Section R20-6-1002. Definitions

The definitions in A.R.S. § 20-1691 and the following definitions apply in this Article.

1.        “Incidental” means that the value of the long-term care benefits provided is less than 10% of the total value of the benefits provided over the life of the policy, with value measured as of the date of issue.

2.        “Long-term care benefit classification” means one of the following:

a.         Institutional long-term care – benefits only;

b.        Non-institutional long-term care – benefits only; or

c.         Comprehensive long-term care benefits.

3.        “Managed care plan” means a health care or assisted liv- ing agreement designed to coordinate patient care or con- trol costs through utilization review, case management, use of specific provider networks, or a combination of these methods.

4.        “Personal information” has the same meaning prescribed in A.R.S. § 20-2102(19).

5.        “Privileged information” has the same meaning pre- scribed in A.R.S. § 20-2102(22).

6.        “Qualified actuary” means a member in good standing of the American Academy of Actuaries.

7.        “Similar policy forms” means all long-term care insur- ance policies and certificates that are issued by a particu- lar insurer and that have the same long-term care benefit classification as a policy form being reviewed.

Historical Note

Adopted effective August 10, 1992 (Supp. 92-3). R20-6-

1002 recodified from R4-14-1002 (Supp. 95-1).

Amended by final rulemaking at 10 A.A.R. 4661, effec- tive January 3, 2005 (Supp. 04-4).