Alabama § 16-25A-4 Relationship Between Benefits and Expenses; Reasonable Controls on Utilization and for Stability

Alabama Statutes

§ 16-25A-4 — Relationship Between Benefits and Expenses; Reasonable Controls on Utilization and for Stability

Alabama·Title 16 Education·Ch. 25A Public Education Employees’ Health Insurance·Art. 1 General Provisions

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.

Free access — add to your briefcase to read the full text and ask questions with AI

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.

Alabama § 16-25A-4 (Relationship Between Benefits and Expenses; Reasonable Controls on Utilization and for Stability) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.