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16-25A-41
Section 16-25A-41 Definitions. The following terms shall have the following meanings, unless
the context clearly indicates otherwise: (1) BOARD. The Public Education Flexible Employees
Benefit Board. (2) EMPLOYEE. Any person employed by a state or local board of education, postsecondary
institution, or other employer with employees as defined by Sections 16-25A-1 and 16-25A-11
participating in a state health insurance program. (3) EMPLOYER. Any local board of education
within the State of Alabama or other public institution of education within the state that
provides instruction at any combination of grades K-14 exclusively, under the auspices of
the State Board of Education, or the Alabama Institute for Deaf and Blind, or entities whose
employees are covered by the Public Education Employees' Health Insurance Plan pursuant to
Section 16-25A-11. (4) INTERNAL REVENUE CODE. The Internal Revenue Code of 1986, as amended.
(5) PARTICIPATING EMPLOYEE. An employee who elects to participate in...
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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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34-24-604
Section 34-24-604 Annual registration. (a) Beginning January 1, 2014, and continuing each year
thereafter: (1) All physicians providing pain management services shall obtain a pain management
registration from the board. (2) All physicians who otherwise meet the criteria established
by the board shall obtain a pain management registration from the board. (b) To register,
a physician applicant shall submit the following to the board: (1) A completed application
on a form prescribed by the board. (2) Proof of a current drug enforcement administration
registration. (3) Proof of an Alabama controlled substances certificate. (4) Proof of a current
registration with the Alabama Prescription Drug Monitoring Program. (5) A list of all registrants
who own, co-own, operate, or provide pain management services in the practice location. (6)
The disclosure of any controlled substances certificate or registration denial, restriction,
or discipline imposed on the registrant, or any disciplinary act...
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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...
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36-27-16
Section 36-27-16 Retirement, etc., of employees; retirement allowances. (a)(1) RETIREMENT,
ETC., OF EMPLOYEES GENERALLY; ELIGIBILITY FOR SERVICE RETIREMENT BENEFITS. a. Any Tier I plan
member who withdraws from service upon or after attainment of age 60 and any Tier II plan
member who withdraws from service upon or after attainment of age 62 may retire upon written
application to the Board of Control setting forth at what time, not less than 30 days nor
more than 90 days subsequent to the execution and filing thereof, he or she desires to be
retired; provided, that any such member who became a member on or after October 1, 1963, shall
have completed 10 or more years of creditable service; provided further, that a Tier I plan
member employed as a state policeman shall be eligible to file application for service retirement
upon attaining age 52 and a Tier II plan member employed as a state policeman or employed
as a correctional officer, firefighter, or law enforcement officer as defined...
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37-1-80.2
Section 37-1-80.2 Dual party relay system and fund; board of trustees; funding of other services;
liability of trustees. (a) The Alabama Public Service Commission shall impose a surcharge
on each access line of each customer of the local exchange companies operating in Alabama
to fund a dual party relay system whereby a deaf or hearing-impaired person may communicate
with other such persons or with hearing persons via telephone. The fee may be imposed by order
of the Alabama Public Service Commission on the access line. (b) The Alabama Public Service
Commission shall establish the amount to be imposed based on the amount of funding necessary
to implement and maintain such system. However, no additional fees other than the surcharge
may be imposed on any user of this deaf and hearing-impaired service. (c) The local exchange
companies shall collect the surcharge from their customers and transfer the moneys collected
to the Alabama Public Service Commission to be deposited into a special...
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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...
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16-25A-6
Section 16-25A-6 Exclusions. Such health insurance shall not include the following: (1) Expenses
incurred by or on account of an individual prior to the effective date of the plan as to him;
(2) Hearing aids and examinations for the prescription or fitting thereof; (3) Cosmetic surgery
or treatment, except to the extent necessary for correction of damage caused by accidental
injury while covered by the plan or as a direct result of disease covered by the plan; (4)
Services received in a hospital owned or operated by the United States government for which
no charge is made; (5) 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; (6) Expenses for which the individual is not required to make payment;
(7) Expenses to the extent of benefits provided under any employer group plan other than this
plan in which the state participates in the cost thereof; (8)...
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20-3-2
Section 20-3-2 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) ASSISTED LIVING FACILITY. An institution or facility licensed as an assisted
living facility under regulations of the State Board of Health. (2) CHARITABLE CLINIC. The
term includes an established free medical clinic as defined in subdivision (1) of Section
6-5-662 and any community health center provided for under the federal Public Health Service
Law. (3) CHARITABLE PATIENT. For purposes of this chapter, the term shall not include patients
who are eligible to receive drugs under the Alabama Medicaid Program or under any other prescription
drug program funded in whole or in part by the state. (4) DRUGS. All medicinal substances
and preparations 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...
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27-19A-12
Section 27-19A-12 Dental services - Coverages; fees; exceptions. (a) As used in this section,
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) COVERED SERVICES. Dental care
services for which a reimbursement is available under an enrollee's plan contract, or for
which a reimbursement would be available but for the application of contractual limitations
such as deductibles, copayments, coinsurance, waiting periods, annual or lifetime maximums,
frequency limitations, alternative benefit payments, or any other limitation. (3) DENTAL CARE
PROVIDER. A licensed dentist. (4) DENTAL PLAN. Includes any policy of insurance which is issued
by a health care service contractor which provides for coverage of...
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