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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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16-25A-5.1
Section 16-25A-5.1 Supplemental policy to provide secondary coverage for employees. The board
may, no later than January 1, 2006, offer employees a supplemental policy that provides secondary
coverage to other employer group coverage. (1) For employees who have spouses with other employer
group health insurance coverage available to them through their employer or previous employer,
the board may provide such employees and retirees with a supplemental coverage policy to the
other employer group health insurance coverage in lieu of full basic medical plan coverage
through the plan. (2) An employer that provides its employees and their spouses with other
employer group health insurance coverage may not exclude an employee, as defined under Section
16-25A-1(1), or his or her spouse from coverage by application of a provision which does not
also apply on the same terms and conditions to other employees or their spouses. No provision
of this section requires an employer to amend its plan to...
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16-25A-9
Section 16-25A-9 Eligible employees covered. (a) All employees and, under certain conditions,
retired employees as defined in Section 16-25A-1 at the time of adoption and execution by
the board of a contract or other arrangement providing for group health insurance plans and
who are eligible for coverage under the provisions of this article and the rules and regulations
of the board adopted pursuant thereto shall have the option to be included in such coverage
of the plan and shall have an option as to whether they will subscribe to such coverage for
their dependents, such option to be exercised in the manner and within the time limitation
prescribed by the board. (b) All persons who become employees, as defined by the terms of
this article and the rules and regulations promulgated by the board pursuant thereto, shall
become eligible for membership in the group health insurance plan offered by their employing
board and shall have an option as to whether they will subscribe to such...
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27-52-20
Section 27-52-20 Alabama Small Employer Allocation Program created. There is hereby created
the Alabama Small Employer Allocation Program which shall promote the availability of health
insurance coverage to small employers regardless of their health status or claims experience,
to prevent abusive rating practices, to prevent segmentation of the health insurance market
based upon health risk, to spread health insurance risk more broadly, to require disclosure
of rating practices to purchasers, to establish rules regarding renewability of coverage,
to limit use of preexisting conditions exclusions, and to improve the overall fairness and
efficiency of the small group health insurance market. (Acts 1997, No. 97-713, p. 1476, §7.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-52-20.htm - 1K - Match Info - Similar pages
27-36A-20
Section 27-36A-20 Small company alternative valuation. (a) A company calculating reserves under
this section shall calculate reserves for ordinary life insurance, accident and health insurance
contracts, credit life contracts, group life contracts, annuities, or deposit-type contracts
in this state as if the policies were issued before the operative date of the valuation manual.
For such policies issued after the operative date of the valuation manual, any mortality and
interest rates defined by the valuation manual for net premium reserves shall be used. A company
calculating reserves under this section shall comply with Section 27-36A-4(a) instead of Section
27-36A-4(b) and meet all of the following conditions: (1) The company has less than three
hundred million dollars ($300,000,000) of ordinary life premium. (2) If the company is a member
of a group of life insurers, the group has combined ordinary life premium of less than six
hundred million dollars ($600,000,000). (3) The...
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32-6-193
Section 32-6-193 Distribution of proceeds. The net proceeds of the additional revenues derived
from sales of tags pursuant to this division, less administrative costs, including the cost
of production of the tags, shall be distributed by the judge of probate or license commissioner
to the Juvenile Health Care Board of the City of Piedmont, Alabama. (Acts 1994, No. 94-695,
p. 1335, §2.)...
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45-2-234.04
Section 45-2-234.04 Administration of compensation and benefits. All employees of the office
of Sheriff of Baldwin County shall continue to participate and be serviced in matters of health
insurance, life insurance, and disability insurance by the Baldwin County Commission. The
office of sheriff shall administer all matters regarding personnel overtime, longevity, subsistence,
salaries, retirement, Social Security, workers' compensation, and retirement cost-of-living
for employees of the sheriff's office. The financial accounting and maintenance of these activities
shall be from an account of the office of sheriff with a local banking institution and from
funds which are provided for these activities from the county's general fund budget. (Act
2002-463, p. 1205, §5.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/45-2-234.04.htm - 1K - Match Info - Similar pages
16-25A-5
Section 16-25A-5 Authorization for health insurance plan; election of optional or supplemental
coverage. (a) The board is hereby empowered and authorized to establish a fully insured or
self-insured health insurance plan for employees and, under certain conditions, retired employees
and to adopt and promulgate rules and regulations for the administration of such plan subject
to such limitations as may be contained in this article. Such plan may provide for group hospitalization,
surgical, medical, cancer, cash indemnity, and dental 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 hospital/medical expenses indemnity benefits, including major medical
benefits or such other coverage or benefits as may be deemed appropriate and desirable by
the board, within the limits of such funds as may be...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/16-25A-5.htm - 2K - Match Info - Similar pages
27-55-4
Section 27-55-4 Statement of reasons for adverse action. An insurer that takes an action which
adversely affects a subject of abuse, or a related individual or entity, based on an abuse-related
medical condition, abuse-related claim, abuse status, or association or relationship with
a subject of abuse, pursuant to an individual or group insurance policy or health benefit
plan, shall advise the applicant or the insured of the specific reasons for the action in
writing. Reference to general underwriting practices or guidelines shall constitute a specific
reason. The specific reason for the actions of the insurer shall be stated in writing. The
actions of the health carrier or insurer, and any applicable policy provisions, shall be applied
equally to all applicants or insureds with similar medical conditions or similar claim or
claims history without regard to whether the condition or the claims are abuse related. (Act
2000-595, p. 1185, §4.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-55-4.htm - 1K - Match Info - Similar pages
36-27-50
Section 36-27-50 Temporary legislative employees covered by retirement system and health insurance
plan; limitations; procedure; purchase of prior service. (a) Notwithstanding any provision
of this title to the contrary, any state employee who has worked during at least five regular
sessions of the Legislature since 1971 or any employee who has worked during five consecutive
regular sessions of the Legislature and who is termed "temporary employee" shall
be considered a full-time employee of the State of Alabama and may, at the option of the employee,
be covered as a member of the state Employees' Retirement System and the State Employees'
Health Insurance Plan. Notwithstanding the foregoing, coverage shall continue as if the person
is employed full time. The employee shall pay the full health insurance cost during the time
the employee is not on the legislative payrolls but remains eligible to continue employment
during the next regular or special session of the Legislature. During...
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