Arizona § 20-1404.03 Blanket disability insurers; autism spectrum disorder; coverage; exceptions; definitions

Arizona Statutes

§ 20-1404.03 — Blanket disability insurers; autism spectrum disorder; coverage; exceptions; definitions

Arizona § 20-1404.03

Title 20Arizona Revised Statutes

Ch. 6PARTICULAR TYPES OF INSURANCE

Art. 5Group and Blanket Disability Insurance

This text of Arizona § 20-1404.03 (Blanket disability insurers; autism spectrum disorder; coverage; exceptions; definitions) is published on Counsel Stack Legal Research, covering Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ariz. Rev. Stat. Ann. § 20-1404.03 (2026).

Text

A.A blanket disability insurer shall not:

1.Exclude or deny coverage for a treatment or impose dollar limits, deductibles and coinsurance provisions based solely on the diagnosis of autism spectrum disorder. For the purposes of this paragraph, "treatment" includes diagnosis, assessment and services.

2.Exclude or deny coverage for medically necessary behavioral therapy services. To be eligible for coverage, behavioral therapy services shall be provided or supervised by a licensed or certified provider.

B.This section does not:

1.Apply to a policy or contract that is issued to an individual or a small employer.

2.Apply to limited benefit coverage as defined in section 20-1137.

3.Require coverage for services provided outside of this state.

C.The coverage required by this secti

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A. A blanket disability insurer shall not:

1. Exclude or deny coverage for a treatment or impose dollar limits, deductibles and coinsurance provisions based solely on the diagnosis of autism spectrum disorder. For the purposes of this paragraph, "treatment" includes diagnosis, assessment and services.

2. Exclude or deny coverage for medically necessary behavioral therapy services. To be eligible for coverage, behavioral therapy services shall be provided or supervised by a licensed or certified provider.

B. This section does not:

1. Apply to a policy or contract that is issued to an individual or a small employer.

2. Apply to limited benefit coverage as defined in section 20-1137.

3. Require coverage for services provided outside of this state.

C. The coverage required by this section is subject to all the terms and conditions of the blanket disability contract. This section does not prevent a blanket disability insurer from imposing deductibles, coinsurance or other cost sharing in relation to the coverage required by this section.

D. For the purposes of this section:

1. "Autism spectrum disorder" a pervasive, developmental disorder that meets the criteria for autism spectrum disorder as defined in the most recent edition of the diagnostic and statistical manual of mental disorders of the American psychiatric association.

2. "Behavioral therapy" means interactive therapies derived from evidence based research, including applied behavior analysis, which includes discrete trial training, pivotal response training, intensive intervention programs and early intensive behavioral intervention.

3. "Small employer" has the same meaning prescribed in section 20-2301.