Accidental Injury. If an employee is injured in the course of his or her employment and it is necessary for the employee to cease work during an assigned tour, payment for that tour shall be at the rate in effect during the time worked.
Accidental Injury. Accidental bodily injury sustained by a Member that is the direct cause of the condition for which Benefits are provided and that occurs while this Agreement is in force. Acute Rehabilitation. Services provided to treat traumatic injury in an acute rehabilitation hospital.
Accidental Injury. 1. Employees who sustain injuries occurring in connection with their assigned duties and not as a result of their own negligence shall be eligible for leave of absence without loss of pay up to a maximum of one year from the date of the job-related injury. The leave is subject to the approval of the Board’s MRO or designee. The employee shall submit to re-examination by the Board’s MRO or designee periodically as required, but at least every three (3) months. In any case where the injury requires an extended leave of absence the Board may request that the employee be considered for retirement because of accidental disability. No employee shall be entitled to receive Workers’ Compensation benefits for temporary total disability during the time, or covering the period, that said employee is receiving his or her full salary for job injury leave as outlined above.
Accidental Injury. Bodily Injury sustained by a Member as the result of an unforeseen event and which is the direct cause (independent of disease, bodily infirmity or any other cause) for care which the Member receives. It does not include injuries for which benefits are provided under any Workers’ Compensation, employer’s liability or similar law.
Accidental Injury. Bodily Injury sustained by a Member as the result of an unforeseen event and which is the direct cause (independent of disease, bodily infirmity or any other cause) for care which the Member receives. It does not include injuries for which benefits are provided under any Workers’ Compensation, employer’s liability or similar law. After-Hours Office Visit Care rendered as a result of a condition that has an onset after the Physician’s business hours. Ambulatory Facility A facility, with a staff of Physicians, at which surgical procedures are performed on an outpatient basis, where no patients stay overnight. The facility offers continuous service by both Physicians and Registered Nurses (R.N.s). It must be licensed by the appropriate state agency. A Physician’s office does not qualify as a Freestanding Ambulatory Facility.
Accidental Injury. Teachers who sustain injuries occurring in connection with their assigned duties and who are absent for longer than three (3) consecutive workdays shall be given leave of absence with pay offset by Workmen's Compensation benefits, for a period not to exceed ninety (90) workdays. Beyond this limit, the teacher shall use accumulated sick leave, offset by Workmen's Compensation benefits, or request an unpaid leave of absence. The teacher shall be required to submit written notification from a licensed physician of being physically or mentally unable to perform his/her duties.
Accidental Injury. A condition occurring as a direct result of a traumatic bodily injury sustained solely through accidental means from an external force. With respect to injuries to teeth, the act of chewing does not constitute an injury caused by external force. Allied Health Facility – An institution, other than a hospital, licensed by the appropriate state agency where required, and/or approved by the Plan Administrator to render Covered Services. Allied Health Professional – A person or entity, other than a hospital, Doctor of Medicine, or Doctor of Osteopathy, who is licensed by the appropriate state agency, where required, and/or approved by the Plan Administrator to render Covered Services. Allied Health Professional includes: Dentists, psychologists, certified nurse practitioners, optometrists, pharmacists, chiropractors, podiatrists, Physician’s assistants, registered nurse first assistants, advanced practice registered nurses, and any other health professional as mandated by state law for specified services, if approved by the Plan Administrator to render Covered Services. Allied Provider – Any Allied Health Facility or Allied Health Professional.
Accidental Injury. Absences due to job-related accidents shall be treated in the following manner:
Accidental Injury. A condition occurring as a direct result of a traumatic bodily injury sustained solely through accidental means from an external force. With respect to injuries to teeth, the act of chewing does not constitute an injury caused by external force. Adverse Benefit Determination – Means denial or partial denial of a Benefit, in whole or in part, based on:
Accidental Injury. 1.If a Member incurs medical expenses for treatment or services as a direct result of a traumatic bodily injury sustained solely through accidental means, We agree to pay one hundred percent (100%) of the Allowable Charge for such medical expenses actually incurred, up to the maximum amount per Benefit Period shown in the Schedule of Benefits for this Accidental Injury Benefit. Once the maximum is exhausted, the calendar year Deductible will apply and regular Benefits will be provided to the Member.
