|
8-32-9
Section 8-32-9 Obligation of reimbursement insurance policy insurers. (a) Where reimbursement
insurance is applicable, providers are considered to be the agent of the insurer which issued
the reimbursement insurance policy solely for purposes of obligating the insurers to service
contract holders in accordance with the service contract and this chapter. In cases where
a provider is acting as an administrator and enlists other providers, the provider acting
as the administrator shall notify the insurer of the existence and identities of the other
providers. (b) This chapter shall not prevent or limit the right of an insurer which issued
a reimbursement insurance policy to seek indemnification or subrogation against a provider
if the insurer pays or is obligated to pay the service contract holder sums that the provider
was obligated to pay pursuant to the provisions of the service contract. (Acts 1997, No. 97-445,
p. 753, §9.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/8-32-9.htm - 1K - Match Info - Similar pages
27-19-38
Section 27-19-38 Coverage of newly born children in health insurance policies. (a) All individual
and group health insurance policies providing coverage on an expense-incurred basis and individual
and group service or indemnity type contracts issued by a nonprofit service corporation which
provide coverage for a family member of the insured or subscriber shall, as to such family
members' coverage, also provide that the health insurance benefits applicable for children
shall be payable with respect to a newly born child of the insured or subscriber from the
moment of birth. (b) The coverage for newly born children shall consist of coverage of injury
or sickness including the necessary care and treatment of medically diagnosed congenital defects
and birth abnormalities, but need not include benefits for routine well-baby care. (c) The
requirements of this section shall apply to all insurance policies and subscriber contracts
renewed, delivered, or issued for delivery in this state, 60...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-19-38.htm - 1K - Match Info - Similar pages
29-2-41.3
Section 29-2-41.3 Personal and professional service agreements - Exclusions. The following
personal and/or professional services contracts shall be excluded from the terms of this article:
(1) Contracts for insurance; (2) Contracts let by competitive bid; (3) Contracts entered into
by public corporations and authorities; (4) Any contract the total amount of which does not
exceed $1,500.00, said total amount to include both compensation and reimbursement of expenses.
(Acts 1988, 1st Sp. Sess., No. 88-856, p. 336, §4.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/29-2-41.3.htm - 870 bytes - Match Info - Similar pages
8-32-8
Section 8-32-8 Cancellation of reimbursement insurance policy. To the extent applicable, an
insurer that issued a reimbursement insurance policy shall not terminate the policy until
a notice of termination in accordance with Chapter 40 of Title 27 has been mailed or delivered
to the commissioner. The termination of a reimbursement insurance policy shall not reduce
the issuer's responsibility for service contracts sold by providers which it insured prior
to the date of the termination. (Acts 1997, No. 97-445, p. 753, §8.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/8-32-8.htm - 831 bytes - Match Info - Similar pages
27-1-18
Section 27-1-18 Contract providing for mental health services to entitle insured to reimbursement
for outpatient and inpatient services by qualified psychiatrist or psychologist. (a) Whenever
any group, or blanket hospital or medical expense insurance policy or hospital or medical
service contract issued for delivery in this state provides for the reimbursement of health
or health related services which includes mental health services, and such services are within
the lawful scope of practice of a duly qualified psychiatrist or psychologist, the insured
or other person entitled to benefits under such policy or contract shall be entitled to reimbursement
for outpatient services, and inpatient services if requested by the attending physician, performed
by a duly qualified psychiatrist or psychologist notwithstanding any provisions of the policy
or contract to the contrary. (b) For purposes of this section, a duly qualified psychologist
means, one who is duly licensed or certified at the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-18.htm - 2K - Match Info - Similar pages
27-36-2
Section 27-36-2 Unearned premium reserve - Title insurance. (a) In addition to an adequate
reserve as to outstanding losses as required under Section 27-36-1, a title insurer shall
maintain an unearned premium reserve of not less than an amount computed as follows: (1) Ten
percent of the total amount of the risk premiums written in the calendar year for title insurance
contracts shall be assigned originally to the reserve; and (2) During each of the 20 years
