reglab/housing_qa huggingface dataset:
AL Code § 16-25A-12 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 1 - General Provisions.|Section 16-25A-12 - Employees May Elect Not to Participate; Full State Funding; Subsequent Election to Participate.

Section 16-25A-12Employees 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 not to participate in the basic medical plan authorized by the provisions of this article; provided, however, that for any fiscal year ending September 30 the Legislature appropriates the full amount certified pursuant to Section 16-25A-8(b), the board shall declare the plan of insurance coverage to be fully state-funded whereupon all employees of any board of education, institution, or other employer as defined hereinabove shall for that fiscal year and all subsequent fiscal years be declared members of the Public Education Employees' Health Insurance Plan. (b) Any employer electing not to participate in the basic medical plan shall certify to the board the names of their employees otherwise electing hospital/medical coverage. The board shall disburse monthly to each employer so electing, the amount appropriated per individual by the Legislature so certified in accordance with such rules and regulations as the board shall adopt; such amount shall be used to purchase plan(s) as approved by election of the majority of the participating employees; provided, however, any funds not so used in the fiscal year shall revert to the fund. (c) Once an employer has elected not to participate in the basic medical plan authorized by this article, such employer may subsequently elect, under such rules and regulations and at such times as the board shall prescribe, to participate in the basic medical plan authorized by this article; participation, once elected, is irrevocable. (Acts 1983, No. 83-455, p. 640, §12.)
AL Code § 16-25A-13 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 1 - General Provisions.|Section 16-25A-13 - Advisory Committee.

Section 16-25A-13Advisory committee. REPEALED IN THE 2018 REGULAR SESSION BY ACT 2018-152 EFFECTIVE JUNE 1, 2018. THIS IS NOT IN THE CURRENT CODE SUPPLEMENT. (Acts 1983, No. 83-455, p. 640, §13.)
AL Code § 16-25A-14 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 1 - General Provisions.|Section 16-25A-14 - Companies Presently Providing Supplemental Coverage to Have Access to Payroll Deduction.

Section 16-25A-14Companies 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, or other employer as defined in Section 16-25A-1 at July 14, 1983, shall have access to payroll deduction. (Acts 1983, No. 83-455, p. 640, §14.)
AL Code § 16-25A-15 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 1 - General Provisions.|Section 16-25A-15 - Rules and Regulations.

Section 16-25A-15Rules 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 this article. (Acts 1983, No. 83-455, p. 640, §15.)
AL Code § 16-25A-16 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 1 - General Provisions.|Section 16-25A-16

Section 16-25A-16Coordination with State Employees' Health Insurance Board. 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 Insurance Board shall coordinate and equalize benefits so that both groups shall be insured and funded equally. (Acts 1983, No. 83-455, p. 640, §16.)
AL Code § 16-25A-17 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 1 - General Provisions.|Section 16-25A-17 - Partial Funding of Health Insurance Coverage for Retired Employees; Method of Determining Amount; Provisions Supplemental.

Section 16-25A-17Partial 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 coverage for retired employees. Notwithstanding the foregoing, if the plan becomes fully funded pursuant to this article, this section shall not apply. (2) The amount authorized by subdivision (1) of this subsection shall not be less than an amount determined by multiplying the number of retired employees by an individual retired employee rate. The individual retired employee rate shall be determined by multiplying the full cost of coverage for a retired employee eligible to receive benefits under the federal Medicare program times the fractional amount derived by dividing the current individual premium for an employee not eligible for benefits under the federal Medicare program by the full cost of coverage for an employee not eligible to receive benefits under the federal Medicare program. The Public Education Employees' Health Insurance Board may provide additional premium payments for retirees in addition to the minimum amount guaranteed herein to the extent that it does not exceed the amount of their premium as established by the board. Any additional funding for premium amounts which may be provided to retirees with individual coverage who are not eligible for benefits under the federal Medicare program by the Public Education Employees' Health Insurance Board shall not have the effect of reducing the out-of-pocket cost below the total out-of-pocket cost paid by retirees with individual coverage who are eligible for benefits under the federal Medicare program. The total out-of-pocket cost for the retirees with individual coverage who are eligible for benefits under the federal Medicare program shall be determined by the combined cost of part B of the federal Medicare program and the Medicare supplement program provided by the Public Education Employees' Health Insurance Program. (3) Any premium payments made pursuant to this section shall be deposited in the same fund and handled pursuant to the same manner as if made under this article. (b) This section is supplemental and shall be construed in pari materia with other statutes relating to health insurance coverage for educational personnel. (Acts 1984, No. 84-284, p. 491, §2; Acts 1995, No. 95-538, p. 1100, §13; Acts 1996, No. 96-373, p. 457, §1.)
AL Code § 16-25A-17.1 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 1 - General Provisions.|Section 16-25A-17.1 - Assistance to Low Income Employees and Retirees.

