Alabama Administrative Code
Title 482 - ALABAMA DEPARTMENT OF INSURANCE
Chapter 482-1-116 - ALABAMA SMALL EMPLOYER ALLOCATION PROGRAM
Section 482-1-116-.03 - Applicability And Scope

(1) Any portion of the premium or benefits is paid by or on behalf of the small employer.

(2) An eligible employee or dependent is reimbursed, whether through wage adjustments or otherwise, by or on behalf of the small employer for any portion of the premium.

(3) The health benefit plan is treated by the employer or any of the eligible employees or dependents as part of a plan or program for the purposes of Section 162, Section 125 or Section 106 of the United States Internal Revenue Code.

(4) The health benefit plan is marketed to individual employees through an employer.

(1) Except as provided in Subdivision (2), for the purposes of this Regulation, carriers that are affiliated companies or that are eligible to file a consolidated tax return shall be treated as one carrier and any restrictions or limitations imposed by this Regulation shall apply as if all health benefit plans delivered or issued for delivery to small employers in this state by such affiliated carriers were issued by one carrier.

(2) An affiliated carrier that is a health maintenance organization having a certificate of authority under Section 27-21A-1, et seq., Code of Ala. 1975, may be considered to be a separate carrier for the purposes of this Regulation.

Author: Reyn Norman, Associate Counsel