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25-5-290
Section 25-5-290 Ombudsman program, creation; purpose; members; notification of service; benefit
review conferences. (a) The Department of Industrial Relations shall establish an Ombudsman
Program to assist injured or disabled employees, persons claiming death benefits, employers,
and other persons in protecting their rights and obtaining information available under the
Workers' Compensation Law. (b) Providing that the employer and the employee agree to participate
in the benefit review conference, the ombudsmen shall meet with or otherwise provide information
to injured or disabled employees, investigate complaints, and communicate with employers,
insurance carriers, and health care providers on behalf of injured or disabled employees.
(c) Ombudsmen shall be Merit System employees and demonstrate familiarity with the Workers'
Compensation Law. An ombudsman shall not be an advocate for any person who shall assist a
claimant, employer, or other person in any proceeding beyond the...
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36-36-7
Section 36-36-7 Legislative intent. It is the intent of the Legislature that the state and
the boards establish and the trustees operate the trusts in compliance with the Internal Revenue
Code of the United States of America in a manner which would allow the trusts to maximize
investment earnings while minimizing the costs to the state and its employees and other citizens
of satisfying the health care post-employment benefits obligation. It is also the intent of
the Legislature that the trusts be operated in a manner that satisfies the definition of other
post-employment benefits trusts under generally accepted governmental accounting principles.
The trusts shall not be subject to any provision of a law of the state (or any subdivision
thereof) which conflicts with that legislative intent or would prevent or unreasonably hinder
the accomplishment of the purposes of this chapter. (Act 2007-16, 1st Sp. Sess., p. 25, §7.)...
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25-6-4
Section 25-6-4 Acceptance of insurance benefits, etc., not to bar action, etc.; setoff. No
contract of employment, insurance, relief benefit or indemnity for injury or death entered
into by or on behalf of any employee, nor the acceptance of any such insurance, relief benefit
or indemnity by the person entitled thereto shall constitute any bar or defense to any action
brought to recover damages for personal injuries to or death of such employee, but, upon the
trial of such action against any employer, the defendant may set off therein any sum he has
contributed toward any such insurance, relief benefit, or indemnity that may have been paid
to the injured employee or, in case of death, to his personal representative. (Code 1907,
§3913; Code 1923, §7601; Code 1940, T. 26, §329.)...
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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...
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45-37-123.109
Section 45-37-123.109 Participant distribution notice. (a) The pension board shall during the
30 to 180 day period before making an eligible rollover distribution, provide a written explanation
to the recipient: (1) Of the provisions under which the recipient may have the distribution
directly transferred to an eligible retirement plan and that the automatic distribution by
direct transfer applies to certain distributions in accordance with § 401(a)(31)(B), Internal
Revenue Code; (2) Of the provision which requires the withholding of tax on the distribution
if it is not directly transferred to an eligible retirement plan; (3) Of the provisions under
which the distribution shall not be subject to tax if transferred to an eligible retirement
plan within 60 days after the date on which the recipient received the distribution; (4) If
applicable, of the provisions of §§ 402(d) and 402(e), Internal Revenue Code; (5) Of the
provisions under which distributions from the eligible retirement...
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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...
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27-56-2
Section 27-56-2 Definitions. As used in this chapter, 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) EYE CARE PROVIDER. A licensed optometrist or a licensed ophthalmologist. (3)
INSURANCE POLICY, PLAN, OR CONTRACT PROVIDING FOR THIRD-PARTY PAYMENT OR PREPAYMENT OF HEALTH
OR MEDICAL EXPENSES. Includes an individual or group policy for accident or health insurance,
an individual or group hospital or health care service contract, an individual or group health
maintenance organization contract, an organized delivery system contract, or a preferred provider
organization contract, and any other similar policy, plan, or contract. This term shall not
include any employee welfare benefit plan, as defined...
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27-7-44
Section 27-7-44 Rules and regulations governing disclosure of nonpublic personal information.
Subject to the requirements of subsection (b) of Section 27-7-43, the commissioner may make
reasonable rules and regulations for any person engaged in providing insurance necessary to
implement and enforce the privacy provisions of 15 U.S.C. Sections 6801, et seq., being Sections
501, et seq., of Public Law 106-102, commonly known as the "Gramm-Leach-Bliley Act."
Notwithstanding the foregoing, rules and regulations adopted by the commissioner pursuant
to this section shall not apply to workers' compensation claims, workers' compensation insurance,
workers' compensation programs, or employee welfare benefit plans as defined in 29 U.S.C.
Section 1002(1) or any third-party administrator to the extent it provides services to a workers'
compensation program or employee welfare benefit plan. (Act 2001-702, p. 1509, §21.)...
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36-36-3
Section 36-36-3 Definitions. As used in this chapter, the following words and phrases shall
have the following respective meanings: (1) ALABAMA RETIRED EDUCATION EMPLOYEES' HEALTH CARE
TRUST. The Alabama Retired Education Employees' Health Care Trust created by the state and
the Public Education Employees' Health Insurance Board pursuant to this chapter. (2) ALABAMA
RETIRED STATE EMPLOYEES' HEALTH CARE TRUST. The Alabama Retired State Employees' Health Care
Trust created by the state and the State Employees' Insurance Board pursuant to this chapter.
(3) BOARDS. The State Employees' Insurance Board and the Public Education Employees' Health
Insurance Board. (4) DEPENDENTS. The spouse and dependent children, as defined by the rules
and regulations of the respective boards, of a retired employee who are covered by either
the Public Education Employees' Health Insurance Plan pursuant to Chapter 25A of Title 16,
as amended from time to time, or the State Employees' Health Insurance Plan...
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45-37A-51.192
Section 45-37A-51.192 City's contributions. (a) The city shall pick up employer payment of
required participants' contributions in lieu of salary or wages through a program and plan
amendments relating to the city's employees meeting the requirements of the United States
Internal Revenue Code, as amended. (b)(1) Beginning July 1, 1995, the contribution of the
employer, excluding the board of health and employees of the board of health, shall be determined
by the actuary of the board at the level necessary to fully fund the system. The actuary shall
be required to make the determination for each actuarial year. (2) Beginning on July 1, 2017,
the employer's total minimum rate of contribution into the fund, excluding the board of health,
shall increase to 7.25 percent. (3) Beginning on July 1, 2018, the employer's total minimum
rate of contribution into the fund, excluding the board of health, shall increase to 8.50
percent. (4) Beginning on July 1, 2020, the employer's total minimum rate...
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