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36-29-5
Section 36-29-5 Expenses, treatment, etc., not to be included under plan. (a) Such health insurance
shall not include any of the following: (1) Expenses incurred by or on account of an individual
prior to the effective date of the plan. (2) Cosmetic surgery or treatment, except to the
extent necessary for correction of damages caused by accidental injury while covered by the
plan or as a direct result of disease covered by the plan. (3) Services received in a hospital
owned or operated by the United States government for which no charge is made. (4) Services
received for injury or sickness due to war or any act of war, whether declared or undeclared,
which war or act of war shall have occurred after the effective date of this plan. (5) Expenses
for which the individual is not required to make payment. (6) Expenses to the extent of benefits
provided under any employer group plan other than the plan in which the state participates
in the cost thereof. (7) Such other expenses as may be...
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36-30-20
Section 36-30-20 Definitions. When used in this article, the following terms shall have the
following meanings, respectively, unless the context clearly indicates otherwise: (1) BENEFIT.
Any monetary allowance payable to a law enforcement officer by a city or county or by the
state or from a pension system established for the law enforcement officers of a city or county
or the state on account of his or her disability or to his or her dependents on account of
his or her death, irrespective of whether the same is payable under a pension law of the state
or under some other law of the state. (2) DISABILITY. Disability to perform duties as a law
enforcement officer. (3) LAW ENFORCEMENT OFFICER. A full-time law enforcement officer with
the power of arrest who is employed with any state agency, department, board, commission,
or institution or a full-time law enforcement officer employed by any municipality or county
within this state. (4) LAW ENFORCEMENT OFFICER'S OCCUPATIONAL DISEASE. Any...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-30-20.htm - 3K - Match Info - Similar pages
22-21-10
Section 22-21-10 Flu and pneumonia vaccinations for long term care facility residents and employees.
(a) As used in this section, the following words have the following meanings: (1) EMPLOYEE.
An individual who is a part-time or full-time employee of the long term care facility. (2)
LONG TERM CARE FACILITY. The term includes a skilled nursing facility, intermediate care facility,
specialty care assisted living facility or dementia care facility, or an assisted living facility
licensed under this chapter. (b) Each long term care facility in this state shall conduct
an immunization program as provided in this section which gives residents the opportunity
to be immunized annually against the influenza virus and to be immunized against pneumococcal
disease and employees the opportunity to be immunized against influenza virus. (c) A long
term care facility shall notify the resident upon admission of the immunization program provided
by this section and shall request that the resident agree...
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22-21-210
Section 22-21-210 Definitions. For the purposes of this article, unless otherwise indicated,
the following terms shall have the meanings respectively ascribed to them by this section:
(1) HOSPITAL. Any state, county, municipal or other public or private hospital licensed under
the laws of this state, except a hospital, whether public or private, which is operated primarily
for the care and treatment of tuberculosis, mental disorders or any other such chronic disease
or illness. (2) INDIGENT. Any person who has resided continuously in this state for not less
than one year and who is acutely ill or injured and can be helped markedly by treatment in
a hospital, but who is unable to pay the cost of such hospitalization from his own resources
or from the resources of those upon whom he is legally dependent. (3) PHYSICIAN. Any person
who has been duly licensed to practice medicine in the State of Alabama. (4) PARTICIPATING
HOSPITAL. Any hospital, as defined by this section, which has been...