next following the year in which the title insurance contract was issued, the reserve applicable
to the contract shall be reduced by five percent of the original amount of such reserve. (b)
The insurer may credit upon the reserve provided for by this section the amount of its deposit
made under Section 27-3-13. (c) Title insurance risk premium shall not include charges for
abstracting, record searching, certificates as to the record title, escrow and closing services,
and other related services which may be offered or furnished, or...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-36-2.htm - 1K - Match Info - Similar pages
10A-20-6.14
Section 10A-20-6.14 Filing of annual statements. (a) On or before the first day of March of
each year, every company transacting business under this article in this state shall file
with the Commissioner of Insurance a statement showing the amount of gross dues received by
it for business done in this state during the preceding calendar year ending December 31 and
the number of contracts or certificates outstanding. (b) The corporation shall, annually,
on or before the first day of March, file in the Office of the Commissioner of Insurance a
statement, verified by at least two of the principal officers of the corporation, showing
its condition on December 31 next preceding, which shall be in the form, and shall contain
the matters, as the Commissioner of Insurance shall prescribe. Every corporation shall set
up as the liability for unperformed contracts or unearned dues on all outstanding certificates
95 percent of the unearned net dues or charges collected on the contracts computed on...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/10A-20-6.14.htm - 1K - Match Info - Similar pages
22-2A-3
Section 22-2A-3 Program and procedures; exceptions; competitive bidding. (a) The State Health
Officer may develop, maintain, and implement a program and procedures to do the following:
(1) Aggregate or negotiate the purchase of pharmaceuticals for pharmaceutical programs for
state agencies, as defined herein, or joining a multi-state pooling initiative, or both, and
(2) maximize savings, rebates, and discounts from suppliers on pharmaceutical purchases under
any pharmaceutical program enumerated in this chapter. The State Board of Health shall promulgate
rules and regulations for the purpose of implementing this chapter with the approval of the
chief executive officers of the departments and agencies administering a pharmaceutical program.
(b) Subdivision (1) of subsection (a) shall not apply to state insurance plans that provide
reimbursement for the purchase of pharmaceuticals to public employees. (c) All purchase contracts
for pharmaceuticals for pharmaceutical programs for state...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-2A-3.htm - 1K - Match Info - Similar pages
22-6-163
Section 22-6-163 Legislative findings; rules; collaboration; approval of agreements and contracts;
state action immunity; confidentiality of records; additional duties. (a) The Legislature
declares that collaboration among public payers, private health carriers, third party purchasers,
and providers to identify appropriate service delivery systems and reimbursement methods in
order to align incentives in support of integrated and coordinated health care delivery is
in the best interest of the public. Collaboration pursuant to this article is to provide quality
health care at the lowest possible cost to Alabama citizens who are Medicaid eligible. The
Legislature, therefore, declares that this health care delivery system affirmatively contemplates
the foreseeable displacement of competition, such that any anti-competitive effect may be
attributed to the state's policy to displace competition in the delivery of a coordinated
system of health care for the public benefit. In furtherance of...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-6-163.htm - 6K - Match Info - Similar pages
27-56-7
Section 27-56-7 Applicability to certain providers. (a) This chapter does not require and shall
not be construed to require any insurance policy, plan, or contract to provide health care
coverage for eye care. The provisions of this chapter are applicable only to those insurance
policies, plans, or contracts which provide coverage for eye care. (b) Insurers or other issuers
of any insurance policy, plan, or contract which provides coverage for eye care shall continue
to be able to establish and apply selection criteria and utilization protocols for health
care providers as well as credentialing criteria used in the selection of providers. (c) This
chapter does not require and shall not be construed to require the coverage of eye care services
by providers who are not designated as covered providers, or who are not selected as participating
providers, by an insurance policy, plan, or contract, or the issuer thereof having a participating
network of service providers. Provided, however,...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-56-7.htm - 1K - Match Info - Similar pages
|