Health Maintenance Organization - an organization that operates as both an insurance company and a provider by employing physicians and other providers to provide health care to its members while it contracts with groups and individuals to provide certain benefit levels at specified rates. This union of providers and financial obligation promotes a strong emphasis on health care education and preventive medicine. Injury means an injury to your body resulting directly from an accident and independently of all other causes. For the LTD policy, the injury must occur and disability must being while you are insured under the LTD policy. Some benefits may not be paid at all if the member chooses to use a non-network provider.
Insurance means insurance under the Group Policy.
Insured Person means the Employee or any dependents that are enrolled under the Group Policy. Licensed Denturist - A denturist licensed under Title 18RCW who is acting within the scope of his or her license. It is consistent with the symptoms or diagnosis and treatment of the condition. It is the most appropriate supply or level of service that is essential to your needs. It is not an investigational service or supply.