Ariz. Admin. Code § R2-8-301 - Definitions

The following definitions apply to this Article unless otherwise specified:

1. "Attending Physician" means a provider:

a. Who is a qualified medical provider or other legally qualified practitioner of a healing art that the claims administrator recognizes or is required by law to recognize;

b. Whose medical training and clinical experience are qualified to treat the member's disabling condition;

c. Whose diagnosis and treatment is consistent with the diagnosis of the disabling condition, according to guidelines established by medical, research, and rehabilitative organizations;

d. Who is licensed to practice in the jurisdiction where care is being given;

e. Who is practicing within the scope of the license; and

f. Who is not related to the member by blood or marriage.

2. "Direct Care" means the member is actively receiving treatment from a provider for the member's disability at least once per calendar year.

1.2. "Estimated Social Security disability income amount" means the same as in R2-8-801(2).

2. 3. "Legal proceeding" means an appeal of an appealable agency decision at the Office of Administrative Hearings pursuant to A.R.S. § 41-1092 et seq. or an appeal of a Social Security determination at the Social Security Administration, or any other review by a formal body, which determines the rights and responsibilities of the member or survivor.

3.4. "LTD" means the Long-Term Disability program described in A.R.S. § 38-797 et seq.

4. "LTD contribution" means the amount of funds the member remits to the ASRS from the member's compensation as payment for the LTD program.

5. "LTD benefit" means the amount of funds the member receives from the ASRS or the ASRS contracted LTD claims administrator, for the period of time a member has an eligible disability as described in A.R.S. § 38-797.07(A)(11).

6. "LTD contribution" means the amount of funds the member remits to the ASRS from the member's compensation as payment for the LTD program.

Notes

Ariz. Admin. Code § R2-8-301

New Section made by final rulemaking at 23 A.A.R. 2746, effective 11/13/2017. Amended by final rulemaking at 25 A.A.R. 2471, effective 11/3/2019.