Code of Alabama
Article 1 - General Provisions.
Section 16-25A-5 - Authorization for Health Insurance Plan; Election of Optional or Supplemental Coverage.

(a) The board is hereby empowered and authorized to establish a fully insured or self-insured health insurance plan for employees and, under certain conditions, retired employees and to adopt and promulgate rules and regulations for the administration of such plan subject to such limitations as may be contained in this article. Such plan may provide for group hospitalization, surgical, medical, cancer, cash indemnity, and dental insurance against the financial costs of hospitalization, surgical, and medical treatment and care and may also include, among other things, prescribed drugs, medicines, prosthetic appliances, hospital inpatient and outpatient service benefits, and hospital/medical expenses indemnity benefits, including major medical benefits or such other coverage or benefits as may be deemed appropriate and desirable by the board, within the limits of such funds as may be available.
(b) Any member employee or, under certain conditions, retired employee may elect an optional or supplemental coverage provided by the board which shall include but is not limited to dental, cancer, or indemnity benefits. Such election shall be in accordance with the rules and regulations and at such times as the board shall prescribe. Election of an optional or supplemental coverage shall be in lieu of primary coverage under the basic medical plan, provided any individual covered under the basic medical plan may elect an optional coverage upon agreeing to pay the costs of such coverage. Any member employee or retired employee who does not elect an optional or supplemental coverage shall be deemed as a matter of law to have elected basic medical primary coverage.

Structure Code of Alabama

Code of Alabama

Title 16 - Education.

Chapter 25A - Public Education Employees' Health Insurance.

Article 1 - General Provisions.

Section 16-25A-1 - Definitions.

Section 16-25A-2 - Public Education Employees' Health Insurance Board; Membership, Compensation, Oath of Office, Officers, Staff, Etc.

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-4 - Relationship Between Benefits and Expenses; Reasonable Controls on Utilization and for Stability.

Section 16-25A-5 - Authorization for Health Insurance Plan; Election of Optional or Supplemental Coverage.

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 - Funding of Health Insurance Plan; Participation; Public Education Employees' Health Insurance Fund.

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-11 - Employees in Teachers' Retirement System May Vote to Be Covered by Article; Election Irrevocable; Contribution by Employer.

Section 16-25A-12 - Employees May Elect Not to Participate; Full State Funding; Subsequent Election to Participate.

Section 16-25A-13 - Advisory Committee.

Section 16-25A-14 - Companies Presently Providing Supplemental Coverage to Have Access to Payroll Deduction.

Section 16-25A-15 - Rules and Regulations.

Section 16-25A-16

Section 16-25A-17 - Partial Funding of Health Insurance Coverage for Retired Employees; Method of Determining Amount; Provisions Supplemental.

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.

Section 16-25A-20 - Submitting False Information.

Section 16-25A-21 - Flexible Employees' Benefits Programs.