|
27-54-2
Section 27-54-2 Definitions. For purposes of this chapter, the following terms have the following
meanings: (1) DAY TREATMENT SERVICES. Includes, but is not limited to: Physiological, psychological,
and psychosocial concepts, techniques, and processes necessary to maintain or develop functional
skills of clients, provided to individuals and groups for periods of more than two hours but
less than 24 hours a day. (2) HEALTH BENEFIT PLAN. A health care service plan governed by
the provisions of Article 6, Chapter 4, Title 10, and a group health insurance policy, including
an employee welfare health benefit plan, that covers hospital, medical, or surgical expenses,
issued by insurers, 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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-54-2.htm - 3K - Match Info - Similar pages
27-18-2
Section 27-18-2 Policy provisions - Generally. No policy of group life insurance shall be delivered
in this state unless it contains in substance the applicable provisions set forth in Sections
27-18-3 through 27-18-13, or provisions which in the opinion of the commissioner are more
favorable to the persons insured or at least as favorable to the persons insured and more
favorable to the policyholder; except, however, that: (1) Sections 27-18-9 and 27-18-13 inclusive
shall not apply to policies issued to a creditor to insure debtors of such creditor; (2) The
standard provisions required for individual life insurance policies shall not apply to group
life insurance policies; and (3) If the group life insurance policy is on a plan of insurance
other than the term plan, it shall contain a nonforfeiture provision, or provisions, which,
in the opinion of the commissioner, is, or are, equitable to the insured persons and to the
policyholder, but nothing in this section shall be construed to...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-18-2.htm - 1K - Match Info - Similar pages
27-56-2
Section 27-56-2 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) COVERED PERSON. Any individual, family, or family member on whose behalf third-party
payment or prepayment of health or medical expenses is provided under an insurance policy,
plan, or contract providing for third-party payment or prepayment of health care or medical
expenses. (2) EYE CARE PROVIDER. A licensed optometrist or a licensed ophthalmologist. (3)
INSURANCE POLICY, PLAN, OR CONTRACT PROVIDING FOR THIRD-PARTY PAYMENT OR PREPAYMENT OF HEALTH
OR MEDICAL EXPENSES. Includes an individual or group policy for accident or health insurance,
an individual or group hospital or health care service contract, an individual or group health
maintenance organization contract, an organized delivery system contract, or a preferred provider
organization contract, and any other similar policy, plan, or contract. This term shall not
include any employee welfare benefit plan, as defined...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-56-2.htm - 1K - Match Info - Similar pages
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...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-29-14.1.htm - 2K - Match Info - Similar pages
36-1-6.2
Section 36-1-6.2 Insurance coverage for state instrumentalities and agencies; prior contracts
and policies ratified. (a) Any instrumentality or agency of the State of Alabama, whose principal
activity consists of distributing goods or services by contract with the United States, or
any federal governmental corporation, and which are not covered by the provisions of Chapter
29 of this title, shall be subject to all the provisions of this section. Such instrumentality
or agency is hereby empowered to purchase and pay for group health, accident or hospitalization
insurance coverage for its officers and employees. Such instrumentality or agency is hereby
further authorized to contract with the State Employees' Insurance Board for group health,
accident or hospitalization insurance coverage, and under such terms, conditions, and costs
as the State Employees' Insurance Board and the instrumentality or agency shall mutually determine.
The cost or premium for such group health, accident or...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-1-6.2.htm - 1K - Match Info - Similar pages
25-5-290
Section 25-5-290 Ombudsman program, creation; purpose; members; notification of service; benefit
review conferences. (a) The Department of Industrial Relations shall establish an Ombudsman
Program to assist injured or disabled employees, persons claiming death benefits, employers,
and other persons in protecting their rights and obtaining information available under the
Workers' Compensation Law. (b) Providing that the employer and the employee agree to participate
in the benefit review conference, the ombudsmen shall meet with or otherwise provide information
to injured or disabled employees, investigate complaints, and communicate with employers,
insurance carriers, and health care providers on behalf of injured or disabled employees.
(c) Ombudsmen shall be Merit System employees and demonstrate familiarity with the Workers'
Compensation Law. An ombudsman shall not be an advocate for any person who shall assist a
claimant, employer, or other person in any proceeding beyond the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/25-5-290.htm - 4K - Match Info - Similar pages
36-29-23
Section 36-29-23 Authorization to establish flexible employee benefit plan; provisions of plan.
The board, with the approval of the Governor, is authorized to establish a flexible employee
benefit plan for state employees in compliance with Section 125 and any other applicable sections
of the Internal Revenue Code. The flexible employee benefit plan may provide for payments
or salary reductions for qualified benefits in accordance with Section 125 of the Internal
Revenue Code, which presently include health insurance premiums, group life insurance, disability
insurance, supplemental health and accident insurance, dependent care expenses, and such other
types of employee benefits permitted under Section 125 and any other applicable sections of
the Internal Revenue Code. Futhermore, the board may establish a long-term care plan for employees.
(Acts 1989, No. 89-644, p. 1272, §4; Act 98-639, p. 1410, §1.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/36-29-23.htm - 1K - Match Info - Similar pages
11-91-1
Section 11-91-1 Provision by governing bodies of counties and municipalities for group life,
health, accident, etc., insurance, etc., for officers and employees authorized. (a) The council,
commission, or similar governing body of each municipal corporation, the board of directors
of each incorporated municipal board, the county commission of each county, the board of education
of each city and the board of education of each county, now existing or established after
August 16, 1947, shall have power and authority to contract for and obtain and maintain policies
of group life, health, accident, and hospitalization insurance or any one or more of them
and shall have power and authority to contract for and obtain and maintain individual annuity
contracts, retirement income policies or group annuity contracts to provide a retirement plan
for the benefit of such of the officers and employees of such municipality, incorporated municipal
board, county, or board as may be determined by such...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/11-91-1.htm - 1K - Match Info - Similar pages
27-55-3
Section 27-55-3 Prohibited practices; disclosure of information. (a) No insurer may: (1) Deny,
refuse to issue, renew, or reissue, cancel, or otherwise terminate, restrict, or exclude coverage
on an insurance policy or health benefit plan on the basis of an applicant's or insured's
abuse status, or on the basis of any association, relationship, or assistance to a subject
of abuse. (2) Exclude or limit coverage for a loss, deny benefits, or deny a claim on the
basis of the insured's abuse status, or on the basis of any association, relationship, or
assistance to a subject of abuse, except as otherwise permitted or required by the laws of
this state relating to acts of abuse committed by a life insurance beneficiary. Notwithstanding
anything to the contrary in this section, a liability insurer may include policy provisions
providing that a payment required by this subsection may be denied or, if paid, recovered
by the insurer from the insured, if the claim arose out of an act of abuse by...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-55-3.htm - 8K - Match Info - Similar pages
16-25A-43
Section 16-25A-43 Establishment of flexible employee benefit plan; long-term care plan. The
board is authorized to establish a flexible employee benefit plan for employees in compliance
with Section 125 and any other applicable sections of the Internal Revenue Code. The flexible
employee benefit plan may provide for payments or salary reductions for qualified benefits
in accordance with Section 125 of the Internal Revenue Code, which presently include health
insurance premiums, group life insurance, disability insurance, supplemental health and accident
insurance, dependent care expenses, and such other types of employee benefits permitted under
Section 125 and any other applicable sections of the Internal Revenue Code. Furthermore, the
board may establish a long-term care plan for employees. (Act 2004-650, 1st Sp. Sess., p.
31, §4.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/16-25A-43.htm - 1K - Match Info - Similar pages
|