Section 27-1-1 – Short Title.
Section 27-1-1 Short title. This title constitutes the Alabama Insurance Code. (Acts 1971, No. 407, p. 707, §1.)
Section 27-1-10 – Payment for Health Services of Chiropractor; Insured to Have Exclusive Right to Select Practitioner of Healing Arts.
Section 27-1-10 Payment for health services of chiropractor; insured to have exclusive right to select practitioner of healing arts. Any contract or policy of insurance or any plan or agreement for health services providing for reimbursement or payment for health services performed by a medical doctor or physician or upon the certification of a medical […]
Section 27-1-10.1 – Insurance Coverage for Drugs to Treat Life-Threatening Illnesses.
Section 27-1-10.1 Insurance coverage for drugs to treat life-threatening illnesses. (a) The Legislature finds and declares the following: (1) The citizens of this state rely upon health insurance to cover the cost of obtaining health care and it is essential that the citizens’ expectation that their health care costs will be paid by their insurance […]
Section 27-1-11 – Dentists and Dental Hygienists as “Physicians” Under Health or Accident Insurance Policies.
Section 27-1-11 Dentists and dental hygienists as “physicians” under health or accident insurance policies. Whenever the terms “physician” and/or “doctor” are used in any policy of health or accident insurance issued in this state or in any contract for the provision of health care, services, or benefits issued by any health, medical or other service […]
Section 27-1-11.1 – Appropriations to Certain Universities Not to Be Considered in Patient Care Reimbursement.
Section 27-1-11.1 Appropriations to certain universities not to be considered in patient care reimbursement. Any appropriations made by the Legislature of Alabama to the University of Alabama in Birmingham and to the University of South Alabama shall be for the unrestricted support of the activities of the said university and therefore insurance companies, whether operated […]
Section 27-1-12 – Penalty for Violation of Title.
Section 27-1-12 Penalty for violation of title. Each willful violation of this title for which a greater penalty is not provided by another provision of this title or by other applicable laws of this state shall, in addition to any applicable prescribed denial, suspension, or revocation of certificate of authority or license, be punishable as […]
Section 27-1-13 – Existing Forms and Filings.
Section 27-1-13 Existing forms and filings. Every form of insurance document and every rate or other filing lawfully in use immediately prior to January 1, 1972, may continue to be so used or be effective until the commissioner otherwise prescribes pursuant to this title. (Acts 1971, No. 407, p. 707, §809.)
Section 27-1-14 – Preservation of Prior Rights, Obligations, Etc.
Section 27-1-14 Preservation of prior rights, obligations, etc. This title shall not impair or affect any act done, offense committed or right accruing, accrued, or acquired or liability, penalty, forfeiture, or punishment incurred prior to January 1, 1972, but the same may be enjoyed, asserted, enforced, prosecuted, or inflicted, as fully, and to the same […]
Section 27-1-15 – Payment for Services of Podiatrist.
Section 27-1-15 Payment for services of podiatrist. Notwithstanding any other provision of law, when any contract of health insurance or any plan or agreement for health services provides for the reimbursement or payment for services which are within the scope of a podiatrist’s professional license as defined in the general laws of Alabama, such policy […]
Section 27-1-16
Section 27-1-16 Standard health insurance claim form; electronic claims form; various claim forms. (a)(1) The Commissioner of the Department of Insurance shall prescribe a standard health insurance claim form to be used by all hospitals. The forms shall be prescribed in a format which allows for the use of generally accepted diagnosis and treatment coding […]
Section 27-1-17 – Limitation Periods for Payment of Claims; Overdue Claims; Retroactive Denials, Adjustments, etc.; Penalties.
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 […]
Section 27-1-17.1 – Payment of Providers Through Electronic Funds Transfer Methods.
Section 27-1-17.1 Payment of providers through electronic funds transfer methods. (a) As used in this section, the following words shall have the following meanings: (1) ACH ELECTRONIC FUNDS TRANSFER. An electronic funds transfer through the Health Insurance Portability and Accountability Act (HIPPA) standard Automated Clearing House network. (2) COVERED HEALTH CARE PROVIDER. A physician as […]
Section 27-1-18 – Contract Providing for Mental Health Services to Entitle Insured to Reimbursement for Outpatient and Inpatient Services by Qualified Psychiatrist or Psychologist.
Section 27-1-18 Contract providing for mental health services to entitle insured to reimbursement for outpatient and inpatient services by qualified psychiatrist or psychologist. (a) Whenever any group, or blanket hospital or medical expense insurance policy or hospital or medical service contract issued for delivery in this state provides for the reimbursement of health or health […]
Section 27-1-19 – Reimbursement of Health Care Providers.
Section 27-1-19 Reimbursement of health care providers. (a) The insured, or health or dental plan beneficiary may assign reimbursement for health or dental care services directly to the provider of services. Health benefits include medical, pharmacy, podiatric, chiropractic, optometric, durable medical equipment, and home care services. The company or agency, when authorized by the insured, […]
Section 27-1-2 – Definitions.
Section 27-1-2 Definitions. For the purposes of this title, the following terms shall have the meanings respectively ascribed to them by this section. (1) INSURANCE. A contract whereby one undertakes to indemnify another or pay or provide a specified amount or benefit upon determinable contingencies. (2) INSURER. Every person engaged as indemnitor, surety, or contractor […]
Section 27-1-20 – Patient Right to Know Act.
Section 27-1-20 Patient Right to Know Act. (a) This section shall be known and may be cited as the “Patient Right to Know Act.” (b) As used in this section, unless the context clearly indicates otherwise, the following words shall have the following meanings: (1) ENROLLEE. A person who purchases individual health care coverage or […]
Section 27-1-21 – Uniformity of Limits Applied to Fulfillment of Certain Drug Prescriptions.
Section 27-1-21 Uniformity of limits applied to fulfillment of certain drug prescriptions. (a) For the purposes of this section, the following words shall have the following meanings: (1) ENROLLEE. A person enrolled in a health benefit plan. (2) HEALTH BENEFIT PLAN. Any individual or group plan, policy, or contract for health care services issued, delivered, […]
Section 27-1-22 – Uniform Prescription Drug Information Card or Technology.
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 […]
Section 27-1-23 – Motor Vehicle Accidents by Certain Public Safety Officers.
Section 27-1-23 Motor vehicle accidents by certain public safety officers. (a) A personal auto insurance carrier of a full-time law enforcement officer or firefighter of a municipality or a county or the State of Alabama or a member of a volunteer fire department, volunteer rescue squad, or volunteer emergency medical service shall not consider any […]
Section 27-1-24 – Alabama Insurance Underwriting Association.
Section 27-1-24 Alabama Insurance Underwriting Association. (a) Every insurer authorized to write and engaged in writing, on a direct basis, fire and extended coverage insurance in Alabama shall be and remain a member of the Alabama Insurance Underwriting Association, an unincorporated nonprofit joint underwriting association organized in 1970 and in continuous existence from 1970 through […]