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16-25A-8
Section 16-25A-8 Funding of health insurance plan; participation; Public Education Employees'
Health Insurance Fund. (a) The Public Education Employees' Health Insurance Board is hereby
authorized to provide under the contract or contracts entered into under the provisions of
this article an insurance benefit plan for each covered employee and, under certain conditions,
retired employees; the cost of such plan may be funded in part or in full through monthly
premiums per active employee from the same source of funds as those used for the payment of
salaries of active members and in part from other funds. (b) On or before January 1 next preceding
each regular meeting of the Legislature, the board shall certify to the Governor and to the
Legislature the amount or amounts necessary to fund coverage for benefits authorized by this
article for the following fiscal year for employees and for retired employees as a monthly
premium per active member per month. The Legislature shall set the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/16-25A-8.htm - 6K - Match Info - Similar pages
27-1-10.1
Section 27-1-10.1 Insurance coverage for drugs to treat life-threatening illnesses. (a) The
Legislature finds and declares the following: (1) The citizens of this state rely upon health
insurance to cover the cost of obtaining health care and it is essential that the citizens'
expectation that their health care costs will be paid by their insurance policies is not disappointed
and that they obtain the coverage necessary and appropriate for their care within the terms
of their insurance policies. (2) Some insurers deny payment for drugs that have been approved
by the Federal Food and Drug Administration, hereafter referred to as FDA, when the drugs
are used for indications other than those stated in the labelling approved by the FDA, off-label
use, while other insurers with similar coverage terms do pay for off-label use. (3) Denial
of payment for off-label use can interrupt or effectively deny access to necessary and appropriate
treatment for a person being treated for a...
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27-21-2
Section 27-21-2 Offering of insurance. Any insurer authorized and licensed to engage in the
business of health insurance in this state may join with one or more other such insurers to
offer to any resident of this state, who meets the qualifications established by the commissioner,
insurance against major financial loss from accident or disease. Such insurance may be offered
by such insurers in their own names or in the name of a voluntary unincorporated association
or other organization formed by such insurers solely for the purpose of this plan. The forms
of applications, certifications, and policies of such insurance, the applicable premium rates,
annual statement, and all other information required by the department under Alabama law for
organizations in the business of health insurance shall be filed with the commissioner for
his approval. Any other information which the commissioner deems necessary for the efficient
operation of the plan may also be required. (Acts 1971, No. 501,...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-21-2.htm - 1K - Match Info - Similar pages
11-26-4
Section 11-26-4 Health and accident group to establish trustees, bylaws, schedules, etc.; powers
generally. Each health and accident self-insurance group established under provisions of this
chapter shall have the power and authority to establish a governing body of trustees; establish
bylaws for the governing of such group; establish a schedule of benefits payable; establish
a schedule of charges to be collected from member counties for benefits provided; enter into
contracts with solvent insurance companies authorized to do business in this state; enter
into management and consultant contracts; hire attorneys and employees; and exercise such
powers and authority incident to the purposes of this chapter. (Acts 1981, No. 81-265, p.
348, §4.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/11-26-4.htm - 1K - Match Info - Similar pages
36-29-4
Section 36-29-4 Establishment and provisions of health insurance plan; rules and regulations.
The board is hereby empowered and authorized to establish a fully insured or self-insured
health insurance plan for employees and retirees of the State of Alabama and to adopt and
promulgate rules and regulations for the administration of such plan, subject to such limitations
as may be contained in this chapter. Such plan may provide for group hospitalization, surgical,
and medical 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 medical expenses
indemnity benefits, including major medical benefits or such other coverage or benefits as
may be deemed appropriate and desirable by the board. (Acts 1965, No. 833, p. 1564, §3; Act
2004-647, 1st Sp. Sess., p. 17, §1.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-29-4.htm - 1K - Match Info - Similar pages
41-16A-2
Section 41-16A-2 Legislative intent. It is hereby found and declared by the Legislature of
Alabama that it is in the public interest that the state, political subdivisions, agencies,
boards, commissions, and departments thereof, the various counties of the state, the various
municipal corporations within the state, county boards of education, city boards of education,
instrumentalities of any of the foregoing, and public corporations arising under or organized
pursuant to any statute of the state shall have the flexibility to finance the acquisition,
installation, equipping, and/or improvement of any eligible property that such governmental
entity otherwise is legally authorized to acquire through the use of lease, lease-purchase,
and/or installment-purchase financing. It is the intention of the Legislature by passage of
this chapter that wherever, either by express grant or by implication, a governmental entity
has the power and authority to acquire any eligible property by purchase,...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/41-16A-2.htm - 2K - Match Info - Similar pages
16-25A-2.1
Section 16-25A-2.1 Board as body corporate for management of plan. The Public Education Employees'
Health Insurance Board shall constitute a body corporate for the purposes of management of
the health insurance plan. The board shall have all powers and may enforce all existing rights
and claims, privileges of a corporation and hold its cash and securities and other property
in trust for the purpose for which received; provided, however, that as instrumentalities
of the state, funded by the state, the Public Education Employees' Health Insurance Board,
their officers, and their employees shall be immune from suit to the same extent as the state,
its agencies, officers, and employees. (Act 2004-646, 1st Sp. Sess., p. 6, §4.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/16-25A-2.1.htm - 1K - Match Info - Similar pages
22-4-14
Section 22-4-14 Construction, operation, etc., of public hospitals, health centers, etc., by
State Board of Health; power of State Board of Health to cooperate and enter into contracts
with federal government, nonprofit associations, etc., in construction, operation, etc., of
public hospitals, health centers, etc. The State Board of Health is hereby authorized and
empowered to acquire, construct, equip, maintain and operate public hospitals, health centers
and related facilities for the treatment of any type of disease. The State Board of Health
is authorized and empowered to cooperate and to make contracts with the United States Government,
any local political subdivisions or their agencies, any nonprofit association or public improvement
society in the acquisition, building, equipping, maintaining and operating of any public hospitals,
health centers and related facilities for the treatment of any kind of disease. (Acts 1975,
No. 1197, p. 2365, §14.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-4-14.htm - 1K - Match Info - Similar pages
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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-17.1.htm - 3K - Match Info - Similar pages
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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