Section 27-56-7 – Applicability to Certain Providers.
Section 27-56-7 Applicability to certain providers. (a) This chapter does not require and shall not be construed to require any insurance policy, plan, or contract to provide health care coverage for eye care. The provisions of this chapter are applicable only to those insurance policies, plans, or contracts which provide coverage for eye care. (b) […]
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 27-55-1 – Short Title.
Section 27-55-1 Short title. This chapter shall be known as and may be cited as the Domestic Abuse Insurance Protection Act. (Act 2000-595, p. 1185, §1.)
Section 27-56-8 – Implementation of Coverage.
Section 27-56-8 Implementation of coverage. (a) Any insurance policy, plan, or contract that provides coverage for eye care services may contain provisions for maximum benefits and coinsurance limitations, deductibles, exclusions, and utilization review protocols to the extent that these provisions are not inconsistent with the requirements of this chapter. (b) If eye care coverage is […]
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 27-55-2 – Definitions.
Section 27-55-2 Definitions. As used in this chapter, these terms shall have the following meanings: (1) ABUSE. The occurrence of one or more of the following acts by a family or household member, as defined by subdivision (3) of subsection (b) of Section 15-10-3: a. Attempting to cause or intentionally, knowingly, or recklessly causing another […]
Section 27-56-9 – Scope of Practice.
Section 27-56-9 Scope of practice. Nothing in this chapter shall be construed to expand the scope of practice for any eye care provider. (Act 2001-477, p. 640, § 11.)
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 27-55-3 – Prohibited Practices; Disclosure of Information.
Section 27-55-3 Prohibited practices; disclosure of information. (a) No insurer may: (1) Deny, refuse to issue, renew, or reissue, cancel, or otherwise terminate, restrict, or exclude coverage on an insurance policy or health benefit plan on the basis of an applicant’s or insured’s abuse status, or on the basis of any association, relationship, or assistance […]
Section 27-56-10 – Vision Care Providers – Contract Requirements; Rates; Reimbursements; Discounts.
Section 27-56-10 Vision care providers – Contract requirements; rates; reimbursements; discounts. (a) As used in this section, the following words shall have the following meanings: (1) CONTRACTUAL DISCOUNT. A percentage reduction from a provider’s usual and customary rate for covered services and materials required under a participating provider agreement. (2) COVERED MATERIALS. Materials for which […]