Code of Alabama

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12-17-4
Section 12-17-4 State assumption of retirement and other employee benefits. (a) Retirement.
- Employees of the circuit and district court, hereinafter "eligible employees,"
shall, on the date they join or joined the state personnel system, be covered by the Employees'
Retirement System of Alabama; provided, that an employee who on that date is covered by a
local retirement system may by written notice filed within 30 days prior to the date the employee
joins the state personnel system, with the Comptroller, elect to retain instead membership
in the local retirement plan; provided further, that any employee joining the state personnel
system on or before October 1, 1977, shall have the right to make such election within 30
days prior to October 1, 1977. Upon election of an employee, the Comptroller shall pay to
such local government plans the employer retirement contribution attributable to employees
electing to retain local plan membership; provided, that such employer contribution...
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25-14-3
Section 25-14-3 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) ADMINISTRATIVE FEE. The fee charged to a client by a professional employer organization
for professional employer services. The term does not include any amount of a fee by the professional
employer organization that is for wages and salaries, benefits, workers' compensation, payroll
taxes, withholding, or other assessments paid by the professional employer organization to
or on behalf of covered employees under the professional employer agreement. (2) CLIENT. A
person or entity that enters into a professional employer agreement with a professional employer
organization, including a worksite employer. (3) CONTROLLING PERSON. Any of the following:
a. An officer or director of a corporation operating as a professional employer organization,
a shareholder holding 25 percent or more of the voting stock of a corporation operating as
a professional employer organization, or a...
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27-19A-12
Section 27-19A-12 Dental services - Coverages; fees; exceptions. (a) As used in this section,
the following terms shall have the following meanings: (1) COVERED PERSON. Any individual,
family, or family member on whose behalf third-party payment or prepayment of health or medical
expenses is provided under an insurance policy, plan, or contract providing for third-party
payment or prepayment of health care or medical expenses. (2) COVERED SERVICES. Dental care
services for which a reimbursement is available under an enrollee's plan contract, or for
which a reimbursement would be available but for the application of contractual limitations
such as deductibles, copayments, coinsurance, waiting periods, annual or lifetime maximums,
frequency limitations, alternative benefit payments, or any other limitation. (3) DENTAL CARE
PROVIDER. A licensed dentist. (4) DENTAL PLAN. Includes any policy of insurance which is issued
by a health care service contractor which provides for coverage of...
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22-21-371
Section 22-21-371 Individual, group, blanket or franchise contracts authorized; certificates
of coverage; filing and approval of contracts and certificates; requirements; grounds for
disapproval. (a) Dental service plan contracts may be written on individual, group, blanket
or franchise basis. Each contractual obligation for such dental service(s) must be evidenced
by a contract. Each person covered under a group contract must be issued a certificate of
coverage. (b) No contract or certificate of dental service benefits may be issued in this
state unless a copy of the form has been filed and approved by the commissioner. (c) The commissioner
may not approve any form that does not meet the following requirements: (1) Contracts must
contain a list and description of the dental service payments promised or the dental work
for which expenses are to be reimbursed, and any limits on the amounts to be paid or reimbursed;
(2) Contracts and certificates must indicate the name of the dental...
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45-8A-22.119
the plan pursuant to Section 45-8A-22.117, into the trust to a beneficiary who has been designated
by the participant, in writing, executed by the participant on a form prescribed by the retirement
board and delivered to the secretary-treasurer. In the event that the participant has not
designated a beneficiary, the retirement board shall, upon demand, pay the lump sum equal
to the deceased participant's contributions made to the plan pursuant to Section 45-8A-22.117,
into the trust to the personal representative of the estate of the deceased participant.
Any amounts received by the participant in his or her lifetime or by his or her surviving
spouse or children following the death of the participant shall be deducted from the amount
payable to the beneficiary properly designated by the participant or to the estate of the
deceased participant pursuant to the terms of the plan. Any attempt to designate a beneficiary
pursuant to the terms of this subsection not in compliance with the...
