Section 27-19A-1 – Scope of Chapter.
Section 27-19A-1 Scope of chapter. This chapter shall apply to health insurance and employee benefit plans providing for dental care services. (Acts 1984, No. 84-411, p. 960, §1.)
Section 27-19A-10 – Duty of Commissioner to Enforce Chapter.
Section 27-19A-10 Duty of commissioner to enforce chapter. It shall be the duty and responsibility of the Commissioner of Insurance to enforce the provisions of this chapter. (Acts 1984, No. 84-411, p. 960, §9.)
Section 27-19A-11 – Penalty for Violations.
Section 27-19A-11 Penalty for violations. Each willful violation of the provisions of this chapter shall be punishable as provided in Section 27-1-12. (Acts 1984, No. 84-411, p. 960, §10.)
Section 27-19A-12 – Dental Services – Coverages; Fees; Exceptions.
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 […]
Section 27-19A-2 – Definitions.
Section 27-19A-2 Definitions. As used in this chapter, the following terms shall have the respective meanings herein set forth, unless the context shall otherwise require: (1) ALABAMA INSURANCE CODE. Title 27 of the Code of Alabama 1975. (2) INSURER. Such term shall have the meaning ascribed in Section 27-1-2. (3) PERSON. Such term shall have […]
Section 27-19A-3 – Prohibited Provisions.
Section 27-19A-3 Prohibited provisions. No health insurance policy or employee benefit plan which is delivered, renewed, issued for delivery, or otherwise contracted for in this state shall: (1) Prevent any person who is a party to or beneficiary of any such health insurance policy or employee benefit plan from selecting the dentist of his choice […]
Section 27-19A-4 – Required Provisions.
Section 27-19A-4 Required provisions. Any health insurance policy or employee benefit plan which is delivered, renewed, issued for delivery, or otherwise contracted for in this state shall, to the extent that it provides benefits for dental care expenses: (1) Disclose, if applicable, that the benefit offered is limited to the least costly treatment; (2) Define […]
Section 27-19A-5 – Provisions Contrary to Chapter.
Section 27-19A-5 Provisions contrary to chapter. Any provision in a health insurance policy or employee benefit plan which is delivered, renewed, issued for delivery, or otherwise contracted for in this state which is contrary to this chapter shall to the extent of such conflict be void. (Acts 1984, No. 84-411, p. 960, §4.)
Section 27-19A-6 – Dental Benefits Not Required.
Section 27-19A-6 Dental benefits not required. The provisions of this chapter do not mandate that any type of benefits for dental care expenses be provided by a health insurance policy or an employee benefit plan. (Acts 1984, No. 84-411, p. 960, §5.)
Section 27-19A-7 – Contracting Directly With Patient; Distribution of Information About Policy or Plan; Payment and Reimbursement Procedures.
Section 27-19A-7 Contracting directly with patient; distribution of information about policy or plan; payment and reimbursement procedures. The provisions of this chapter do not prohibit the following conduct and shall be construed to provide that: (1) A dentist may contract directly with a patient for the furnishing of dental care services to said patient as […]
Section 27-19A-8 – Plans Not in Conformance With Chapter Unlawful.
Section 27-19A-8 Plans not in conformance with chapter unlawful. It shall be unlawful for any insurer or any person to provide any health insurance policy or employee benefit plan providing for dental care services that does not conform to the provisions of this chapter. (Acts 1984, No. 84-411, p. 960, §7.)
Section 27-19A-9 – Nonconforming Policies and Plans Not to Be Approved by Commissioner.
Section 27-19A-9 Nonconforming policies and plans not to be approved by commissioner. The Commissioner of Insurance shall not approve for sale in this state any health insurance policy or employee benefit plan providing for dental care services which does not conform to the provisions of this chapter or to the provisions of Sections 27-14-8 and […]