enrollee

Results for enrollee

Summary:

No provider of health care, health care service plan, or contractor shall disclose medical information regarding a patient of the provider of health care or an enrollee or subscriber of a health care service plan without first obtaining an authorization, except as provided in subdivision (b) or (c).

Associated Federal Law(s): 
164.502(a)
Summary:

A member of the State Teachers' Retirement System shall provide medical documentation to show qualification for the disability allowance.

Summary:

On receipt of an application for disability allowance, the State Teachers' Retirement System may order a medical examination of a member to determine whether the member is incapacitated for performance of service. The medical examination shall be conducted by a physician selected by the Teachers' Retirement Board, with expertise in the member's disability. If the member refuses to submit to the required medical examination, the application for disability allowance shall be rejected.

Summary:

The State Teachers' Retirement System may reject the disability allowance application if the member fails to provide requested medical documentation to substantiate a disability, within 45 days from the date of the request or within 30 days from the time that a legally designated representative is empowered to act on behalf of a member who is mentally or physically incapacitated.

Summary:

In determining whether a member meets the definition of disability, the Teachers' Retirement Board shall make a determination on the basis of competent medical documentation and shall not use the awarding of a disability allowance as a substitute for the disciplinary process.

Summary:

A member of the State Teachers' Retirement System shall provide medical documentation to show qualification for disability retirement.

Summary:

On receipt of an application for disability retirement, the State Teachers' Retirement System may order a medical examination of a member to determine whether the member is incapacitated for performance of service. The medical examination shall be conducted by a Teachers' Retirement Board-selected physician with expertise in the member's disability. If the member refuses to submit to the required medical examination, the application for disability retirement shall be rejected.

Summary:

The State Teachers' Retirement System may reject the disability retirement application under this part if the member fails to provide requested medical documentation to substantiate a disability, within 45 days from the date of the request or within 30 days from the time that a legally designated representative is empowered to act on behalf of a member who is mentally or physically incapacitated.

Summary:

In determining whether a member meets the definition of disability, the Teachers' Retirement Board shall make a determination on the basis of competent medical documentation and shall not use the awarding of a disability retirement as a substitute for the disciplinary process.

Summary:

It is unlawful for a person to knowingly make any false material statement or fail to disclose a material fact to obtain or receive public employees’ retirement system benefits. “Statement” includes any report of injury or physical or mental limitation, hospital records, test results, physician reports, or other medical records.

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