Section 16-25A-17.1Assistance 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, and for each fiscal year thereafter.  (1) For employees and retirees who contribute to the cost of their health insurance premium and with annual income (determined as provided below on an aggregate basis for an employee or retiree and spouse) equal to or below 300 percent of the federal poverty level, the employee or retiree contribution shall be reduced as follows:  a. For employees or retirees with annual income equal to or less than 100 percent of the federal poverty level, the employee contribution will be calculated using 50 percent of the applicable premium. b. For employees or retirees with annual income equal to or less than 150 percent of the federal poverty level, but more than 100 percent of the federal poverty level, the employee contribution will be calculated using 60 percent of the applicable premium.  c. For employees or retirees with annual income equal to or less than 200 percent of the federal poverty level, but more than 150 percent of the federal poverty level, the employee contribution will be calculated using 70 percent of the applicable premium.  d. For employees or retirees with annual income equal to or less than 250 percent of the federal poverty level, but more than 200 percent of the federal poverty level, the employee contribution will be calculated using 80 percent of the applicable premium.  e. For employees or retirees with annual income equal to or less than 300 percent of the federal poverty level, but more than 250 percent of the federal poverty level, the employee contribution will be calculated using 90 percent of the applicable premium.  (2) An application procedure shall be devised and implemented by the board through which employees and retirees may apply for the federal poverty level assistance described in this section. For purposes of applying for federal poverty level assistance, the annual income of an employee or retiree shall be aggregated with the annual income of the spouse of such employee or retiree and shall include all sources of income including, but not limited to, wages, pension benefits, and Social Security benefits, that may be included in gross income for purposes of federal income taxation. Applicants must submit with their application a copy of their federal tax return and, if the applicant did not file a joint return with his or her spouse, a copy of the spouse's federal tax return. Any reduction in an employee's or retiree's contribution pursuant to this section shall not be considered income of the employee or retiree for purposes of determining Medicaid eligibility for such employee or retiree.  (Act 2004-646, 1st Sp. Sess., p. 6, §4; Act 2011-704, p. 2178, §1.)
AL Code § 16-25A-18 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 1 - General Provisions.|Section 16-25A-18 - Generic Equivalent Medications.

Section 16-25A-18Generic 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 prescription for a patient covered by PEEHIP when one is available unless the physician indicates in longhand writing on the prescription, indicates by mark or signature in the appropriate place on the prescription, or indicates in an electronic prescription, the following: "medically necessary" or "dispense as written" or "do not substitute". The generic equivalent drug product dispensed shall be pharmaceutically and therapeutically equivalent and contain the same active ingredient or ingredients, and shall be of the same dosage, form, and strength. (Act 2002-266, p. 549, §1; Act 2016-304, §1.)
AL Code § 16-25A-19 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 1 - General Provisions.|Section 16-25A-19 - Maintenance of Records; Annual Report.

