Code of Alabama - Title 16: Education - Chapter 25A - Public Education Employees' Health Insurance

• Article 1 General Provisions.
• Section 16-25A-1 Definitions
  When used in this article, the following terms shall have the following meanings, respectively, unless the context clearly indicates otherwise: (1) EMPLOYEE. Any person covered...
• Section 16-25A-2 Public Education Employees' Health Insurance Board; membership, compensation, oath of office, officers, staff, etc
  (a) The Public Education Employees' Health Insurance Board shall consist of the members of the Board of Control of the Teachers' Retirement System of Alabama;...
• Section 16-25A-2.1 Board as body corporate for management of plan
  The Public Education Employees' Health Insurance Board shall constitute a body corporate for the purposes of management of the health insurance plan. The board shall...
• Section 16-25A-3 Board, employees not liable for good faith performance
  The members of the Public Employees' Health Insurance Board and their employees shall not be liable for punitive damages for acts arising out of the...
• Section 16-25A-4 Relationship between benefits and expenses; reasonable controls on utilization and for stability
  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...
• 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...
• Section 16-25A-5.1 Supplemental policy to provide secondary coverage for employees
  The board may, no later than January 1, 2006, offer employees a supplemental policy that provides secondary coverage to other employer group coverage. (1) For...
• Section 16-25A-5.2 Supplemental policy to provide secondary coverage for retirees
  The board may offer retirees a supplemental policy that provides secondary coverage to other employer group coverage and certain requirements shall be maintained regarding retiree...
• Section 16-25A-6 Exclusions
  Such health insurance shall not include the following: (1) Expenses incurred by or on account of an individual prior to the effective date of the...
• Section 16-25A-7 Authorization and execution of contracts; evidence of coverage; denial of claims
  (a) The board is hereby authorized to execute a contract or contracts to provide for the benefits or the administration of the plan determined in...
• Section 16-25A-8 Funding of health insurance plan; participation; Public Education Employees' Health Insurance Fund
  (a) The Public Education Employees' Health Insurance Board is hereby authorized to provide under the contract or contracts entered into under the provisions of this...
• Section 16-25A-8.1 Retiree contribution based on years of service
  (a) The board shall set forth the employer contribution to the health insurance premium for each retiree class. (b)(1) Except as provided in subdivision (2),...
• Section 16-25A-9 Eligible employees covered
  (a) All employees and, under certain conditions, retired employees as defined in Section 16-25A-1 at the time of adoption and execution by the board of...
• Section 16-25A-10 Payment to physician, hospital, etc., furnishing service or to insured
  Any benefits payable under the plan adopted may be paid either directly to the attending physician, hospital, medical group or other furnishing the service upon...
• Section 16-25A-11 Employees in Teachers' Retirement System may vote to be covered by article; election irrevocable; contribution by employer
  Any board, agency, organization, or association which participates in the Teachers' Retirement System of Alabama, but whose employees are not included in the definition of...
• Section 16-25A-12 Employees may elect not to participate; full state funding; subsequent election to participate
  (a) Any board of education, institution, or other employer with employees as defined by Section 16-25A-1, may, upon a majority vote of its employees, elect...
• Section 16-25A-13 Advisory committee
  REPEALED IN THE 2018 REGULAR SESSION BY ACT 2018-152 EFFECTIVE JUNE 1, 2018. THIS IS NOT IN THE CURRENT CODE SUPPLEMENT.
• Section 16-25A-14 Companies presently providing supplemental coverage to have access to payroll deduction
  All insurance companies presently providing hospital indemnity coverage, cancer insurance and dental coverage as supplemental coverage for the employees of any board of education, institution,...
• Section 16-25A-15 Rules and regulations
  The Public Education Employees' Health Insurance Board shall promulgate such rules and regulations as may be required for the effective administration of the provisions of...
• Section 16-25A-16
  Once the Legislature has fully funded the Public Education Employees' Health Insurance Program, the Public Education Employees' Health Insurance Board and the State Employees' Health...
• Section 16-25A-17 Partial funding of health insurance coverage for retired employees; method of determining amount; provisions supplemental
  (a)(1) Any premiums paid to the Public Education Employees' Health Insurance Board for active employees shall include an amount to partially fund the cost of...
• Section 16-25A-17.1 Assistance to low income employees and retirees
  The board shall provide assistance to low income employees and retirees who meet the federal poverty levels defined in this section, effective October 1, 2005,...
• Section 16-25A-18 Generic equivalent medications
  As a condition of participation in the Public Education Employees Health Insurance Programs (PEEHIP), a pharmacist shall dispense a generic equivalent medication to fill a...
• Section 16-25A-19 Maintenance of records; annual report
  The board shall maintain records in sufficient detail to accurately determine the total health insurance costs and the contributions toward health insurance premiums by employees...
• Section 16-25A-20 Submitting false information
  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...
• Section 16-25A-21 Flexible employees' benefits programs
  Employee premium contributions shall be deducted, by all employers, from payroll on a pretax basis as permitted under Section 125 of the Internal Revenue Code....
• Article 2 Public Education Flexible Emplpyees' Benefits Program.
• Section 16-25A-40 Legislative findings
  The Legislature finds that private employers have provided their employees with flexible employee benefit plans which provide a savings both to the employer and the...
• Section 16-25A-41 Definitions
  The following terms shall have the following meanings, unless the context clearly indicates otherwise: (1) BOARD. The Public Education Flexible Employees Benefit Board. (2) EMPLOYEE....
• Section 16-25A-42 Board creation
  (a) There is hereby created the Public Education Flexible Employees Benefit Board, which shall consist of the chair and vice chair of the Public Education...
• Section 16-25A-43 Establishment of flexible employee benefit plan; long-term care plan
  The board is authorized to establish a flexible employee benefit plan for employees in compliance with Section 125 and any other applicable sections of the...
• Section 16-25A-44 Participation of employees; purchase of benefits
  In order to carry out the provisions of the flexible employee benefit plan or any long-term care plan, or both, the head of each department,...
• Section 16-25A-45 Rules and regulations; contracts for services
  The board shall promulgate rules and regulations to implement the flexible benefits program, including, but not limited to, setting policies and requirements concerning the administration...
• Section 16-25A-46 Liability under article
  The board and the head of each department, agency, board of education, or other employer with employees as defined by Sections 16-25A-1 and 16-25A-11 and...
• Section 16-25A-47 Payroll deduction of contributions; applicability to local school boards
  Employee premium contributions shall be deducted from payroll by all employers on a pretax basis as permitted under Section 125 of the Internal Revenue Code....

Last modified: May 3, 2021