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27-57-6
Section 27-57-6 Additional benefit costs. (a) The issuer of a group health benefit plan, policy,
or contract may either disclose the additional premium for such additional colorectal examination
benefits to the prospective contract holder and allow the contract holder to elect such additional
benefits on an optional basis; or conform its policies, contracts, or certificates issued
on or after August 1, 2004, and adjust its premium cost to reflect the additional benefit
cost. (b) Employer sponsors of group health benefit plans are not required to purchase the
additional benefits for colorectal examinations that are offered pursuant to this chapter.
(Act 2004-502, p. 969, §6.)...
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27-1-22
Section 27-1-22 Uniform prescription drug information card or technology. (a) Every health
benefit plan that provides coverage for prescription drugs or devices, or administers a plan,
including, but not limited to, third party administrators for self-insured plans and state
administered plans, excluding the Alabama Medicaid Program, shall issue to its insureds a
card or other technology containing prescription drug information. The uniform prescription
drug information card or technology shall be in the format approved by the National Council
for Prescription Drug Programs (NCPDP) and shall include all of the required fields and conform
to the most recent pharmacy ID card or technology implementation guide produced by NCPDP or
conform to a national format acceptable to the Commissioner of Insurance. If a health care
plan includes a conditional or situational field, it shall conform to the most recent pharmacy
information card or technology implementation guide by the NCPDP or conform...
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27-19-103
Section 27-19-103 Definitions. Unless the context requires otherwise, the definitions in this
section apply throughout this article. (1) APPLICANT. In the case of: a. An individual long-term
care insurance policy, the person who seeks to contract for benefits. b. A group long-term
care insurance policy, the proposed certificate holder. (2) CERTIFICATE. Any certificate issued
under a group long-term care insurance policy, which policy has been delivered or issued for
delivery in this state. (3) COMMISSIONER. The Alabama Commissioner of Insurance. (4) GROUP
LONG-TERM CARE INSURANCE. A long-term care insurance policy which is delivered or issued for
delivery in this state and issued to any of the following: a. One or more employers or labor
organizations, or to a trust or to the trustees of a fund established by one or more employers
or labor organizations, or a combination thereof, for employees or former employees or a combination
thereof, or for members or former members or a...
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36-29-19.1
Section 36-29-19.1 The State Employees' Insurance Board shall maintain detailed records. The
board shall maintain records in sufficient detail to accurately determine the total health
insurance costs and the contributions toward health insurance premiums by employees and retirees
separately, and in composite form. Not later than 90 days after the end of each fiscal year
the board shall prepare a written report that contains a calculation of the total cost of
health insurance premiums for such fiscal year and the amount of contributions by employees
and retirees to the cost of such health insurance premiums and the cost of such coverage that
shall be paid by the employer for the next fiscal year and the total savings to the state
realized by the enactment of Act 2004-646, Act 2004-647, Act 2004-648, Act 2004-649, and Act
2004-650. Such report shall contain sufficient detail to determine the total cost of health
insurance premiums for each class of employees or retirees and the amount of...
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27-15-2
Section 27-15-2 Life insurance policy provisions - Generally. (a) No policy of life insurance
other than industrial, group, and pure endowments, with or without return of premiums or of
premiums and interest, shall be delivered or issued for delivery in this state unless it contains
in substance all of the provisions required by Sections 27-15-3 through 27-15-14. This section
shall not apply to burial insurance, annuity contracts, to any provision of a life insurance
policy, or contract supplemental thereto, relating to disability benefits or to additional
benefits in the event of death or dismemberment by accident or accidental means or to any
provision relating to waiver of premiums in the event of death or disability of the beneficiary
or premium payer. (b) Any of such provisions, or portions thereof not applicable to single
premium or term policies, shall, to that extent, not be incorporated therein. (Acts 1971,
No. 407, p. 707, §347.)...
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27-19-21
Section 27-19-21 Optional policy provisions - Insurance with other insurers - Other benefits.