Section 16-25A-19Maintenance 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 and retirees, separately and in composite form. Not later than 90 days after the end of each fiscal year the board shall prepare a written report that contains a calculation of the total cost of health insurance premiums for such fiscal year and the amount of contributions by employees and retirees to the cost of such health insurance premiums and the cost of such coverage that shall be paid by the employer for the next fiscal year and the total savings to the state realized by the enactment of Act 2004-646, Act 2004-647, Act 2004-648, Act 2004-649, and Act 2004-650 in the First Special Session of 2004. Such report shall contain sufficient detail to determine the total cost of health insurance premiums for each class of employees or retirees and the amount of contributions by each class of employees or retirees. Such report shall be prepared or verified by an independent firm employed by the board with skill and experience in reporting for such matters.  (Act 2004-646, 1st Sp. Sess., p. 6, §4.)
AL Code § 16-25A-20 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 1 - General Provisions.|Section 16-25A-20 - Submitting False Information.

Section 16-25A-20Submitting 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 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.  (Act 2004-646, 1st Sp. Sess., p. 6, §4; Act 2011-704, p. 2178, §1.)
AL Code § 16-25A-21 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 1 - General Provisions.|Section 16-25A-21 - Flexible Employees' Benefits Programs.

Section 16-25A-21Flexible 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. The board is authorized to transfer the necessary funds from the Public Education Employees' Health Insurance Plan to the fund established by the Public Education Flexible Employees Benefit Board for the administration of the Public Education Flexible Employees Benefits Program. All public education employees shall be offered flexible spending accounts by employers for pretax deductions for medical and childcare expenses.  (Act 2004-646, 1st Sp. Sess., p. 6, §4.)
AL Code § 16-25A-40 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 2 - Public Education Flexible Emplpyees' Benefits Program.|Section 16-25A-40 - Legislative Findings.

Section 16-25A-40Legislative 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 employee, and that the State of Alabama, its departments and agencies, may provide the same tax-effective benefits to its public education employees. It is, therefore, the intent of the Legislature to provide for the establishment of one statewide, universal "cafeteria plan" or flexible employee benefit plan to be made available to all employees in public education in compliance with the Internal Revenue Code of 1986, and to implement the plan in accordance with the rules and regulations established by the Public Education Flexible Employees' Benefit Board created by this article. (Act 2004-650, 1st Sp. Sess., p. 31, §1.)
AL Code § 16-25A-41 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 2 - Public Education Flexible Emplpyees' Benefits Program.|Section 16-25A-41 - Definitions.

Section 16-25A-41Definitions. 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. Any person employed by a state or local board of education, postsecondary institution, or other employer with employees as defined by Sections 16-25A-1 and 16-25A-11 participating in a state health insurance program. (3) EMPLOYER. Any local board of education within the State of Alabama or other public institution of education within the state that provides instruction at any combination of grades K-14 exclusively, under the auspices of the State Board of Education, or the Alabama Institute for Deaf and Blind, or entities whose employees are covered by the Public Education Employees' Health Insurance Plan pursuant to Section 16-25A-11. (4) INTERNAL REVENUE CODE. The Internal Revenue Code of 1986, as amended. (5) PARTICIPATING EMPLOYEE. An employee who elects to participate in the flexible benefit plan and meets the requirements set forth in the plan. (6) SALARY REDUCTION AGREEMENT. A written agreement between a participating employee and a state agency, department, board of education, institution, or other employer with employees as defined by Section 16-25A-1, whereby the employee agrees to reduce his or her salary by a stated amount, or an amount equal to the cost of benefits selected under a flexible employee benefit plan, and the state agency, department, board of education, or other employer with employees as defined by Section 16-25A-11 agrees to contribute such amounts to cover the cost of benefits selected by the participating employee, including related administrative expenses. (Act 2004-650, 1st Sp. Sess., p. 31, §2.)
AL Code § 16-25A-42 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 2 - Public Education Flexible Emplpyees' Benefits Program.|Section 16-25A-42 - Board Creation.

