Ariz. Admin. Code § 2-8-401

Current through Register Vol. 30, No. 25, June 21, 2024

Section R2-8-401 - Definitions

The following definitions apply to this Article, unless otherwise specified:

1. "Appealable agency action" has the same meaning as in A.R.S. § 41-1092.

2. "Board" means, if established, a Committee designated by the Board to take action on appeals as described in A.R.S. § 38-714(E)(1) or, if a Committee is not established, the same as in A.R.S. § 38-711(6).

3. "Final administrative action" has the same meaning as in A.R.S. § 41-1092 and is rendered by the Board.

4. "Health Plan" means an arrangement under which ASRS engages a Health Plan Vendor for coverage for members and their eligible dependents for routine, preventive, and emergency health-care procedures, pharmaceuticals, dental, vision, or other services and benefits funded through an insurance policy in which the Health Plan Vendor processes and pays claims as an insurer, or a self-funded arrangement in which the Health Plan Vendor processes and pays claims using ASRS funds.

5. "Health Plan Vendor" means an entity that enters into a contract with ASRS to provide an insured Health Plan or to administer, process, and pay claims for a Health Plan self-insured by ASRS.

Ariz. Admin. Code § R2-8-401

New Section made by final rulemaking at 11 A.A.R. 444, effective January 4, 2005 (Supp. 05-1). Amended by final rulemaking at 21 A.A.R. 2515, effective 12/5/2015. Amended by final rulemaking at 23 A.A.R. 487, effective 4/8/2017. Amended by final rulemaking at 23 A.A.R. 2749, effective 11/13/2017. Amended by final rulemaking at 28 A.A.R. 223, effective 1/5/2022.