Any employee or retiree knowingly and willfully submitting materially false information to the board or engaging in fraudulent activity that causes financial harm to the plan may, upon a determination by the board: (1) repay all claims and other expenses, including an interest charge based on the applicable interest rate paid by the state under Section 40-1-44, incurred by the health insurance plan related to the intentional failure to comply with the rules and procedures of the board or the intentional submission of false or misleading information or fraudulent activity, and (2) may be subject to being disqualified from coverage under the plan.
Structure Code of Alabama
Chapter 25A - Public Education Employees' Health Insurance.
Article 1 - General Provisions.
Section 16-25A-1 - Definitions.
Section 16-25A-2.1 - Board as Body Corporate for Management of Plan.
Section 16-25A-3 - Board, Employees Not Liable for Good Faith Performance.
Section 16-25A-5.1 - Supplemental Policy to Provide Secondary Coverage for Employees.
Section 16-25A-5.2 - Supplemental Policy to Provide Secondary Coverage for Retirees.
Section 16-25A-6 - Exclusions.
Section 16-25A-7 - Authorization and Execution of Contracts; Evidence of Coverage; Denial of Claims.
Section 16-25A-8.1 - Retiree Contribution Based on Years of Service.
Section 16-25A-9 - Eligible Employees Covered.
Section 16-25A-10 - Payment to Physician, Hospital, etc., Furnishing Service or to Insured.
Section 16-25A-13 - Advisory Committee.
Section 16-25A-15 - Rules and Regulations.
Section 16-25A-17.1 - Assistance to Low Income Employees and Retirees.
Section 16-25A-18 - Generic Equivalent Medications.
Section 16-25A-19 - Maintenance of Records; Annual Report.