Code of Alabama

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11-91A-3
Section 11-91A-3 Employee, retiree, and dependent coverage; premiums; summary documents. (a)
All full-time employees, elected officials, and retirees of employer participants who are
eligible for health care benefits for themselves or their dependents under the provisions
of the program shall be entitled to coverage and benefits as designated by the board. (b)
Each employee and retiree shall be entitled to have his or her spouse and dependent children,
as those persons are defined by the board, included in the coverage under rules and regulations
promulgated by the board upon agreeing to pay the employee's contribution of the health care
premium for the dependents. The board shall adopt rules and regulations governing the discontinuance
and resumption of coverage for dependents by the employees and retirees. The board shall adopt
rules governing the discontinuance and resumption of coverage for dependents by the employees
and retirees. (c) The board shall establish premiums required...
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36-1-6.2
Section 36-1-6.2 Insurance coverage for state instrumentalities and agencies; prior contracts
and policies ratified. (a) Any instrumentality or agency of the State of Alabama, whose principal
activity consists of distributing goods or services by contract with the United States, or
any federal governmental corporation, and which are not covered by the provisions of Chapter
29 of this title, shall be subject to all the provisions of this section. Such instrumentality
or agency is hereby empowered to purchase and pay for group health, accident or hospitalization
insurance coverage for its officers and employees. Such instrumentality or agency is hereby
further authorized to contract with the State Employees' Insurance Board for group health,
accident or hospitalization insurance coverage, and under such terms, conditions, and costs
as the State Employees' Insurance Board and the instrumentality or agency shall mutually determine.
The cost or premium for such group health, accident or...
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36-29-19.1
Section 36-29-19.1 The State Employees' Insurance Board shall maintain detailed records. The
board shall maintain records in sufficient detail to accurately determine the total health
insurance costs and the contributions toward health insurance premiums by employees and retirees
separately, and in composite form. Not later than 90 days after the end of each fiscal year
the board shall prepare a written report that contains a calculation of the total cost of
health insurance premiums for such fiscal year and the amount of contributions by employees
and retirees to the cost of such health insurance premiums and the cost of such coverage that
shall be paid by the employer for the next fiscal year and the total savings to the state
realized by the enactment of Act 2004-646, Act 2004-647, Act 2004-648, Act 2004-649, and Act
2004-650. Such report shall contain sufficient detail to determine the total cost of health
insurance premiums for each class of employees or retirees and the amount of...
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27-19-1
Section 27-19-1 Applicability of article. Nothing in this article shall apply to or affect:
(1) Any policy of liability or workmen's compensation insurance, with or without supplementary
expense coverage therein; (2) Any group or blanket policy; (3) Life insurance, endowment,
or annuity contracts, or contracts supplemental thereto which contain only such provisions
relating to disability insurance as: a. Provide additional benefits in case of death or dismemberment
or loss of sight by accident; or b. Operate to safeguard such contracts against lapse or to
give a special surrender value, or special benefit or an annuity in the event that the insured
or annuitant becomes totally and permanently disabled, as defined by the contract or supplemental
contract; (4) Reinsurance; or (5) Industrial insurance, which is disability insurance issued
under policies sold on a debit basis, bearing the words "industrial policy" imprinted
on the face of the policy as part of the descriptive matter, and...
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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...
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11-91-1
Section 11-91-1 Provision by governing bodies of counties and municipalities for group life,
health, accident, etc., insurance, etc., for officers and employees authorized. (a) The council,
commission, or similar governing body of each municipal corporation, the board of directors
of each incorporated municipal board, the county commission of each county, the board of education
of each city and the board of education of each county, now existing or established after
August 16, 1947, shall have power and authority to contract for and obtain and maintain policies
of group life, health, accident, and hospitalization insurance or any one or more of them
and shall have power and authority to contract for and obtain and maintain individual annuity
contracts, retirement income policies or group annuity contracts to provide a retirement plan
for the benefit of such of the officers and employees of such municipality, incorporated municipal
board, county, or board as may be determined by such...
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16-25A-12
Section 16-25A-12 Employees may elect not to participate; full state funding; subsequent election
to participate. (a) Any board of education, institution, or other employer with employees
as defined by Section 16-25A-1, may, upon a majority vote of its employees, elect not to participate
in the basic medical plan authorized by the provisions of this article; provided, however,
that for any fiscal year ending September 30 the Legislature appropriates the full amount
certified pursuant to Section 16-25A-8(b), the board shall declare the plan of insurance coverage
to be fully state-funded whereupon all employees of any board of education, institution, or
other employer as defined hereinabove shall for that fiscal year and all subsequent fiscal
years be declared members of the Public Education Employees' Health Insurance Plan. (b) Any
employer electing not to participate in the basic medical plan shall certify to the board
the names of their employees otherwise electing hospital/medical...
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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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45-37A-241
Section 45-37A-241 Participation in employee health insurance during certain military service.
For any employee of the city called into military service during the war on terrorism, the
City of Hoover in Jefferson County and Shelby County may permit the employee and his or her
eligible dependents to continue participation in any employee health insurance provided for
city employees and may pay the employer's share of the costs of the insurance plan, provided
the employee in military service continues to pay the employee's share of the cost of the
insurance, including any costs for dependent coverage. This section in no way limits the rights
of any employee in military service under the Servicemembers Civil Relief Act. The terms military
service and period of military service shall have the same meanings ascribed to those terms
in §511 of the Servicemembers Civil Relief Act, 50 Appendix United States Code Annotated
§§501, et seq. (Act 2006-367, p. 963, §1; Act 2006-567, p. 1325,...
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27-45-20
Section 27-45-20 No agreement for services until written verification of registration obtained.
No insurance company, health maintenance organization (HMO), employer or organization offering
a pharmaceutical prescription program to their employees or members in Alabama, shall enter
into an agreement for services until they have obtained written verification that the provider
pharmacies are registered with the Alabama State Board of Pharmacy. Such verification must
be filed with the Alabama Department of Insurance within 10 days of initiating such agreement.
Said department shall provide a copy of the verification to the Alabama State Board of Pharmacy.
Failure to comply with such verification requirement shall result in a fine to the sponsor
of such prescription program, of $100.00 per day, from the date that such agreement was signed
until such verification requirement is satisfied. (Acts 1991, No. 91-595, p. 1098, §1.)...

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