Section 27-52-21 – Commissioner of Insurance; Benefits Offered to Small Employers; “Small Employer” Defined.
Section 27-52-21 Commissioner of Insurance; benefits offered to small employers; “small employer” defined. (a) The Commissioner of Insurance shall, by regulation, establish the conditions, restrictions, requirements, and plan of operation of the Alabama Small Employer Allocation Program consistent with the requirements of the Health Insurance Portability and Accountability Act of 1996 and any and all […]
Section 27-52-30 – Consultation With State Board of Health.
Section 27-52-30 Consultation with State Board of Health. The commissioner shall consult with the State Board of Health on all aspects related to the provision of medical services under the Alabama Health Insurance Plan and the Alabama Small Employer Allocation Program established under this chapter. All regulations, bylaws, policies, guidelines, or directives issued by the […]
Section 27-52-3 – Additional Powers; Guidelines.
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 […]
Section 27-52-4 – Coverage.
Section 27-52-4 Coverage. The plan shall offer health care coverage consistent with major medical expense coverage to every eligible person who is not eligible for Medicare. The coverage to be issued by the plan, its schedule of benefits, exclusions, and other limitations shall be established by the plan, which plan benefits shall be inclusive of […]
Section 27-52-5 – Liability of Plan.
Section 27-52-5 Liability of plan. Neither the establishment of rates, forms, or procedures nor any other joint or collective action required by this article shall be the basis of any legal action, criminal or civil liability, or penalty against the plan. (Acts 1997, No. 97-713, p. 1476, §5.)
Section 27-52-6 – Exemptions.
Section 27-52-6 Exemptions. The plan established pursuant to this article shall be exempt from payment of all fees and all taxes levied by this state or any of its subdivisions. If the Commissioner of Insurance enters into a contract with one or more third parties to provide any or all of the services in the […]
Section 27-52-20 – Alabama Small Employer Allocation Program Created.
Section 27-52-20 Alabama Small Employer Allocation Program created. There is hereby created the Alabama Small Employer Allocation Program which shall promote the availability of health insurance coverage to small employers regardless of their health status or claims experience, to prevent abusive rating practices, to prevent segmentation of the health insurance market based upon health risk, […]
Section 27-52-1 – Creation; Cessation and Reestablishment of Operations.
Section 27-52-1 Creation; cessation and reestablishment of operations. (a) There is hereby created the Alabama Health Insurance Plan which shall, as a high risk pool in the State of Alabama, provide health insurance coverage to eligible individuals as an alternative to requiring insurers to offer guaranteed-issue policies, as provided in the Health Insurance Portability and […]
Section 27-52-2 – Authority.
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 […]