1. 1. A family with one member consists of:

   1. a. A non-pregnant child who does not live with:

      1. i. A parent;
      2. ii. A spouse;
      3. iii. An individual with whom the child has a common biological or adopted child;
      4. iv. A biological or adopted child; or
      5. v. A biological or adopted child of an individual with whom the child has a common biological or adopted child; or

   2. b. A non-pregnant individual who is at least age 19 who does not live with:

      1. i. A spouse;
      2. ii. An individual with whom the individual who is at least age 19 has a common biological or adopted child;
      3. iii. A biological or adopted child; or
      4. iv. A biological or adopted child of an individual with whom the individual who is at least age 19 has a common biological or adopted child.

2. 2. A family with two or more members consists of:

   1. a. An individual and:

      1. i. The biological or adopted children who live with the individual; and
      2. ii. If the individual or a child under subsection (2)(a)(i) is pregnant, each fetus;

   2. b. Two individuals, who have a common biological or adopted child and who live together, and:

      1. i. The common biological or adopted children living with the two individuals;
      2. ii. The biological or adopted children of either individual living with the two individuals; and
      3. iii. If an individual or a child under subsection (2)(b)(i) or subsection (2)(b)(ii) is pregnant, each fetus; or

   3. c. Two individuals, who are married to each other, who live together, and who do not have a common biological or adopted child, and

      1. i. The biological or adopted children of either individual living with the two individuals; and
      2. ii. If an individual or a child under subsection (2)(c)(i) is pregnant, each fetus.

A provider shall determine the family members of an uninsured individual seeking medical services.

Historical Note

New Section made by final rulemaking at 12 A.A.R. 3990, effective December 4, 2006 (Supp. 06-4).