Determination Rules Clause Samples

Determination Rules. The resolution procedure described herein shall be governed by the Commercial Rules of the American Arbitration Association and the Procedures for Large, Complex, Commercial Disputes in effect as of the date hereof.

Determination Rules. The rules establishing the order of benefit determination are: (a) Non-Dependent or Dependent. A Plan that covers the person as a Subscriber is primary to a Plan that covers the person as a Dependent.

Determination Rules. SunTrust shall determine the payment which would have been made to Executive under § 3(a)(E)(1) if Executive had been a participant in the MIP and, if applicable, under § 3(a)(F) if Executive had been a participant in the PUP based on the target bonus or, if greater, the projected bonus for a MIP participant and the target bonus or, if greater, the projected bonus for PUP participant, or for a class of such participants, whose duties, responsibilities and compensation match, or most closely match, Executive’s duties, responsibilities and compensation before a Change in Control.

Determination Rules. COB applies when a Member covered under this Plan is also entitled to receive payment for or provision of some or all of the same Covered Services from another Plan. The rules establishing the order of benefit determination are: (a) Non-Dependent or Dependent. A Plan that covers the person as a Subscriber is primary to a Plan that covers the person as a Dependent.

Determination Rules. SunTrust shall determine the amount which would have been described in ss. 1.8(b)(1) if Executive had been a participant in the MIP and, if applicable, in ss. 1.8

Determination Rules. When a person is covered by two or more Plans, the rules for determining the order of benefit payments are as follows: A. The Primary Plan pays or provides its benefits according to its terms of coverage and without regard to the benefits under any other Plan. B. Except as provided in the next paragraph, a Plan that does not contain a coordination of benefits provision that is consistent with this provision is always primary unless the provisions of both Plans state that the complying plan is primary. Coverage that is obtained by virtue of membership in a group that is designed to supplement a part of a basic package of benefits and provides that this supplementary coverage shall be in excess of any other parts of the Plan provided by the contract holder. Examples of these types of situations are major medical coverages that are superimposed over base plan hospital and surgical benefits and insurance type coverages that are written in connection with a Closed Panel Plan to provide out-of-network benefits. C. A Plan may consider the benefits paid or provided by another Plan in determining its benefits only when it is secondary to that other Plan. D. Each Plan determines its order of benefits using the first of the following rules that apply: