2. DEFINITIONS your own defense, if such actions of defense are not taken against persons seeking to maintain or restore law and order including but not limited to police officers and firefighters. Riot includes all forms of public violence, disorder, or disturbance of the public peace, by three or more persons assembled together, whether or not acting with a common intent and whether or not damage to person or property or unlawful act or acts is the intent or the consequence of such disorder. Physical or Occupational Therapist means a person who: · is licensed by the state or province to practice physical or occupational therapy; · performs services which are allowed by their license; and · performs services for which benefits are provided under the Policy; and · practices according to the Code of Ethics of the American Physical Therapy Association. The Physical or Occupational Therapist cannot be you, a business associate or any Family Member. Physician means a person who is operating within the scope of his or her license and is either: · licensed in the United States or Canada as a medical doctor and authorized to practice medicine and prescribe and administer drugs or to perform surgery; or · any other duly licensed medical practitioner who is deemed by applicable state or provincial law to have the same authority as a legally qualified medical doctor. The Physician cannot be you, a business associate or any Family Member. Policy means the group insurance policy under which this Certificate is issued. Policyholder means the entity to which the Policy is issued. Proof means any medical, financial or other information that we require to make a claim determination. Prosthesis means the replacement of a missing part by an artificial substitute, such as an artificial extremity, an artificial organ or part but does not include cosmetic prosthesis. Rehabilitation Unit means an appropriately licensed facility that provides rehabilitation care services on an inpatient basis. Rehabilitation care services consist of the combined use of medical, social, educational and vocational services to enable patients disabled by accidental Injury to achieve the highest possible functional ability. Services are provided by or under the supervision of an organized staff of Physicians. The rehabilitation unit may be part of a Hospital or a freestanding facility. A rehabilitation unit is not: · a nursing home; · an extended care facility; · a skilled nursing facility; · a rest home or home for the aged; · a hospice care facility; · a place for alcoholics or drug addicts; or · an assisted living facility. Sickness means disease or illness, mental illness, drug illness, abuse or addiction, and alcohol illness, abuse or addiction, or pregnancy. Signed means any symbol or method executed or adopted by a person with the present intention to authenticate a record, and which is on or transmitted by paper, electronic or telephonic media, and which is consistent with applicable law. Spouse means any person who is a party to a marriage and under state, federal or provincial law is recognized as a spouse or civil union partner. Spouse does not include: 16-AC-C-01 Page14
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