2 AAC 39.690. Definitions

In this chapter,

(1) "board" means the Alaska Teachers' Retirement;

(2) "claim" means a claim for benefits under the major medical insurance coverage provided under AS 14.25.168 ;

(3) "claims payer" means the third-party administrator of benefit claims and payments under a contract entered into by the plan administrator under AS 39.30.090 - 39.30.095;

(4) "day" means a calendar day;

(5) "enrollee" means a person receiving medical coverage under any provision of AS 14.25, or the legal guardian of such a person;

(6) "independent review organization" means an impartial health organization selected by the plan administrator to provide medical reviews of cases at the request of the plan administrator;

(7) "plan administrator" means the administrator appointed by the commissioner of administration under AS 14.25.015 ;

(8) "qualified hearing officer" means a person experienced in rendering decisions as a neutral decision-maker, and may include an employee of the state or a state agency other than the division of retirement and benefits in the Department of Administration.

History: Eff. 5/27/99, Register 151

Authority: AS 14.25.035

AS 14.25.168

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