Claim Determination Period definition

Claim Determination Period means a calendar year. However, it does not include any part of a year during which a person has no coverage under This Plan, or any part of a year before the date this COB provision or a similar provision takes effect.
Claim Determination Period means each calendar year.
Claim Determination Period means the Calendar Year.

Examples of Claim Determination Period in a sentence

  • Claim Determination Period: A Benefit Year, but, for a person, this does not include any part while the person has no coverage under This Program.

  • Claim Determination Period is the period of time, which must not be less than 12 consecutive months, over which Allowable Expenses are compared with total benefits payable in the absence of COB, to determine:(a) whether other insurance exists; and(b) how much each Plan will pay or provide.

  • For the purposes of this contract, Claim Determination Period is the period of time beginning with the effective date of coverage and ending 12 consecutive months following the date of loss or longer as may be determined by the proof of loss provision.

  • As each Claim is submitted, This Plan determines its obligation to pay for Allowable Expenses based on all Claims that were submitted up to that point in time during the Claim Determination Period.

  • For example, the cost difference between a private and semi-private hospital room is not an Allowable Expense, unless it is determined that the Claim Determination Period is a Contract Period.


More Definitions of Claim Determination Period

Claim Determination Period means that part of the calendar year during which a person covered by This Plan is eligible to receive Benefits under the provisions of This Plan.
Claim Determination Period means a benefit year. However, it does not include any part of a year during which a person has no coverage under this Plan.
Claim Determination Period means a Calendar year. However, it does not include any part of a year the person is not covered under this Plan, or any part of a year before the date this section takes effect.
Claim Determination Period means each Calendar Year.
Claim Determination Period means a calendar year or that portion of a calendar year during which the covered person for whom a claim is made has been covered under this Plan.
Claim Determination Period means a calendar year during which Allowable Expenses are compared with total benefits payable under the policy (without applying COB). It does not include any part of a year during which a person has no coverage under This Plan or any part of a year before the date this COB provision or a similar provision takes effect.
Claim Determination Period means a calendar year or that part of a calendar year in which the person has been covered under this Certificate.