36-29-14.1
Section 36-29-14.1 Election by soil and water conservation districts to receive coverage for
officers and employees. (a) The governing body of any county soil and water conservation district
may, by resolution legally adopted to conform to rules prescribed by the State Employees'
Insurance Board, elect to have its officers and employees who are full-time employees working
at least a 40-hour work week and its retiring employees who worked full time at least a 40-hour
work week during their active employment become eligible to participate in the State Employees'
Health Insurance Plan. The term "officers" and "employees" as used in
this section shall include those persons appointed or employed by the individual officers
and performing their duties in public offices, but shall not include members of soil and water
conservation district boards, known as district supervisors who are expressly prohibited from
participating in said health insurance plan. (b) Each employee who is covered by the...
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36-29-2
Section 36-29-2 State Employees' Insurance Board; procedures for election of state employee
members and retired members. The State Employees' Insurance Board shall consist of the members
of the State Personnel Board, together with the Director of Finance, the Secretary-Treasurer
of the Employees' Retirement System of Alabama, two members who are regular employees of the
state and two retirees covered under the State Employees' Health Insurance Plan who are receiving
benefits from the Employees' Retirement System of Alabama. The present ex officio officers
named shall constitute the membership of the board hereby created, and their successors in
office, by virtue of assuming such office, shall succeed to membership on the board. The two
state employee members of the board shall be elected at the regular election for officers
of the Alabama State Employees' Association as follows: At the expiration of the term of the
existing state employee members of the board one state employee member...
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9-10A-20
Section 9-10A-20 Health insurance benefits for full-time employees. (a) Full-time employees
of a watershed management authority shall be included in the definitions of "employee"
as provided in Section 36-29-1(1), and shall be entitled to the same health insurance benefits
and required to make the same contributions as other state employees. The watershed management
authority is hereby authorized to pay the employer's share for said health insurance to the
State Employees' Insurance Board. (b) Full-time employees of a watershed management authority
shall be entitled to all benefits granted state employees. (Acts 1991, No. 91-602, p. 1119,
§20.)...
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11-91A-1
Section 11-91A-1 Definitions. For the purpose of this chapter, the following words have the
following meanings: (1) BOARD. The Local Government Health Insurance Board established in
this chapter. (2) PROGRAM. The Local Government Health Insurance Program as provided by the
State Employees' Insurance Board prior to April 9, 2014, and as transferred and further provided
for pursuant to this chapter. (Act 2014-401, p. 1473, §1.)...
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27-55-8
Section 27-55-8 Construction. This chapter does not and shall not be construed as creating
a private cause of action and does not and shall not require insurers, including any health
benefit plan, to extend coverage to any providers or type of providers for which coverage
is not specifically provided within the policy or certificate of insurance or health benefit
plan, or to add additional providers to existing networks, or to add any health care benefits.
(Act 2000-595, p. 1185, §8.)...
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36-1-6.1
Section 36-1-6.1 Professional liability coverage for state employees or agents; duties of Finance
Director; self-insurance; costs of insurance. (a) The various state agencies, departments,
boards, or commissions shall determine and report their needs for liability coverage to the
Finance Director, the Insurance Commissioner, and the Attorney General. The Finance Director,
with the advice of the Insurance Commissioner and Attorney General, shall then determine the
type of blanket policy needed to provide basic coverage for deaths, injuries, or damages arising
out of the negligent or wrongful acts or omissions committed by state employees or agents
of the state, including retired licensed physicians and dentists while they are voluntarily
serving at free health care clinics and individuals serving as foster parents licensed or
approved by the Department of Human Resources to maintain homes for a child or children under
the supervision of the department or serving as adult foster care...
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16-25A-17.1
Section 16-25A-17.1 Assistance to low income employees and retirees. The board shall provide
assistance to low income employees and retirees who meet the federal poverty levels defined
in this section, effective October 1, 2005, and for each fiscal year thereafter. (1) For employees
and retirees who contribute to the cost of their health insurance premium and with annual
income (determined as provided below on an aggregate basis for an employee or retiree and
spouse) equal to or below 300 percent of the federal poverty level, the employee or retiree
contribution shall be reduced as follows: a. For employees or retirees with annual income
equal to or less than 100 percent of the federal poverty level, the employee contribution
will be calculated using 50 percent of the applicable premium. b. For employees or retirees
with annual income equal to or less than 150 percent of the federal poverty level, but more
than 100 percent of the federal poverty level, the employee contribution will be...
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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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27-1-10.1
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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27-21A-15
Section 27-21A-15 Powers of insurers and health care service plans. (a) An insurance company
licensed in this state, or a health care service plan authorized to do business in this state,
may either directly or through a subsidiary or affiliate organize and operate a health maintenance
organization under the provisions of this chapter. Notwithstanding any other law which may
be inconsistent herewith, any two or more such insurance companies, health care service plans,
or subsidiaries or affiliates thereof, may jointly organize and operate a health maintenance
organization. The business of insurance is deemed to include the providing of health care
by a health maintenance organization owned or operated by an insurer or a subsidiary thereof.
(b) Notwithstanding any provision of insurance and health care service plan laws, Title 10,
Chapter 4, Article 6 and Title 27, an insurer or a health care service plan may contract with
a health maintenance organization to provide insurance or...
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