(a) There may be a provision as follows: "Insurance with Other Insurers: If there be
other valid coverage, not with this insurer, providing benefits for the same loss on other
than an expense-incurred basis and of which this insurer has not been given written notice
prior to the occurrence or commencement of loss, the only liability for such benefits under
this policy shall be for such proportion of the indemnities otherwise provided hereunder for
such loss as the like indemnities of which the insurer had notice (including the indemnities
under this policy) bear to the total amount of all like indemnities for such loss and for
the return of such portion of the premium paid as shall exceed the pro rata portion for the
indemnities thus determined." (b) If the foregoing policy provision is included in a
policy which also contains the policy provision set out in Section 27-19-20, there shall be...
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27-46-1
Section 27-46-1 Reimbursement or payment for services. Notwithstanding any other provision
of law, when any contract or plan of health insurance, or any plan or agreement for health
care services provides for the reimbursement or payment for services which are within the
scope of practice of registered nurses who have passed or who are qualified to take the national
certification examination for the specialty practice of nurse anesthetist as recognized by
the Alabama Board of Nursing, then the insured, or any other person covered by the policy,
plan, contract, or certificate shall be entitled to reimbursement or payment for such services
performed by the certified registered nurse anesthetist, and said certified registered nurse
anesthetist shall be entitled to direct reimbursement by the insurer, unless the certified
registered nurse anesthetist is employed by contract with a group practice of anesthesiologist
or a hospital, then such services shall be reimbursed through the employer....
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27-5-6
Section 27-5-6 "Casualty insurance" defined. (a) "Casualty insurance" includes:
(1) VEHICLE INSURANCE. Insurance against loss of, or damage to, any land vehicle or aircraft,
or any draft or riding animal or to property while contained therein or thereon or being loaded
or unloaded therein or therefrom from any hazard or cause and against any loss, liability,
or expense resulting from, or incidental to, ownership, maintenance or use of any such vehicle,
aircraft or animal, together with insurance against accidental death or accidental injury
to individuals, including the named insured, while in, entering, alighting from, adjusting,
repairing, cranking or caused by being struck by a vehicle, aircraft or draft or riding animal,
if such insurance is issued as an incidental part of insurance on the vehicle, aircraft or
draft or riding animal; (2) LIABILITY INSURANCE. Insurance against legal liability for the
death, injury or disability of any human being or for damage to property, and...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-5-6.htm - 5K - Match Info - Similar pages
27-51-1
Section 27-51-1 Payment for services of licensed physician assistant. (a) An insurance policy
or contract providing for third-party payment or prepayment of health or medical expenses
shall include a provision for the payment to a supervising physician for necessary medical
or surgical services that are provided by a licensed physician assistant practicing under
the supervision of the physician, and pursuant to the rules, regulations, and parameters for
physician assistants, if the policy or contract pays for the same care and treatment provided
by a licensed physician or doctor of osteopathy. (b) An insurance policy or contract subject
to this section shall not impose a practice or supervision restriction which is inconsistent
with or more restrictive than provided by law. (c) This section shall apply to services provided
under a policy or contract delivered, continued, or renewed in this state on or after August
1, 1997, and to any existing policy or contract, on the policy's or...
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16-25A-12
Section 16-25A-12 Employees may elect not to participate; full state funding; subsequent election
to participate. (a) Any board of education, institution, or other employer with employees
as defined by Section 16-25A-1, may, upon a majority vote of its employees, elect not to participate
in the basic medical plan authorized by the provisions of this article; provided, however,
that for any fiscal year ending September 30 the Legislature appropriates the full amount
certified pursuant to Section 16-25A-8(b), the board shall declare the plan of insurance coverage
to be fully state-funded whereupon all employees of any board of education, institution, or
other employer as defined hereinabove shall for that fiscal year and all subsequent fiscal
years be declared members of the Public Education Employees' Health Insurance Plan. (b) Any
employer electing not to participate in the basic medical plan shall certify to the board
the names of their employees otherwise electing hospital/medical...
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