is not limited to: Physiological, psychological,
and psychosocial concepts, techniques, and processes necessary to maintain or develop functional
skills of clients, provided to individuals and groups for periods of more than two hours but
less than 24 hours a day. (2) HEALTH BENEFIT PLAN. A health care service plan governed by
the provisions of Article 6, Chapter 4, Title 10, and a group health insurance policy, including
an employee welfare health benefit plan, that covers hospital, medical, or surgical expenses,
issued by insurers, 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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-54-2.htm - 3K - Match Info - Similar pages
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, ยง8.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-55-8.htm - 795 bytes - Match Info - Similar pages
31-12-7
Section 31-12-7 Health insurance for public employees; participation in retirement systems.
(a) Any public employee who receives compensation from a public employer as provided by this
chapter, while he or she is serving on active duty in the Armed Forces of the United States,
may elect to continue with his or her individual or dependent coverage under the health insurance
plan of the public employer for the duration of the time he or she receives the compensation.
Premiums for dependent coverage shall be deducted from the compensation in the amount in effect
at the time for an active employee with dependent coverage. (b) Any public employee covered
under the Employees' Retirement System or the Teachers' Retirement System who is serving on
active duty in the Armed Forces of the United States during the war on terrorism that commenced
in September 2001, as determined by the Adjutant General of the Alabama National Guard, shall
be deemed an active and contributing member of the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/31-12-7.htm - 1K - Match Info - Similar pages
36-26-121
Section 36-26-121 Annual itemized statement of employee and retirement benefits, and total
employer contributions to retirement systems and health insurance plans. (a) As used in this
article, the following words have the following meanings: (1) EMPLOYEE BENEFIT. Any benefit
a public employee received or accrued from his or her employer, including, but not limited
to, salary or wages; insurance; allowance for days off such as vacation, holidays, sick leave,
or personal days; and contributions toward retirement or pension benefits. (2) HEALTH INSURANCE
PLAN. Either of the following health insurance plans as it applies to an individual public
employee or retiree: a. The State Employees' Health Insurance Plan. b. The Public Education
Employees' Health Insurance Plan. (3) RETIREE. A retiree or a beneficiary of a deceased retiree
who receives an employee benefit or pension benefit from a retirement system, as defined in
this section. (4) RETIREMENT SYSTEM. One of the following as it applies...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-26-121.htm - 4K - Match Info - Similar pages
22-21-361
Section 22-21-361 Definitions. The following terms shall have the meanings respectively ascribed
by this section unless the context clearly indicates otherwise: (1) COMMISSIONER. The commissioner
of insurance of this state. (2) DENTAL SERVICE PLAN or PLAN. Any plan or other arrangement
whereby dental services are provided in whole or in part through a dental service corporation
by dentists participating in the plan to provide dental services to those members of the public
who become subscribers to the plan under a contract with such corporation. The terms "dental
service plan" or "plan" do not include an insurer authorized by the insurance
department to transact insurance in this state or to a nonprofit health insurance plan organized
pursuant to Section 10-4-100, or to any policy of insurance or contract which includes dental
benefits issued by such insurer or nonprofit health insurance plan. (3) DEPARTMENT. The Department
of Insurance. (4) LICENSE. The certificate of authority issued...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-361.htm - 1K - Match Info - Similar pages
27-14-3
Section 27-14-3 Insurable interest - Personal insurance; preneed contracts. (a) Insurable interest
with reference to personal insurance is an interest based upon a reasonable expectation of
pecuniary advantage through the continued life, health, or bodily safety of another person
and consequent loss by reason of his or her death or disability or a substantial interest
engendered by love and affection in the case of individuals closely related by blood or by
law. (b) An individual has an unlimited insurable interest in his or her own life, health,
and bodily safety and may lawfully take out a policy of insurance on his or her own life,
health, or bodily safety and have the same made payable to whomsoever he or she pleases, regardless
of whether the beneficiary so designated has an insurable interest. (c) A corporation, foreign
or domestic, has an insurable interest in the life or physical or mental ability of any of
its directors, officers, or employees, or the directors, officers, or...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-14-3.htm - 5K - Match Info - Similar pages
36-29-14.1
Section 36-29-14.1 Election by soil and water conservation districts to receive coverage for
officers and employees. (a) The governing body of any county soil and water conservation district
may, by resolution legally adopted to conform to rules prescribed by the State Employees'
Insurance Board, elect to have its officers and employees who are full-time employees working
at least a 40-hour work week and its retiring employees who worked full time at least a 40-hour
work week during their active employment become eligible to participate in the State Employees'
Health Insurance Plan. The term "officers" and "employees" as used in
this section shall include those persons appointed or employed by the individual officers
and performing their duties in public offices, but shall not include members of soil and water
conservation district boards, known as district supervisors who are expressly prohibited from
participating in said health insurance plan. (b) Each employee who is covered by the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-29-14.1.htm - 2K - Match Info - Similar pages
22-6-150
Section 22-6-150 Definitions. For the purposes of this article, the following words shall have
the following meanings: (1) ALTERNATE CARE PROVIDER. A contractor, other than a regional care
organization, that agrees to provide a comprehensive package of Medicaid benefits to Medicaid
beneficiaries in a defined region of the state pursuant to a risk contract. (2) CAPITATION
PAYMENT. A payment the state Medicaid Agency makes periodically to a contractor on behalf
of each recipient enrolled under a contract for the provision of medical services. (3) CARE
DELIVERY SYSTEM. The manner in which the benefits and services set forth in the state Medicaid
plan are provided to Medicaid beneficiaries. (4) COLLABORATOR. A private health carrier, third
party purchaser, provider, health care center, health care facility, state and local governmental
entity, or other public payers, corporations, individuals, and consumers who are expecting
to collectively cooperate, negotiate, or contract with another...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-150.htm - 2K - Match Info - Similar pages
27-12A-1
Section 27-12A-1 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) COMMISSIONER. The Alabama Commissioner of Insurance or his or her designee.
(2) DEPARTMENT. The Alabama Department of Insurance. (3) INSURANCE. As defined in Section
27-1-2, and specifically including any contract, arrangement, or agreement, in which one undertakes
to do any one of the following: a. Pay or indemnify another as to loss from certain contingencies
called risks. b. Pay or grant a specified amount or determinable benefit to another in connection
with ascertainable risk contingencies. c. Pay an annuity to another. d. Act as surety. For
the purposes of this chapter, insurance also includes any health benefit plan as defined in
Section 27-53-1. (4) INSURANCE PRODUCER or PRODUCER. As defined in Section 27-7-1. (5) INSURER.
A person entering into agreements, contracts of insurance, arrangements, or reinsurance, or
a health benefit plan, or a group health plan as...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-12A-1.htm - 3K - Match Info - Similar pages
16-25A-17
Section 16-25A-17 Partial funding of health insurance coverage for retired employees; method
of determining amount; provisions supplemental. (a)(1) Any premiums paid to the Public Education
Employees' Health Insurance Board for active employees shall include an amount to partially
fund the cost of coverage for retired employees. Notwithstanding the foregoing, if the plan
becomes fully funded pursuant to this article, this section shall not apply. (2) The amount
authorized by subdivision (1) of this subsection shall not be less than an amount determined
by multiplying the number of retired employees by an individual retired employee rate. The
individual retired employee rate shall be determined by multiplying the full cost of coverage
for a retired employee eligible to receive benefits under the federal Medicare program times
the fractional amount derived by dividing the current individual premium for an employee not
eligible for benefits under the federal Medicare program by the full...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/16-25A-17.htm - 2K - Match Info - Similar pages
|