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27-19-52
Section 27-19-52 Definitions. For purposes of this article, the following terms shall
have the meaning indicated herein: (1) APPLICANT. Includes either of the following: a. In
the case of an individual Medicare supplement policy or subscriber contract, the person who
seeks to contract for insurance benefits. b. In the case of a group Medicare supplement policy
or subscriber contract, the proposed certificate holder. (2) CERTIFICATE. Any certificate
issued under a group Medicare supplement policy, which policy has been delivered or issued
for delivery in this state. (3) CERTIFICATE FORM. The form on which the certificate is delivered
or issued for delivery by the issuer. (4) ISSUER. Insurance companies, fraternal benefit societies,
health care service plans, health maintenance organizations, and any other entity delivering
or issuing for delivery in this state Medicare supplement policies or certificates. (5) MEDICARE.
The "Health Insurance for the Aged Act," Title XVIII of the Social...
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27-19A-7
Section 27-19A-7 Contracting directly with patient; distribution of information about
policy or plan; payment and reimbursement procedures. The provisions of this chapter do not
prohibit the following conduct and shall be construed to provide that: (1) A dentist may contract
directly with a patient for the furnishing of dental care services to said patient as may
be otherwise authorized by law; (2) Any person providing a health insurance policy or employee
benefit plan, or an employer, or an employee organization may: a. Make available to its insureds,
beneficiaries, participants, employees, or members information relating to dental care services
by the distribution of factually accurate information regarding dental care services, rates,
fees, location, and hours of service, provided such distribution is made upon the request
of any dentist licensed by this state; or b. Establish an administrative mechanism which facilitates
payment for dental care services by insureds, beneficiaries,...
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27-21A-17
Section 27-21A-17 Suspension or revocation of certificate of authority. (a) The commissioner
in consultation with and with the approval of the State Health Officer, where necessary, may
suspend or revoke any certificate of authority issued to a health maintenance organization
under this chapter if he finds that any of the following conditions exist: (1) The health
maintenance organization is operating significantly in contravention of its basic organizational
document or in a manner contrary to that described in any other information submitted under
Section 27-21A-2, unless amendments to such submissions have been filed with the commissioner
and the State Health Officer and approved by the commissioner; (2) The health maintenance
organization issues evidence of coverage or uses a schedule of charges for health care services
which do not comply with requirements of Section 27-21A-7; (3) The health maintenance
organization does not provide or arrange for basic health care services; (4)...
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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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36-29-7
Section 36-29-7 Payment of employer's contribution; coverage for dependents; changes
to contributions; withholding of employee's contribution; State Employees' Insurance Fund.
(a) The board is hereby authorized to provide under the provisions of this chapter that the
employer's contribution to the cost of such plan for coverage of the employee and retiree
shall be paid by the employer. (b) Each employee and retiree shall be entitled to have his
or her spouse and dependent children, as defined by the rules and regulations of the board,
included in the coverage provided upon agreeing to pay the employee's contribution of the
health insurance premium for such dependents. The board shall adopt regulations governing
the discontinuance and resumption by such employees and retirees of coverage for dependents.
(c) Subject to Section 36-29-19.3, any further changes in employee or retiree contribution
to the health insurance premium or other out-of-pocket expenses including, but not limited
to,...
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22-11D-2
Section 22-11D-2 Definitions. As used in this chapter, the following terms shall have
the following meanings: (1) BOARD. The State Board of Health. (2) COMMUNICATIONS SYSTEM. A
radio and land line network complying with the board's rules and which provides rapid public
access, coordinated central dispatching of services, and coordination of personnel, equipment,
and facilities in the trauma and health system. (3) COUNCIL. The Statewide Trauma and Health
System Advisory Council. (4) DEPARTMENT. The Alabama Department of Public Health. (5) DESIGNATION.
A formal determination by the department that a hospital is capable of providing designated
trauma or other specific health care as authorized by this chapter. (6) EMERGENCY MEDICAL
SERVICE. The organization responding to a perceived individual's need for immediate medical
care in order to prevent loss of life or aggravation of physiological or psychological illness
or injury. (7) HEALTH CARE CENTER. A hospital that voluntarily...
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27-1-17.1
Section 27-1-17.1 Payment of providers through electronic funds transfer methods. (a)
As used in this section, the following words shall have the following meanings: (1)
ACH ELECTRONIC FUNDS TRANSFER. An electronic funds transfer through the Health Insurance Portability
and Accountability Act (HIPPA) standard Automated Clearing House network. (2) COVERED HEALTH
CARE PROVIDER. A physician as defined in Section 34-24-50.1; a dentist as defined in
Section 34-9-1; a chiropractor as defined in Section 34-24-120; an individual
engaged in the practice of optometry as defined in Section 34-22-1; other licensed
health care professionals as defined in Title 34; a hospital as defined in Section
22-21-20; and a health care facility, or other provider who or that is accredited, licensed,
or certified and who or that is performing within the scope of that accreditation, license,
or certification. (3) HEALTH INSURANCE PLAN. Any hospital and medical expense incurred policy,
health maintenance...
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27-42-3
Section 27-42-3 Applicability of chapter. This chapter shall apply to all kinds of direct
insurance, excluding all of the following: (1) Life, annuity, health, or disability insurance.
(2) Mortgage guaranty, financial guaranty, or other forms of insurance offering protection
against investment risks. (3) Fidelity or surety bonds, or any other bonding obligations.
(4) Credit insurance, vendors' single interest insurance, or collateral protection insurance
or any similar insurance protecting the interests of a creditor arising out of a creditor-debtor
transaction. (5) Insurance of warranties or service contracts, including insurance that provides
for the repair, replacement, or service of goods or property, or indemnification for repair,
replacement, or service, for the operational or structural failure of the goods or property
due to a defect in materials, workmanship, or normal wear and tear, or provides reimbursement
for the liability incurred by the issuer of agreements or service...
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34-27B-5
Section 34-27B-5 State Board of Respiratory Therapy - Created; composition; liability
of members; terms; meetings; expense reimbursement and per diem allowance. (a) The Alabama
State Board of Respiratory Therapy is created to implement and administer this chapter and
shall be composed of five members appointed by the Governor. Three of the members shall be
respiratory therapists, one member shall be the chief executive officer of a hospital, and
one member shall be a physician. The respiratory therapist members of the board appointed
by the Governor shall be selected from a list of names submitted by the Alabama Society for
Respiratory Care. The list shall include two names for each appointed position to be filled.
The respiratory therapist members appointed to the board shall be registered or certified
by the National Board for Respiratory Care or its successor organization. Respiratory therapists
appointed to the initial board must be eligible to obtain a license under this chapter....
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34-27B-7
Section 34-27B-7 Issuance, use, renewal of license; temporary license. (a) The board
shall issue a respiratory therapist license to any person who meets the qualifications required
by this chapter and who pays the license fee established herein. (b) Any person who is issued
a license as a respiratory therapist under this chapter may use the words "licensed respiratory
therapist" or the letters "LRT" in connection with his or her name to denote
his or her license. (c) A license issued under this chapter shall be subject to biennial renewal.
(d)(1) The board may issue a six-month temporary license as a respiratory therapist to persons
who have graduated from a respiratory therapy educational program accredited by the Council
on Allied Health Education Programs (CAHEP) in collaboration with the Committee on Accreditation
for Respiratory Care (CoARC), or their successor organizations, and who have applied for and
are awaiting competency examination. The temporary license shall be renewable...
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