In this chapter,
- (1) "board" means the Public Employees' Retirement Board;
- (2) "claim" means a claim for benefits under the major medical insurance coverage provided under AS 39.35.535;
- (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 39.35, 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 39.35.050;
- (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.
(Eff. 5/28/99, Register 151)
Authority: AS 39.35.040, AS 39.35.535