Section 16-25A-42Board 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 Employees' Health Insurance Board and three members of the Public Education Employees' Health Insurance Board, one of whom shall be the Director of Finance. Two members of the Public Education Employees' Health Insurance Board shall be elected from the Public Education Employees' Health Insurance Board's membership as members of the Public Education Flexible Employees' Benefit Board. The individuals presently holding the offices shall constitute the initial membership of the board, and their successors in office, by virtue of assuming such office, shall succeed to membership on the board. The Director of Finance may designate a person to attend the meetings from time to time and to vote in his or her absence. (b) The board shall elect one of its members as chair of the board and another as vice chair and shall also elect a secretary who need not be a member of the board. The chair, vice chair, and the secretary shall serve as officers at the pleasure of the board. A majority of the members of the board shall constitute a quorum and the affirmative vote of a majority of those members present shall be necessary for any action taken by the board. No vacancy in the membership of the board shall impair the right of a quorum to exercise all rights and perform all duties of the board. (Act 2004-650, 1st Sp. Sess., p. 31, §3.)
AL Code § 16-25A-43 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 2 - Public Education Flexible Emplpyees' Benefits Program.|Section 16-25A-43 - Establishment of Flexible Employee Benefit Plan; Long-Term Care Plan.

Section 16-25A-43Establishment 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 Internal Revenue Code. The flexible employee benefit plan may provide for payments or salary reductions for qualified benefits in accordance with Section 125 of the Internal Revenue Code, which presently include health insurance premiums, group life insurance, disability insurance, supplemental health and accident insurance, dependent care expenses, and such other types of employee benefits permitted under Section 125 and any other applicable sections of the Internal Revenue Code. Furthermore, the board may establish a long-term care plan for employees. (Act 2004-650, 1st Sp. Sess., p. 31, §4.)
AL Code § 16-25A-44 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 2 - Public Education Flexible Emplpyees' Benefits Program.|Section 16-25A-44 - Participation of Employees; Purchase of Benefits.

Section 16-25A-44Participation 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, agency, board of education, or other employer with employees as defined by Section 16-25A-1 shall provide, at no local administrative cost to the employee, the flexible employee benefit plan as provided for in this article to every employee and is authorized on behalf of the state to deduct or reduce from salary or wages amounts voluntarily designated by the employees pursuant to salary reduction agreements or benefit deduction agreements for purchasing benefits offered under the plan and such reduction from salary and wages shall be remitted to the board for administration of the program. Employers with employees as defined by Section 16-25A-11 must offer such benefits as required by and under such conditions as established by the board. (Act 2004-650, 1st Sp. Sess., p. 31, §5.)
AL Code § 16-25A-45 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 2 - Public Education Flexible Emplpyees' Benefits Program.|Section 16-25A-45 - Rules and Regulations; Contracts for Services.

Section 16-25A-45Rules 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 of employee payments, amounts deducted pursuant to salary reduction agreements, and advances from the Public Employees' Health Insurance Plan and appropriations, if any. The board may contract for services with the Flexible Employees' Benefit Board for the first year of operation of the plan regarding pretax deductions for the payment of employee health insurance premium payments authorized by the board and may contract for services with the Flexible Employees' Benefit Board or other entities in subsequent years. The board may contract for necessary services to implement the flexible benefits program including, but not limited to, the administration of salary reduction agreements and non-health insurance premium components of the flexible benefits plan. (Act 2004-650, 1st Sp. Sess., p. 31, §6.)
AL Code § 16-25A-46 (2021)
2021 Code of Alabama|Title 16 - Education.|Chapter 25A - Public Education Employees' Health Insurance.|Article 2 - Public Education Flexible Emplpyees' Benefits Program.|Section 16-25A-46 - Liability Under Article.

Section 16-25A-46Liability 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 their employees shall not incur any liability to any employee for errors or omissions in the performance of any agreement authorized by this article. (Act 2004-650, 1st Sp. Sess., p. 31, §7.)