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27-1-16
Section 27-1-16 Standard health insurance claim form; electronic claims form; various claim
forms. (a)(1) The Commissioner of the Department of Insurance shall prescribe a standard health
insurance claim form to be used by all hospitals. The forms shall be prescribed in a format
which allows for the use of generally accepted diagnosis and treatment coding systems by providers
of health care and payors. The standard form shall be accepted and used by all insurers doing
business in the State of Alabama and by all state agencies which pay providers of health care
for hospital services. (2) The Commissioner of the Department of Insurance shall also prescribe
a format for all health insurance claims transmitted or submitted for payment by electronic
or electro-mechanical means. Such a format shall be used by all insurers doing business in
the State of Alabama and by all state agencies which pay providers of health care for hospital
services. (b) An advisory committee of five persons, two...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-16.htm - 3K - Match Info - Similar pages
27-14-11.1
Section 27-14-11.1 Contents of policies - Denial or reduction of benefits due to Medicaid eligibility
void. (a) For purposes of this section, "private insurer" is defined as any of the
following: (1) Any commercial insurance company offering health or casualty insurance to individuals
or groups, including both experience-rated contracts and indemnity contracts. (2) Any profit
or nonprofit prepaid plan offering either medical services or full or partial payment for
the diagnosis or treatment of an injury, disease, or disability. (3) Any organization administering
health or casualty insurance plans for professional associations, unions, fraternal groups,
employer-employee benefit plans, and any similar organization offering these payments or services,
including self-insured and self-funded plans. (4) Any health insurer, including group health
plans, as defined in Section 607(1) of the Employee Retirement Income Security Act of 1974,
self-insured plans, service benefit plans, managed care...
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14-14-5
Section 14-14-5 Medical release application; eligibility factors; revocation; notice. (a) An
inmate, or any concerned person, including, but not limited to, the inmate's attorney, family,
physician, or an employee or official of the department may initiate consideration for medical
furlough by submitting to the department an initial medical release application form along
with supporting documentation. (b)(1) The initial application form shall include the report
of a physician or physicians employed by the department or its health care provider and a
notarized report of at least one other duly licensed physician who is board certified in the
field of medicine for which the inmate is seeking a medical furlough and who is not an employee
of the department. These reports shall each be of the opinion that the inmate is either terminally
ill, permanently incapacitated, or that the inmate suffers from a chronic infirmity, illness,
or disease related to aging. (2) The commissioner shall...
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16-30A-2
Section 16-30A-2 Definitions. For purposes of this chapter, the following words have the following
meanings: (1) DELEGATION. The act of authorizing a competent individual to perform selected
nursing activities supportive to registered nurses or licensed practical nurses in selected
school situations as provided under this chapter, while retaining the accountability for the
outcome if the delegation is to an unlicensed individual. (2) INDIVIDUAL HEALTH PLAN. A document
that outlines health care to be provided to a student in the school setting, developed by
the school nurse in conjunction with the student's parents or guardians and may contain the
orders from the physician, certified registered nurse practitioner operating under a valid
collaborative agreement, or physician assistant operating with a valid supervisory agreement.
(3) SCHOOL. Any primary or secondary public school located in the state. (4) SCHOOL EMPLOYEE.
Any person employed by a public school system located in the...
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26-14-6
Section 26-14-6 Temporary protective custody. A police officer, a law enforcement official,
or a designated employee of the State or County Department of Human Resources may take a child
into protective custody, or any person in charge of a hospital or similar institution or any
physician treating a child may keep that child in his or her custody, without the consent
of the parent or guardian, whether or not additional medical treatment is required, if the
circumstances or conditions of the child are such that continuing in his or her place of residence
or in the care and custody of the parent, guardian, custodian, or other person responsible
for the child's care presents an imminent danger to that child's life or health. However,
such official shall immediately notify the court having jurisdiction over juveniles of such
actions in taking the child into protective custody; provided, that such custody shall not
exceed 72 hours and that a court of competent jurisdiction and the...
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27-57-1
Section 27-57-1 Definitions. As used in this chapter, the following words and terms shall have
the following meanings: (1) COLORECTAL CANCER EXAMINATIONS. Examinations and laboratory tests
specified in current American Cancer Society guidelines for colorectal cancer screening of
asymptomatic individuals. (2) HEALTH BENEFIT PLAN. A group health insurance policy that covers
hospital, medical, or surgical expenses, 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 beneficiaries in this
state. For the purposes of this chapter, a health benefit plan located or domiciled outside
of the State of Alabama is deemed to be subject to this chapter if it receives, processes,
adjudicates, pays, or denies claims for health care services submitted...
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