Code of Alabama

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22-27-2
Section 22-27-2 Definitions. For the purpose of this article, the following terms shall have
the meanings respectively ascribed to them by this section: (1) AGENCY. Any controlling agency,
public or private, elected, appointed, or volunteer utilizing methods approved by the health
department or the department for the purpose of controlling and supervising the collection
or management of solid wastes or recyclable materials. (2) ALTERNATIVE COVER. Material other
than earth used to cover a landfill or sanitary landfill. An alternative cover shall be approved
by the Department of Environmental Management in compliance with federal law and United States
Environmental Protection Agency rules or guidance to achieve a level of performance equal
to or greater than earthen cover material. (3) ASHES. The solid residue from burning of wood,
coal, coke, or other combustible material used for heating, from incineration of solid wastes,
or for the production of electricity at electric generating...
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27-19-100
Section 27-19-100 Purpose of article. The purpose of this article is to promote the public
interest, to promote the availability of long-term care insurance policies, to protect applicants
for long-term care insurance, as defined, from unfair or deceptive sales or enrollment practices,
to establish standards for long-term care insurance, to facilitate public understanding and
comparison of long-term care insurance policies, and to facilitate flexibility and innovation
in the development of long-term care insurance coverage. The Legislature recognizes the viability
of a long-term care product funded through a life insurance vehicle, and this article is not
intended to prohibit approval of this product. (Act 2000-795, p. 1876, §5.)...
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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,...
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16-25A-44
Section 16-25A-44 Participation of employees; purchase of benefits. In order to carry out the
provisions of the flexible employee benefit plan or any long-term care plan, or both, the
head of each department, agency, board of education, or other employer with employees as defined
by Section 16-25A-1 shall provide, at no local administrative cost to the employee, the flexible
employee benefit plan as provided for in this article to every employee and is authorized
on behalf of the state to deduct or reduce from salary or wages amounts voluntarily designated
by the employees pursuant to salary reduction agreements or benefit deduction agreements for
purchasing benefits offered under the plan and such reduction from salary and wages shall
be remitted to the board for administration of the program. Employers with employees as defined
by Section 16-25A-11 must offer such benefits as required by and under such conditions as
established by the board. (Act 2004-650, 1st Sp. Sess., p. 31, §5.)...
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27-19-101
Section 27-19-101 Applicability of article. The requirements of this article shall apply to
policies delivered or issued for delivery in this state on or after August 1, 2000. This article
is not intended to supersede the obligations of entities subject to this article to comply
with the substance of other applicable insurance laws insofar as they do not conflict with
this article, except that laws and regulations designed and intended to apply to Medicare
supplement insurance policies shall not be applied to long-term care insurance. Entities subject
to this article shall continue to comply with other applicable insurance legislation not in
conflict with this article. (Act 2000-795, p. 1876, §5.)...
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27-50-3
Section 27-50-3 Health benefit plan. As used in this chapter, the term "health benefit
plan" has the following meaning: A health insurance policy, including a self-insured
health plan, 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. The term does not include accident-only, specified disease, individual hospital
indemnity, credit, dental-only, Medicare-supplement, long-term care, or disability income
insurance; coverage issued as a supplement to liability insurance, workers' compensation or
similar insurance; or automobile medical-payment insurance. For the purpose of this chapter,
a health benefit plan located or domiciled outside of the State of...
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27-22-41
Section 27-22-41 Applicability; definitions. (a) This article shall apply to all insurance
companies authorized under a certificate of authority for property insurance and writing homeowners
and other personal lines residential property insurance policies in the State of Alabama.
(b) For purposes of this article, the term "personal lines residential property insurance"
shall include condominium insurance, dwelling fire policies that provide dwelling or contents
coverage, renters/tenants insurance, and mobile home or manufactured home insurance. Creditor
placed property insurance and condominium association or homeowner association property insurance
is excluded from this article. (Act 2012-510, p. 1521, §2.)...
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27-15-82
Section 27-15-82 Exceptions. This article shall not apply to any of the following: (1) Reinsurance.
(2) Group insurance. (3) Pure endowment. (4) Annuity or reversionary annuity contract. (5)
Variable life insurance contract. (6) A term policy of uniform amount, which provides no guaranteed
nonforfeiture or endowment benefits, or renewal thereof, of 20 years or less, expiring before
age 71, for which uniform premiums are payable during the entire term of the policy. (7) A
term policy of decreasing amount, which provides no guaranteed nonforfeiture or endowment
benefits, on which each adjusted premium, calculated as specified in Sections 27-15-75, 27-15-76,
27-15-77, and 27-15-78, is less than the adjusted premium so calculated on a term policy of
uniform amount, or renewal thereof, which provides no guaranteed nonforfeiture or endowment
benefits, issued at the same age and for the same initial amount of insurance and for a term
of 20 years or less, expiring before age 71, for which...
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34-23-181
Section 34-23-181 Definitions. The following words shall have the following meanings as used
in this article: (1) HEALTH BENEFIT PLAN. Any individual or group plan, employee welfare benefit
plan, policy, or contract for health care services issued, delivered, issued for delivery,
or renewed in this state by a health care insurer, health maintenance organization, accident
and sickness insurer, fraternal benefit society, nonprofit hospital service corporation, nonprofit
medical service corporation, health care service plan, or any other person, firm, corporation,
joint venture, or other similar business entity that pays for insureds or beneficiaries in
this state. The term includes, but is not limited to, entities created pursuant to Article
6 of Chapter 20 of Title 10A. A health benefit plan located or domiciled outside of the State
of Alabama is deemed to be subject to this article if it receives, processes, adjudicates,
pays, or denies claims for health care services submitted by or...
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22-6-220
Section 22-6-220 Definitions. For the purposes of this article, the following words shall have
the following meanings: (1) CAPITATION PAYMENT. A payment the state Medicaid Agency makes
periodically to the integrated care network on behalf of each recipient enrolled under a contract
for the provision of medical services pursuant to this article. (2) COLLABORATOR. A private
health carrier, third party purchaser, provider, health care center, health care facility,
state and local governmental entity, or other public payers, corporations, individuals, and
consumers who are expecting to collectively cooperate, negotiate, or contract with another
collaborator, or integrated care network in the health care system. (3) INTEGRATED CARE NETWORK.
One or more statewide organizations of health care providers, with offices in each regional
care organization region, that contracts with the Medicaid Agency to provide Medicaid benefits
to certain Medicaid beneficiaries as defined in subdivision (4) and...
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