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27-21A-21
Section 27-21A-21 Fees. (a) Every health maintenance organization subject to this chapter shall
pay to the commissioner the following fees: (1) For filing an application for certificate
of authority or amendment thereto, $50.00; (2) For filing an amendment to the organization
documents that requires approval, $10.00; (3) For filing each annual report, $20.00; (4) For
renewal of annual certificates of authority, $200.00. (b) Fees charged under this section
shall be deposited to the credit of the General Fund. (Acts 1986, No. 86-471, p. 854, §21.)...
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27-21A-31
Section 27-21A-31 Health maintenance organization advisory council. There shall be established
a three member HMO advisory council to advise and consult with the commissioner and the State
Health Officer in carrying out their duties under this chapter. The members of such advisory
body shall be appointed annually by the Alabama Association of Health Maintenance Organizations.
(Acts 1986, No. 86-471, p. 854, §31.)...
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27-21A-32
Section 27-21A-32 HMO enrollment requirements. (a) The state government, or any agency, board,
commission, institution, or political subdivision thereof, and any city or county, or board
of education, which offers its employees a health benefits plan may make available to and
inform its employees or members of the option to enroll in at least one health maintenance
organization holding a valid certificate of authority which provides health care services
in the geographic areas in which such employees or members reside. (b) The first time a health
maintenance organization is offered by an employer, either public or private, each covered
employee must make an affirmative written selection among the different alternatives included
in the health benefits plan. Thereafter, those who wish to change from one plan to another
will be allowed to do so annually, provided, that nothing in this section shall prevent any
health maintenance organization or insurer from requiring evidence of...
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27-21A-18
Section 27-21A-18 Rehabilitation, liquidation, or conservation of a health maintenance organization.
(a) Any rehabilitation, liquidation, or conservation of a health maintenance organization
shall be deemed to be the rehabilitation, liquidation, or conservation of an insurance company
and shall be conducted under the supervision of the commissioner pursuant to the law governing
the rehabilitation, liquidation, or conservation of insurance companies. The commissioner
may apply for an order directing him to rehabilitate, liquidate, or conserve a health maintenance
organization upon any one or more grounds set out in Section 27-32-6, or when in his opinion
the continued operation of the health maintenance organization would be hazardous either to
the enrollees or to the people of this state. Enrollees shall have the same priority in the
event of liquidation or rehabilitation as the law provides to policyholders of an insurer.
(b) A claim by a health care provider for an uncovered...
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27-21A-8
Section 27-21A-8 Reporting requirements. Every health maintenance organization shall annually,
on or before the first day of March, file a report verified by at least two principal officers
with the commissioner, with a copy to the State Health Officer, covering the preceding calendar
year. Such report shall be on forms prescribed by the commissioner, and shall include: (1)
A financial statement of the organization; (2) Any material changes in the information submitted
pursuant to subsection (c) of Section 27-21A-2; (3) The number of persons enrolled at the
beginning and end of the year; (4) A summary of information compiled pursuant to paragraph
(a)(2)c of Section 27-21A-3; (5) The amount of uncovered and covered expenditures that are
payable and more than 90 days past due; and (6) Such additional information or reports as
are deemed reasonably necessary and appropriate by the commissioner to enable him to carry
out his duties under this chapter. (Acts 1986, No. 86-471, p. 854, §8.)...
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27-12A-41
Section 27-12A-41 Assessments. (a) The commissioner shall assess each insurer authorized to
write insurance in the State of Alabama two hundred dollars ($200) per year in order to fund
the operations of the unit. (b) Assessments shall be due not less than 30 days after prior
written notice to the insurer and shall accrue interest at six percent per annum on and after
the due date. Failure to remit payment of an assessment shall warrant the suspension or revocation
of an insurer's certificate of authority. (c) As used in this section insurer authorized to
write insurance in the State of Alabama refers only to those entities defined in subdivision
(5) of Section 27-12A-1 which hold a certificate of authority from the commissioner. (Act
2012-429, §2.)...
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33-5-75
Section 33-5-75 Authority of Commissioner of Conservation and Natural Resources to cancel certification
or to suspend or revoke privilege of operating vessel; procedures. (a) The Commissioner of
Conservation and Natural Resources may cancel any boater safety certification upon determining
that the holder of the certification was not entitled to the issuance or that the holder failed
to give the correct or required information in the application for certification. Upon cancellation
the holder shall surrender the certification cancelled and any duplicate. A holder who refuses
to surrender the certification and any duplicate shall be guilty of a Class C misdemeanor,
punishable upon conviction as provided in Sections 13A-5-7 and 13A-5-12. (b) The privilege
of operating a vessel on the waters of this state, as defined in Section 33-5-3, shall be
subject to suspension or revocation by the commissioner in like manner and for like cause
as a boater safety certification may be suspended or...
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34-21-121
Section 34-21-121 Definitions. For the purposes of this article, the following terms shall
have the following meanings: (1) ADVERSE ACTION. Any administrative, civil, equitable, or
criminal action permitted by the law of a state which is imposed by a licensing board or other
authority against a nurse, including actions against the license or multistate licensure privilege
of an individual, including revocation, suspension, probation, monitoring of a licensee, limitations
on the practice of the licensee, the bringing of a cease and desist action against the licensee,
or any other encumbrance on licensure affecting the authorization of a nurse to practice.
(2) ALTERNATIVE PROGRAM. A nondisciplinary monitoring program approved by a licensing board.
(3) COMMISSION. The Interstate Commission of Nurse Licensure Compact Administrators. (4) COMPACT.
The Enhanced Nurse Licensure Compact created by this article. (5) COORDINATED LICENSURE INFORMATION
SYSTEM. An integrated process for collecting,...
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27-52-3
Section 27-52-3 Additional powers; guidelines. (a) The commissioner shall, by regulation, establish
additional powers and duties of the plan and may adopt such rules as are necessary and proper
to implement this article. For the purpose of this section, the term "insurer" means
any entity covered by the Health Insurance Portability Act, including, but not limited to,
as the terms are defined in the Health Insurance Portability Act, a health insurance issuer,
a health maintenance organization and, notwithstanding Section 10-4-115, any health benefit
plan. In the case of a self-funded health benefit plan operating through a third party administrator,
the third party administrator shall be the insurer for the purpose of this section. The commissioner
may, by regulation, define health insurance premiums consistent with the purpose of this section.
(b) The regulations shall set forth coverage eligibility criteria consistent with the requirements
of Health Insurance Portability and...
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27-52-2
Section 27-52-2 Authority. The plan shall have the general powers and authority granted under
the laws of this state to health insurers and in addition thereto, the specific authority
to do all of the following: (1) Enter into contracts as are necessary or proper to carry out
the provisions and purposes of this article, including the authority, with the approval of
the commissioner, to enter into contracts with similar plans of other states for the joint
performance of common administrative functions, or with persons or other organizations for
the performance of administrative functions. (2) Sue or be sued, including taking any legal
actions necessary or proper to recover or collect assessments due the plan. (3) Take legal
action as necessary to do any of the following: a. To avoid the payment of improper claims
against the plan or the coverage provided by or through the plan. b. To recover any amounts
erroneously or improperly paid by the plan. c. To recover any amounts paid by the...
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