Common use of Mental Health Clause in Contracts

Mental Health. A clinically significant behavioral and psychological syndrome or pattern. This includes to: ◼ psychoses, ◼ neurotic disorders, ◼ personality disorders, ◼ affective disorders, and ◼ the following specific severe mental illnesses defined by La. R.S. 22:1043: ◼ schizophrenia or schizoaffective disorder; ◼ bipolar disorder; ◼ panic disorder; ◼ obsessive-compulsive disorder; ◼ major depressive disorder; ◼ anorexia and bulimia; ◼ intermittent explosive disorder; ◼ post-traumatic stress disorder; ◼ psychosis NOS when diagnosed in a child under 17 years of age; ◼ Rett’s Disorder; and ◼ Tourette’s Disorder, ◼ and conditions and diseases listed in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association, Washington, D.C. (DSM), including other non-psychotic Mental Disorders that We determine. The definition of Mental Disorder will be the basis for determining Benefits, despite whether the conditions are genetic, organic, chemical or biological, regardless of cause or other medical conditions. Negotiated Arrangement (“Negotiated National Account Arrangement”) – An agreement negotiated between a Control/Home Licensee and one or more Par/Host Licensees for any National Account that is not delivered through the BlueCard® Program. Newly Born Infant (or Newborn) – Infants from birth until 1 month old or until they are well enough to be discharged to home from a Hospital or neonatal Special Care Unit, whichever period is longer. Occupational Therapy – Evaluating and treating physical injury or disease, cognitive impairments, congenital or developmental disabilities, or the aging process by using specific goal-directed activities, therapeutic exercises, or other interventions that alleviate an impairment or improve functional performance. These can include: ◼ designing, fabricating, or applying Orthotic Devices; ◼ training in using orthotic and prosthetic devices; ◼ designing, developing, adapting, or training in using assistive devices; and ◼ adapting environments to help functional performance.

Mental Health. A clinically significant behavioral and psychological syndrome or pattern. This includes to: ◼  psychoses, ◼  neurotic disorders, ◼  personality disorders, ◼  affective disorders, and ◼  the following specific severe mental illnesses defined by La. R.S. 22:1043: ◼  schizophrenia or schizoaffective disorder; ◼  bipolar disorder; ◼  panic disorder; ◼  obsessive-compulsive disorder; ◼  major depressive disorder; ◼  anorexia and bulimia; ◼  intermittent explosive disorder; ◼  post-traumatic stress disorder; ◼  psychosis NOS when diagnosed in a child under 17 years of age; ◼  Rett’s Disorder; and ◼  Tourette’s Disorder, ◼  and conditions and diseases listed in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association, Washington, D.C. (DSM), including other non-psychotic Mental Disorders that We determine. The definition of Mental Disorder will be the basis for determining Benefits, despite whether the conditions are genetic, organic, chemical or biological, regardless of cause or other medical conditions. Negotiated Arrangement (“Negotiated National Account Arrangement”) – An agreement negotiated between a Control/Home Licensee and one or more Par/Host Licensees for any National Account that is not delivered through the BlueCard® Program. Newly Born Infant (or Newborn) – Infants from birth until 1 month old or until they are well enough to be discharged to home from a Hospital or neonatal Special Care Unit, whichever period is longer. Occupational Therapy – Evaluating and treating physical injury or disease, cognitive impairments, congenital or developmental disabilities, or the aging process by using specific goal-directed activities, therapeutic exercises, or other interventions that alleviate an impairment or improve functional performance. These can include: ◼  designing, fabricating, or applying Orthotic Devices; ◼  training in using orthotic and prosthetic devices; ◼  designing, developing, adapting, or training in using assistive devices; and ◼  adapting environments to help functional performance.