Title 2 — Title 2
0 chapters · 1,215 sections in this title.
Ala. Code § 2-33-1 Definitions
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For purposes of this chapter, the following words have the following meanings: (1) HEALTH BENEFITS. Health benefits that meet all of the following conditions: a. Are sponsored by a nonprofit agricultural organization or an affiliate of the organization. b. Are offered only to eit…
Ala. Code § 2-33-10 Prompt Payment for Services Rendered to Enrollees
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Any health benefits offered by a nonprofit agricultural organization shall ensure prompt payment for services rendered to enrollees. Notwithstanding Section 2-33- 4, a nonprofit agricultural organization providing health benefits shall be subject to Section 27-1-17. History: (Act…
Ala. Code § 2-33-11 Taxation of Premiums
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(a) Premiums collected under this chapter shall be taxed at the rate of 1.3 percent per annum based on the premiums collected by the nonprofit agricultural organization. The return and payment of the tax shall be due to the Department of Insurance on a biannual basis and shall be…
Ala. Code § 2-33-2 Offer and Sale of Health Benefits by Nonprofit Agricultural Organization
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or Affiliate. (a) A nonprofit agricultural organization or an affiliate of the organization may offer in this state health benefits. (b) Health benefits offered under this chapter shall include coverage for all of the following: (1) Ambulatory patient services. (2) Hospitalizatio…
Ala. Code § 2-33-3 Written Notice Requirements
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(a) A nonprofit agricultural organization that offers health benefits shall provide to an individual applying for health benefits written notice that the benefits are not provided through an insurance policy or other product the offering or issuance of which is regulated as the b…
Ala. Code § 2-33-4 Nature of Nonprofit Agricultural Organization Offering Health Benefits
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Notwithstanding any provision of Title 27 or Article 6 of Chapter 20 of Title 10A, for the purposes of offering health benefits, a nonprofit agricultural organization that acts in accordance with this chapter is not a health insurer and is not engaging in the business of health i…
Ala. Code § 2-33-5 Health Benefits Contracts; Participant Certification
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(a) Health benefits contracts provided under this chapter shall not be subject to individual post-claim medical underwriting while coverage remains in effect, and no member covered under a health benefits contract provided under this chapter shall be subject to cancellation, nonr…
Ala. Code § 2-33-6 Annual Certification of Plan Reserves
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A nonprofit agricultural organization that offers health benefits shall annually file with the Department of Insurance a written, signed opinion of a qualified actuary that certifies that the plan reserves of the nonprofit agricultural organization and its affiliates are adequate…
Ala. Code § 2-33-7 Ombudsman; Complaints
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(a) In consultation with the Department of Insurance, a nonprofit agricultural organization that offers health benefits shall designate an individual to serve as an ombudsman to respond to concerns from nonprofit agricultural organization members pursuant to a complaint procedure…
Ala. Code § 2-33-8 Transfer of Risks
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A nonprofit agricultural organization that offers health benefits under this chapter shall contract with an entity or entities authorized to engage in the business of insurance in this state which is not under common control with the nonprofit agricultural organization in order t…
Ala. Code § 2-33-9 Services to Be Provided by In-Network Providers; Payment for Out-of-
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Network Services. (a) A nonprofit agricultural organization providing health benefits shall ensure that all covered services are provided by in-network providers whenever possible. (b) In emergency situations where an out-of-network provider delivers emergency care, the nonprofit…