Code of Alabama

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10A-20-6.07
Section 10A-20-6.07 Certificates of authority; contracts with public. Every corporation organized
under this article shall procure from the Commissioner of Insurance a certificate of authority
to do business, for which the corporation shall pay the sum of two hundred dollars ($200),
and the certificates of authority shall be renewed thereafter on or before the first day of
March of each year. The corporation may then enter into contracts with the public, subject
to the restrictions contained in this article, for benefits under its health service plan.
It shall be the duty of the corporation to enter into contracts with and issue certificates
to those of the public who may desire to avail themselves of the benefits of the health service
plan and who, under its rules and regulations, make application and are eligible therefor.
The contracts may provide for more than one class of services or benefits, may designate the
person or persons, or the class of persons, entitled thereto, may...
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22-21-363
Section 22-21-363 Application for certificate of authority; contents. (a) The incorporators
shall file with the commissioner an application for a certificate of authority to do business
upon a form to be furnished by the department, which shall include or have attached the following:
(1) The names, and for the preceding 10 years, all addresses and all occupations of all incorporators
and proposed directors and officers; (2) A certified copy of the corporate articles and bylaws
and all amendments thereto, a list of the names, addresses, and occupations of all directors
and principal officers and, if previously incorporated, for the three most recent years, the
corporation annual statements and reports; (3) All agreements relating to the corporation
to which any incorporator or proposed director or officer is a party; (4) A statement of the
amount and sources of the funds available for organization expenses and the proposed arrangements
for reimbursement and compensation of incorporators...
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27-2B-2
Section 27-2B-2 Definitions. As used in this chapter, these terms shall have the following
meanings: (1) ADJUSTED RBC REPORT. An RBC report which has been adjusted by the commissioner
in accordance with subsection (e) of Section 27-2B-3. (2) CORRECTIVE ORDER. An order issued
by the commissioner specifying corrective actions which the commissioner has determined are
required. (3) DOMESTIC INSURER. Any insurer domiciled in this state. (4) FOREIGN INSURER.
Any insurer which is licensed to do business in this state but not domiciled in this state.
(5) FRATERNAL BENEFIT SOCIETY. Any insurer licensed under Chapter 34. (6) HEALTH ORGANIZATION.
Any health care service plan, health maintenance organization, limited health service organization,
dental services corporation, or other managed care organization licensed under this title.
This term does not include any life and disability insurer or property and casualty insurer.
(7) INSURER. As defined in Section 27-1-2, including, without...
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27-43-8
Section 27-43-8 Filing of application for certificate of authority; contents of application;
issuance of certificate. (a) The incorporators shall file with the commissioner an application
for a certificate of authority to do business upon a form to be furnished by the department,
which shall include or have attached the following: (1) The names and, for the preceding 10
years, all addresses and all occupations of all incorporators and proposed directors and officers;
(2) A certified copy of the corporate articles and bylaws and a list of the names, addresses,
and occupations of all directors and principal officers and, if previously incorporated, for
the three most recent years, the corporation annual statements and reports; (3) All agreements
relating to the corporation to which any incorporator or proposed director or officer is a
party; (4) A statement of the amount and sources of the funds available for organization expenses
and the proposed arrangements for reimbursement and...
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27-19-55
Section 27-19-55 Standards for loss ratios. Medicare supplement policies shall return to policyholders
benefits which are reasonable in relation to the premium charged. The commissioner shall issue
reasonable regulations to establish minimum standards for loss ratios of Medicare supplement
policies on the basis of incurred claims experience, or incurred health care expenses where
coverage is provided by a health maintenance organization on a service rather than reimbursement
basis, and earned premiums in accordance with accepted actuarial principles and practices.
(Acts 1981, No. 81-560, p. 940, §6; Act 2000-795, p. 1876, §3.)...
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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...
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27-19-52
Section 27-19-52 Definitions. For purposes of this article, the following terms shall have
the meaning indicated herein: (1) APPLICANT. Includes either of the following: a. In the case
of an individual Medicare supplement policy or subscriber contract, the person who seeks to
contract for insurance benefits. b. In the case of a group Medicare supplement policy or subscriber
contract, the proposed certificate holder. (2) CERTIFICATE. Any certificate issued under a
group Medicare supplement policy, which policy has been delivered or issued for delivery in
this state. (3) CERTIFICATE FORM. The form on which the certificate is delivered or issued
for delivery by the issuer. (4) ISSUER. Insurance companies, fraternal benefit societies,
health care service plans, health maintenance organizations, and any other entity delivering
or issuing for delivery in this state Medicare supplement policies or certificates. (5) MEDICARE.
The "Health Insurance for the Aged Act," Title XVIII of the Social...
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22-5C-2
Section 22-5C-2 State Advisory Council on Palliative Care and Quality of Life. (a) Not later
than November 23, 2015, the State Health Department shall establish a State Advisory Council
on Palliative Care and Quality of Life within the department. (b) The council membership shall
be appointed by the State Health Officer and shall include interdisciplinary palliative care
medical, nursing, social work, pharmacy, and spiritual professional expertise; patient and
family caregiver advocate representation, and any other relevant appointees the State Health
Officer determines appropriate. The State Health Officer shall consider the racial, gender,
geographic, urban/rural, and economic diversity of the state when appointing members. Membership
shall specifically include health professionals having palliative care work experience or
expertise in palliative care delivery models in a variety of inpatient, outpatient, and community
settings such as acute care, long-term care, and hospice and with...
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27-34-12
Section 27-34-12 Preliminary certificate - Initial solicitations and qualifications. Upon receipt
of a preliminary certificate from the commissioner, the society may solicit members for the
purpose of completing its organization, shall collect from each applicant the amount of not
less than one regular monthly premium in accordance with its table of rates as provided by
its constitution and laws and shall issue to each such applicant a receipt for the amount
so collected. No society shall incur any liability other than for the return of such advance
premium, nor issue any certificate, nor pay, allow, or offer or promise to pay or allow any
death or disability benefit to any person until: (1) Actual bona fide applications for death
benefits have been secured aggregating at least $500,000.00 on not less than 500 lives; (2)
All such applicants for death benefits shall have furnished evidence of insurability satisfactory
to the society; (3) Certificates of examinations or acceptable...
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22-21-330
Section 22-21-330 Lease agreements with authorizing subdivision; terms; renewal options; special
pledge as security for payment of rental, etc.; use of vacant space. (a) Each authority and
any authorizing subdivision are hereby respectively authorized to enter into one or more lease
agreements with each other whereunder any health care facilities situated within (or within
10 miles of) such authorizing subdivision or any part thereof shall be leased by the authority
to such authorizing subdivision, but if and only if such authorizing subdivision is then permitted
by law to operate such health care facilities, to issue its bonds, warrants, notes or other
securities therefor and to pledge for the benefit of any such securities its full faith and
credit. No such lease agreement shall be for a term longer than the then current fiscal year
in which it is made. Any such lease agreement may, however, contain a grant to such authorizing
subdivision of successive options to renew such lease...
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