Order of Benefit Payment. Payment A variety of circumstances will affect which Plan is considered as the “Primary Carrier” (ie., responsible for making the initial payment toward the eligible expense), and which Plan is considered as the “Secondary Carrier” (ie., responsible for making the payment to cover the remaining eligible expense).
Order of Benefit Payment. A variety of circumstances will affect which Plan is considered as the "Primary Payer" (i.e. responsible for making the initial payment toward the eligible expense), and which Plan is considered as the "Secondary Payer" (i.e. responsible for making the payment to cover the remaining eligible expense).
Order of Benefit Payment. A variety of circumstances will affect which Plan is considered as the “Primary Carrier” (i.e., responsible for making the initial payment toward the eligible expense), and which Plan is considered as the “Secondary Carrier” (i.e., responsible for making the payment to cover the remaining eligible expense). • If the other Plan does not provide for Co-ordination of Benefits, it will be considered as the Primary Carrier, and will be responsible for making the initial payment toward the eligible expense. • If the other Plan does provide for Co-ordination of Benefits, the following rules are applied to determine which Plan is the Primary Carrier. − For Claims incurred by you and your Dependent Spouse: The Plan insuring you and your Dependent Spouse as an employee/member pays benefits before the Plan insuring you or your Spouse as a dependent. In situations where you or your Spouse have coverage as an employee/member under more than one Plan, the order of benefit payment will be determined as follows: ° The Plan where the person is covered as an active full-time employee, then ° The Plan where the person is covered as an active part-time employee, then XxXxxx’x By-Products 2010-2012 ° The Plan where the person is covered as a retiree. XxXxxx’x By-Products 2010-2012 − For Claims incurred by your Dependent Child: The Plan covering the parent whose birthday (month/day) is earlier in the calendar year pays benefits first. If both parents have the same birthdate, the Plan covering the parent whose first name begins with the earlier letter in the alphabet pays first. However, if you and your Spouse are separated or divorced, the following order applies: ° The Plan of the parent with custody of the child, then ° The Plan of the spouse of the parent with custody of the child (i.e., if the parent with custody of the child remarries or has a common-law spouse, the new spouse’s Plan will pay benefits for the Dependent Child), then ° The Plan of the parent not having custody of the child, then ° The Plan of the spouse of the parent not having custody of the child (i.e., if the parent without custody of the child remarries or has a common-law spouse, the new spouse’s Plan will pay benefits for the Dependent Child). • A claim for accidental injury to natural teeth will be determined under Extended Health Care Plans with accidental dental coverage before it is considered under the Dental Plans. • If the order of benefit payment cannot be determined from the above, the benefit...
Order of Benefit Payment. Maritime
Order of Benefit Payment. Submitting a Claim for Co-ordination Expenses Not Covered.. . . . . . . . . . .
