Code of Alabama

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11-26-2
Section 11-26-2 Health and accident group authorized; appropriation and collection of funds.
Any county or group of counties, either individually or collectively, may establish a health
and accident self-insurance group for the purpose of providing health care and hospitalization
benefits for their officers, employees, and family members dependent upon such officers or
employees. Member counties may appropriate such funds as necessary to the health and accident
self-insurance group to provide such hospitalization and health care benefits. Member counties
may collect from its officers and employees such amounts necessary for dependent family coverage
and remit the same to the health and accident self-insurance group. (Acts 1981, No. 81-265,
p. 348, §2.)...
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22-21-29
Section 22-21-29 Inspections. (a) Every hospital licensed under this article shall be open
to inspection to the extent authorized in this section by employees and agents of the State
Board of Health, under rules as shall be promulgated by the board with the advice and consent
of the advisory board. Employees and agents of the board shall also inspect unlicensed and
suspected unlicensed facilities. Nothing in this section shall authorize the board to inspect
quarters therein occupied by members of any religious group or nurses engaged in work in any
hospital or places of refuge for members of religious orders for whom care is provided, but
any inspection shall be limited and confined to the parts and portions of the hospital as
are used for the care and treatment of the patients and the general facilities for their care
and treatment. No hospital shall, by reason of this section, be relieved from any other types
of inspections authorized by law. (b) All inspections undertaken by the...
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36-29-16
Section 36-29-16 Group insurance for retired judges of probate and legislators; payment of
cost. Any judge of probate who qualifies to retire from active service with a benefit from
the Judicial Retirement Fund or any legislator shall be entitled to participate in the State
Employees' Health Insurance Plan. The entire cost for the group health insurance during retirement
for a judge of probate or for a legislator shall be paid by such retired judge or legislator
under such terms and conditions as the group insurer may, from time to time, prescribe for
such group health insurance. (Acts 1994, No. 94-608, p. 1123, §1.)...
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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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36-29-7
Section 36-29-7 Payment of employer's contribution; coverage for dependents; changes to contributions;
withholding of employee's contribution; State Employees' Insurance Fund. (a) The board is
hereby authorized to provide under the provisions of this chapter that the employer's contribution
to the cost of such plan for coverage of the employee and retiree shall be paid by the employer.
(b) Each employee and retiree shall be entitled to have his or her spouse and dependent children,
as defined by the rules and regulations of the board, included in the coverage provided upon
agreeing to pay the employee's contribution of the health insurance premium for such dependents.
The board shall adopt regulations governing the discontinuance and resumption by such employees
and retirees of coverage for dependents. (c) Subject to Section 36-29-19.3, any further changes
in employee or retiree contribution to the health insurance premium or other out-of-pocket
expenses including, but not limited to,...
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12-18-93
Section 12-18-93 Cost-of-living adjustments. (a) Any retired judge of probate receiving benefits
from the Judicial Retirement Fund shall be entitled to receive any cost-of-living adjustment
provided by law for state employees who are retired under the State Employees' Retirement
System after April 21, 1998. (b) The cost-of-living adjustments provided for retired judges
of probate under subsection (a) shall be financed from time to time, from the investment income
of the Judicial Retirement Fund. (Act 98-365, p. 664, §3.)...
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22-5A-5
Section 22-5A-5 Procedures for receiving complaints; informing recipients of ombudsman program.
The State Ombudsman shall establish written procedures for receiving complaints involving
long-term residential health care facilities and their employees. The Department of Senior
Services shall provide to health care, domiciliary and residential facilities written information
on the ombudsman program to be distributed to recipients at the time of admission, or rendering
of care and/or treatment at a facility. (Acts 1985, No. 85-657, p. 1029, §5.)...
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22-6-30
Section 22-6-30 Fund established; purpose. There is hereby established the Alabama Health Care
Trust Fund in the State Treasury for the purpose of further providing for the operation of
the Medicaid Program and the maintenance and expansion of medical services available thereunder.
This fund shall consist of revenues received from certain taxes levied on providers of medical
services. (Acts 1991, No. 91-125, p. 152, §1.)...
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27-1-11
Section 27-1-11 Dentists and dental hygienists as "physicians" under health or accident
insurance policies. Whenever the terms "physician" and/or "doctor" are
used in any policy of health or accident insurance issued in this state or in any contract
for the provision of health care, services, or benefits issued by any health, medical or other
service corporation existing under, and by virtue of any laws of this state, said terms shall
include within their meaning those persons licensed under and in accordance with Chapter 9
of Title 34 in respect to any care, services, procedures, or benefits covered by said policy
of insurance or health care contract which the said persons are licensed to perform, any provisions
in any such policy of insurance or health care contract to the contrary notwithstanding. This
section shall be applicable to all policies in this state, regardless of date of issue, on
October 10, 1975. (Acts 1975, No. 1241, p. 2607, §1.)...
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27-1-17
Section 27-1-17 Limitation periods for payment of claims; overdue claims; retroactive denials,
adjustments, etc.; penalties. (a) Each insurer, health service corporation, and health benefit
plan that issues or renews any policy of accident or health insurance providing benefits for
medical or hospital expenses for its insured persons shall pay for services rendered by Alabama
health care providers within 45 calendar days upon receipt of a clean written claim or 30
calendar days upon receipt of a clean electronic claim. If the insurer, health service corporation,
or health benefit plan is denying or pending the claim, the insurer, health service corporation,
or health benefit plan shall, within 45 calendar days for a written claim and 30 calendar
days for an electronic claim, notify the health care provider or certificate holder of the
reason for denying or pending the claim and what, if any, additional information is required
to process the claim. Any undisputed portion of the claim...
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