Common use of Right to Receive and Release Needed Information Clause in Contracts

Right to Receive and Release Needed Information. Certain facts are needed to apply these COB rules. The Plan has the right to de­ cide which facts it needs. It may get needed facts from or give them to any other organization or person. The Plan need not tell, or get the consent of, any person to do this. Each person claiming benefits under this Benefit Program must give the Plan any facts it needs to pay the Claim. FACILITY OF PAYMENT A payment made under another Benefit Program may include an amount that should have been paid under this Benefit Program. If it does, the Plan may pay that amount to the organization that made the payment under the other Benefit Program. That amount will then be treated as though it were a benefit paid under this Benefit Program. The Plan will not have to pay that amount again. The term “payment made” includes providing benefits in the form of services, in which case “payment made” means reasonable cash value of the benefits provided in the form of services. RIGHT OF RECOVERY If the amount of payments made by the Plan is more than it should have paid un­ der this COB provision, it may recover the excess from one or more of:

Appears in 21 contracts

Samples: Benefits, www.glenbard87.org, www.glenbard87.org

AutoNDA by SimpleDocs

Right to Receive and Release Needed Information. Certain facts are needed to apply these COB rules. The Plan has the right to de­ de- cide which facts it needs. It may get needed facts from or give them to any other organization or person. The Plan need not tell, or get the consent of, any person to do this. Each person claiming benefits under this Benefit Program must give the Plan any facts it needs to pay the Claim. FACILITY OF PAYMENT A payment made under another Benefit Program may include an amount that should have been paid under this Benefit Program. If it does, the Plan may pay that amount to the organization that made the payment under the other Benefit Program. That amount will then be treated as though it were a benefit paid under this Benefit Program. The Plan will not have to pay that amount again. The term “payment made” includes providing benefits in the form of services, in which case “payment made” means reasonable cash value of the benefits provided in the form of services. RIGHT OF RECOVERY If the amount of payments made by the Plan is more than it should have paid un­ un- der this COB provision, it may recover the excess from one or more of:

Appears in 3 contracts

Samples: www.bcbsil.com, www.bcbsil.com, www.cusd200.org

AutoNDA by SimpleDocs

Right to Receive and Release Needed Information. Certain facts are needed to apply these COB rules. The Plan has the right to de­ cide decide which facts it needsare needed. It CompBenefits Company may get needed facts from from, or give them to to, any other organization or person. The Plan CompBenefits Company need not tell, or get the consent of, any person to do this. Each person claiming benefits under this Benefit Program This Plan must give the Plan CompBenefits Company any facts it needs deemed necessary to pay the Claimclaim. FACILITY OF PAYMENT A payment made under another Benefit Program Plan may include an amount that which should have been paid under this Benefit ProgramThis Plan. If it does, the Plan CompBenefits Company may pay that amount to the organization which made that made the payment under the other Benefit Programpayment. That amount will then be treated as though it were a benefit paid under this Benefit ProgramThis Plan. The Plan CompBenefits Company will not have to pay that amount again. The term "payment made" includes providing benefits in the form of services, in which case “case, "payment made" means reasonable cash value of the benefits provided in the form of services. RIGHT OF RECOVERY If the amount of the payments made by the Plan is CompBenefits Company are more than it should have paid un­ der under this COB provision, it CompBenefits Company may recover the excess from one or more of:: (a) the persons for whom payment has been made; (b) insurance companies or other organizations providing benefits under another Plan.

Appears in 1 contract

Samples: Group Vision Contract

Time is Money Join Law Insider Premium to draft better contracts faster.