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10A-1-1.03
Section 10A-1-1.03 Definitions. As used in this title, unless the context otherwise requires,
the following terms mean: (1) AFFILIATE. A person who controls, is controlled by, or is under
common control with another person. An affiliate of an individual includes the spouse, or
a parent or sibling thereof, of the individual, or a child, grandchild, sibling, parent, or
spouse of any thereof, of the individual, or an individual having the same home as the individual,
or a trust or estate of which an individual specified in this sentence is a substantial beneficiary;
a trust, estate, incompetent, conservatee, protected person, or minor of which the individual
is a fiduciary; or an entity of which the individual is director, general partner, agent,
employee or the governing authority or member of the governing authority. (2) ASSOCIATE. When
used to indicate a relationship with: (A) a domestic or foreign entity for which the person
is: (i) an officer or governing person; or (ii) a beneficial...
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40-27-1
Section 40-27-1 Compact adopted; terms. The following Multistate Tax Compact is hereby approved,
adopted and enacted into law by the State of Alabama: Multistate Tax Compact Article I. Purposes.
The purposes of this compact are to: 1. Facilitate proper determination of state and local
tax liability of multistate taxpayers, including the equitable apportionment of tax bases
and settlement of apportionment disputes. 2. Promote uniformity or compatibility in significant
components of tax systems. 3. Facilitate taxpayer convenience and compliance in the filing
of tax returns and in other phases of tax administration. 4. Avoid duplicative taxation. Article
II. Definitions. As used in this compact: 1. "State" means a state of the United
States, the District of Columbia, the Commonwealth of Puerto Rico, or any territory or possession
of the United States. 2. "Subdivision" means any governmental unit or special district
of a state. 3. "Taxpayer" means any corporation, partnership, firm,...
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27-1-17
Section 27-1-17 Limitation periods for payment of claims; overdue claims; retroactive denials,
adjustments, etc.; penalties. (a) Each insurer, health service corporation, and health benefit
plan that issues or renews any policy of accident or health insurance providing benefits for
medical or hospital expenses for its insured persons shall pay for services rendered by Alabama
health care providers within 45 calendar days upon receipt of a clean written claim or 30
calendar days upon receipt of a clean electronic claim. If the insurer, health service corporation,
or health benefit plan is denying or pending the claim, the insurer, health service corporation,
or health benefit plan shall, within 45 calendar days for a written claim and 30 calendar
days for an electronic claim, notify the health care provider or certificate holder of the
reason for denying or pending the claim and what, if any, additional information is required
to process the claim. Any undisputed portion of the claim...
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27-45-7
Section 27-45-7 Nonconforming policies and plans not to be approved for sale. The Commissioner
of Insurance shall not approve for sale in this state any health insurance policy or employee
benefit plan providing for pharmaceutical services, including without limitation, prescription
drugs, which does not conform to the provisions of this article or to the provisions of Sections
27-14-8 and 27-14-9. (Acts 1988, No. 88-379, p. 565, §7.)...
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27-52-30
Section 27-52-30 Consultation with State Board of Health. The commissioner shall consult with
the State Board of Health on all aspects related to the provision of medical services under
the Alabama Health Insurance Plan and the Alabama Small Employer Allocation Program established
under this chapter. All regulations, bylaws, policies, guidelines, or directives issued by
the commissioner applicable to the Alabama Health Insurance Plan and the Alabama Small Employer
Allocation Program pertaining to the delivery of medical services, including, but not limited
to, those items specified in subdivisions (8), (13), (14), (15) of Section 27-52-2 and Section
27-52-4, shall be promulgated with the concurrence of the State Board of Health. (Acts 1997,
No. 97-713, p. 1476, §9.)...
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27-19-39
Section 27-19-39 Policies, etc., providing for reimbursement for visual service. Whenever any
policy of insurance or any medical service plan or hospital service contract or hospital and
medical service contract provides for reimbursement for any visual service in Alabama which
is within the lawful scope of practice of a duly licensed optometrist, as defined in Section
34-22-1, the insured or other person entitled to benefits under such policy shall be entitled
to reimbursement for such services, whether such services are performed by a duly licensed
physician or by a duly licensed optometrist, whichever the insured selects, notwithstanding
any provision to the contrary in any statute or in such policy, plan, or contract. Duly licensed
optometrists shall be entitled to participate in such policies, plans, or contracts providing
for visual services to the same extent as fully licensed physicians. (Acts 1967, No. 508,
p. 1224.)...
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34-23-1
Section 34-23-1 Definitions. For the purpose of this chapter, the following words and phrases
shall have the following meanings: (1) ASSOCIATION. The Alabama Pharmacy Association. (2)
BIOLOGICAL PRODUCT. Has the same meaning as the term as defined in 42 U.S.C. §262. (3) BOARD
or STATE BOARD. The Alabama State Board of Pharmacy. (4) CHEMICAL. Any substance of a medicinal
nature, whether simple or compound, obtained through the process of the science and art of
chemistry, whether of organic or inorganic origin. (5) DISPENSE. To sell, distribute, administer,
leave with, give away, dispose of, deliver, or supply a drug or medicine to the ultimate user
or his or her agent. (6) DRUGS. All medicinal substances, preparations, and devices recognized
by the United States Pharmacopoeia and National Formulary, or any revision thereof, and all
substances and preparations intended for external and internal use in the cure, diagnosis,
mitigation, treatment, or prevention of disease in man or animal...
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36-35-2
Section 36-35-2 Definitions. As used in this chapter, the following words and phrases shall
have the following meanings: (1) BOARD. The Alabama Prescription Cost Initiative Board created
by Section 36-35-4 to administer the program. (2) COOPERATIVE. A business entity functioning
on a cooperative basis that distributes its income to a particular member in proportion with
that member's use of the cooperative on a patronage basis. (3) DEPARTMENT. Any department,
agency, office, or program administered by the state for which the board or director has negotiated,
or entered an agreement with a pharmacy benefits manager or cooperative to negotiate, a prescription
drug rebate, or discount. (4) EXECUTIVE DIRECTOR. An executive director employed by the board
to administer this chapter and the program. (5) GOVERNMENTAL ENTITY. Any department of the
State of Alabama; any county government or municipal government; any school system, college,
or university; or any public authority. (6)...
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16-25A-45
Section 16-25A-45 Rules and regulations; contracts for services. The board shall promulgate
rules and regulations to implement the flexible benefits program, including, but not limited
to, setting policies and requirements concerning the administration of employee payments,
amounts deducted pursuant to salary reduction agreements, and advances from the Public Employees'
Health Insurance Plan and appropriations, if any. The board may contract for services with
the Flexible Employees' Benefit Board for the first year of operation of the plan regarding
pretax deductions for the payment of employee health insurance premium payments authorized
by the board and may contract for services with the Flexible Employees' Benefit Board or other
entities in subsequent years. The board may contract for necessary services to implement the
flexible benefits program including, but not limited to, the administration of salary reduction
agreements and non-health insurance premium components of the...
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22-21-362
Section 22-21-362 Incorporation of dental service plan corporation; management by board of
directors. (a) Any dental service plan corporation shall be incorporated under the provisions
of the laws of Alabama, except to the extent that the provisions thereof are in conflict with
the provisions of this article. Every charter or certificate of incorporation of such corporation
shall have endorsed thereon or affixed thereto the consent of the commissioner of insurance.
(b) The affairs of any dental service plan corporation shall be managed by a board of directors
composed of not fewer than five members, all of whom shall be residents of this state. (Acts
1982, No. 82-463, p. 741, §3.)...
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