Primary Plan definition

Primary Plan means a plan whose benefits for a person’s health care coverage must be determined without taking the existence of any other plan into consideration. A plan is a primary plan if:

Split View

AI-Powered Contracts

Draft, Review & Redline at the Speed of AI

Get StartedSchedule a Demo

Primary Plan means a Plan that, in accordance with the rules regarding the order of benefits determination, provides benefits or benefit payments without considering any other Plan.

Primary Plan means a plan under which benefits for an individual's health care coverage are determined without taking into consideration the existence of any other plan. A plan is a primary plan under either of the following circumstances:

Examples of Primary Plan in a sentence

• During each Claim Determination Period, the Secondary Plan(s) will pay up to the remaining unpaid allowable expenses, but no Secondary Plan will pay more than it would have paid if it had been the Primary Plan.

• The Primary Plan pays or provides services or supplies first, without taking into consideration the existence of a Secondary Plan.

• A Secondary Plan takes into consideration the benefits provided by a Primary Plan when, according to the rules set forth below, the plan is the Secondary Plan.

• The coverage as an employee, member, subscriber or retiree is the Primary Plan.

• If a Plan has no coordination of benefits provision, or if the order of benefit determination rules differ from those set forth in these provisions, it is the Primary Plan.

More Definitions of Primary Plan

Primary Plan means a health care plan, determined by the order of benefit determination rules, whose benefits shall be deter- mined before those of the other Plan and without taking the exis- tence of any other Plan into consideration.

Primary Plan means a plan whose benefits for a person's health care coverage must be determined without taking the existence of any other plan into consideration.

Primary Plan. A Plan whose benefits for a [Member’s] health care coverage must be determined without taking into consideration the existence of any other Plan. There may be more than one Primary Plan. A Plan will be the Primary Plan if either “a” or “b” below exists:

Primary Plan means the Plan that determines and provides or pays benefits without taking into consideration the existence of any other Plan.

Primary Plan means the Plan which pays benefits or provides services first under the Order of Benefit Determination Rules below. The Primary Plan does not reduce its benefits because of duplicate coverage.

Primary Plan means a plan whose benefits for a person's dental care coverage must be determined without taking the existence of any other plan into consideration.

Primary Plan. The Plan that typically determines payment for its benefits first before those of any other Plan without considering any other Plan’s benefits.