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 a benefit year. However, it does not include any part of a year during which a person has no coverage under this Plan.

Examples of Claim Determination Period in a sentence

• Allowable Expenses under one (1) or more of the other primary plans covering the Member, in the absence of provisions with a purpose like that of this Coordination of Benefits provision, whether or not a claim thereon is made; exceeds Allowable Expenses in a Claim Determination Period.

• The benefits that would be payable for the Allowable Expense under the other plans in the absence of provisions with a purpose like that of this COB provision, whether or not claim is made, exceeds those Allowable Expenses in a Claim Determination Period.

• This paragraph does not apply with respect to any Claim Determination Period or Plan Year during which any benefits are actually paid or provided before the entity has that actual knowledge.

• When this Plan is secondary, it may reduce its benefits so that the total benefits paid or provided by all Plans during a Claim Determination Period are not more than 100% of total Allowable Expenses.

More Definitions of Claim Determination Period

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 the Calendar Year.

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 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 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 or that part of a calendar year in which the person has been covered under this Certificate.