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16-25A-6
Section 16-25A-6 Exclusions. Such health insurance shall not include the following: (1) Expenses
incurred by or on account of an individual prior to the effective date of the plan as to him;
(2) Hearing aids and examinations for the prescription or fitting thereof; (3) Cosmetic surgery
or treatment, except to the extent necessary for correction of damage caused by accidental
injury while covered by the plan or as a direct result of disease covered by the plan;
(4) Services received in a hospital owned or operated by the United States government for
which no charge is made; (5) Services received for injury or sickness due to war or
any act of war, whether declared or undeclared, which war or act of war shall have occurred
after the effective date of this plan; (6) Expenses for which the individual is not required
to make payment; (7) Expenses to the extent of benefits provided under any employer group
plan other than this plan in which the state participates in the cost thereof; (8)...
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36-26-36.1
Section 36-26-36.1 Conversion of unused sick leave into membership service for retirement purposes.
(a) Any Tier I plan member of the Teachers' or Employees' Retirement System of Alabama not
otherwise covered by a provision to convert unused sick leave into membership service for
purposes of service retirement may, at their option and in lieu of receiving payment for 50
percent of their accrued and unused sick leave at the time of their retirement as provided
in Section 36-26-36, or any other payment that may be provided for such unused sick leave,
use their accrued sick leave, up to a maximum number of 180 accrued sick leave days or as
otherwise allowed by law, whichever is greater, to be included as membership service in determining
the total years of creditable service in the Employees' Retirement System of Alabama or the
Teachers' Retirement System of Alabama; provided that no employee of an employer participating
in the Employees' Retirement System pursuant to Section 36-27-6...
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36-28-4
Section 36-28-4 Agreements with federal agency for extension of Social Security to employees
of state, etc.; powers of instrumentalities created jointly with other states. (a) Federal-state
agreement. The state Comptroller, with the approval of the Governor, is hereby authorized
to enter on behalf of the state into an agreement with the federal agency, consistent with
the terms and provisions of this chapter, for the purpose of extending the benefits of the
federal Old-Age and Survivors' Insurance System to employees of the state or any political
subdivision thereof or of any instrumentality of any one or more of the foregoing with respect
to services specified in such agreement, which constitute employment as defined in Section
36-28-1. Such agreement may contain such provisions relating to coverage benefits, contributions,
effective date, modification and termination of the agreement, administration and other appropriate
provisions as the state Comptroller and federal agency shall...
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36-29-50
Section 36-29-50 High deductible health plan with a federally qualified health savings account.
(a) As used in this section, the following words shall have the following meanings: (1) HEALTH
SAVINGS ACCOUNT or HSA. A savings or other account meeting the requirements for favorable
tax treatment under 26 U.S.C. §223, as amended. (2) HIGH DEDUCTIBLE HEALTH PLAN or HDHP.
That term as defined in 26 U.S.C. §223(c)(2), as amended, and any regulations promulgated
thereunder. (3) PARTICIPANT. An eligible active or retired state employee and his or her dependents
as determined by the State Employees' Insurance Board. (b) The State Employees' Insurance
Board may offer a high deductible health plan with a federally qualified health savings account
(HDHP-HSA) to eligible active and retired state employees and their dependents. A retired
state employee eligible for or entitled to Medicare benefits under Title XVIII of the federal
Social Security Act is not eligible to participate in the HDHP-HSA....
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27-1-19
Section 27-1-19 Reimbursement of health care providers. (a) The insured, or health or dental
plan beneficiary may assign reimbursement for health or dental care services directly to the
provider of services. Health benefits include medical, pharmacy, podiatric, chiropractic,
optometric, durable medical equipment, and home care services. The company or agency, when
authorized by the insured, or health or dental plan beneficiary, shall pay directly to the
health care provider the amount of the claim, under the same criteria and payment schedule
that would have been reimbursed directly to the contract provider, and any applicable interest.
This amount only applies to assigned claims. Any company or agency making a payment to the
insured, or health or dental plan beneficiary, after the rights of reimbursement have been
assigned to the provider of services, shall be liable to the provider for the payment. If
the company or agency fails to reimburse the provider in accordance with the terms...
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