The health insurance plan provided for in this article shall be designed by the board to provide a reasonable relationship between the hospital, surgical, and medical benefits to be included and the expected hospital, surgical, and medical expenses to be incurred by the affected employee and retiree and dependents and to include reasonable controls, which may include, but are not limited to, deductible, copayment, coinsurance, and other cost containment measures to prevent unnecessary utilization of the various hospital, surgical, and medical services available and to provide reasonable assurance of stability in future years for 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.