Secondary Carrier definition

Secondary Carrier means a plan which, according to the Order of Benefit Determination provisions (below), has secondary responsibility for the provision of benefits after the Primary Carrier determines its benefits.2. Order of Benefit DeterminationThe rules for establishing the Order of Benefit Determination are:
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Secondary Carrier means a plan that, according to the Order of Benefit Determination provisions below, has secondary responsibility for the provision of benefits after the Primary Carrier determines its benefits.2. Order of Benefit DeterminationThe rules for establishing the Order of Benefit Determination are: A plan that has no coordination of benefits provision pays before a plan that has a coordination of benefits provision.a. A plan that covers the Member other than as a dependent shall have primary responsibility for the provision of benefits before a plan that covers the Member as a dependent.When a plan covers the Member as a dependent and the parents are not separated or divorced, and each Spouse is covered by a group plan which covers the Member as a dependent, the plan of the Spouse with the earliest birth date in the Year shall have primary responsibility for the provision of benefits. If, however, either of the plans does not include the provisions of this paragraph, primary responsibility for the provision of benefits shall be determined by the plan that does not include these provisions.b. When a plan covers the Member as a dependent and the parents are separated or divorced, and the parent with custody of the Member has not remarried, the plan which covers the Member as a dependent of the parent with custody of the Member shall have primary responsibility for the provision of benefits before the plan which covers the Member as a dependent of the parent without custody.c. When a plan covers the Member as a dependent, and the parents are divorced and the parent with custody of the Member has remarried, the plan that covers the Member as a dependent of the parent with custody shall have primary responsibility for the provision ofbenefits before the plan that covers the Member as a dependent of the step-parent. In addition, the plan that covers the Member as a dependent of the step-parent will determine its benefits before the plan that covers the Member as a dependent of the parent without custody.d. When a plan covers the Member as a dependent, and the parents are separated or divorced and there is a court decree that would otherwise establish financial responsibility for the medical, dental or other health care expenses with respect to such Member, notwithstanding paragraphs B and C above, the plan that covers the Member as a dependent of the parent with such financial responsibility shall have primary responsibility for the provision of benefits before any ot...
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Secondary Carrier means a Plan which, according to the "Order of Benefit Determination" provisions of Part B below, has secondary responsibility for the provision of benefits after the primary carrier determines its benefits.
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Examples of Secondary Carrier in a sentence

  • Secondary Carrier — A plan which has secondary responsibility for the provision of benefits according to the “Order of Benefit Determination” provisions above and may reduce its benefit payments after the primary carrier’s benefits are determined first.

  • Submit this statement along with all necessary claim forms and receipts to the Secondary Carrier for further consideration of payment, if applicable.

  • Members who receive services and benefits from the Secondary Carrier are hereby deemed to have assigned the benefits to the Secondary Carrier which they would have otherwise received from the Primary Carrier.

  • Submit this statement along with all necessary claim forms to the Secondary Carrier for further consideration of payment, if applicable.

  • Members who receive services and benefits from the Secondary Carrier are hereby deemed to have assigned the benefits to the Secondary Carrier that they would have otherwise received from the Primary Carrier.

  • Submitting a Claim for Co-ordination of BenefitsAs per the Order of Benefit Payment section, determine which Plan is the Primary Carrier and which is the Secondary Carrier.

  • Secondary Carrier — A plan which has secondary responsibility for the provision of benefits according to the “Order of Benefit Determination” provisions above and may reduce its benefit payments after the primary carrier’s benefits are determined first.GENERAL PROVISIONS Benefits for Medicare-Eligible MembersNote: The information provided below is based on federal laws and regulations.

  • Keep a photocopy of each receipt until your claim has been settled and for submission to Secondary Carrier.

  • Provision of Benefits by Secondary Plan With respect to the provisions of Section 2, the Secondary Carrier shall provide the services and benefits of this Plan as if it were the Primary Carrier.

  • Submitting a Claim for Co-ordination of Benefits To submit a claim when Co-ordination of Benefits applies, refer to the following guidelines: 1) As per the Order of Benefit Payment section, determine which Plan is the Primary Carrier and which is the Secondary Carrier.

Related to Secondary Carrier

  • primary carer means the person who has responsibility for the care of the Child. Only one person can be the Child’s Primary Carer on a particular day.

  • Primary care physician or “PCP” means a Plan Provider who has an independent contractor agreement with HPN to assume responsibility for arranging and coordinating the delivery of Covered Services to Members. A Primary Care Physician’s agreement with HPN may terminate. In the event that a Member’s Primary Care Physician’s agreement terminates, the Member will be required to select another Primary Care Physician.

  • Secondary school means a nonprofit institutional day or residential school including a public secondary charter school that provides secondary education for grades 9-12.

  • Bulk carrier means a ship which is intended primarily to carry dry cargo in bulk, including such types as ore carriers as defined in SOLAS chapter XII, regulation 1, but excluding combination carriers.

  • Contract carrier means any person who, under special and individual contracts or agreements, and

  • Primary caregiver or "caregiver" means a resident of the State

  • Primary care provider means a participating provider who supervises, coordinates, or provides initial care or continuing care to a covered person, and who may be required by the health carrier to initiate a referral for specialty care and maintain supervision of health care services rendered to the covered person.

  • rail carrier ’ means a person providing common carrier railroad transportation for compensation, but does not include street, suburban, or interurban electric railways not operated as part of the general system of rail transportation;

  • Primary care services means the services in respect of which NHS England has a duty or power to make arrangements pursuant to the Primary Care Functions;

  • Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.

  • Primary care giver" means a person who assumes the principal role of providing care and attention to a child.

  • Primary Cardholder means the person who applied for a Card, whose name is on the Account and who a Card is issued to. Purchase means any Transaction other than a Cash Advance.

  • Secondary line means any single or multiphase electric power line operating at nominal voltage less than either 2,000 volts between ungrounded conductors or 1,155 volts between grounded and ungrounded conductors, regardless of the functional service provided by the line.

  • Secondary emissions means emissions which occur as a result of the construction or operation of a major stationary source or major modification, but do not come from the major stationary source or major modification itself. For the purposes of this chapter, “secondary emissions” must be specific, well-defined, and quantifiable, and must impact the same general areas as the stationary source modification which causes the secondary emissions. “Secondary emissions” includes emissions from any offsite support facility which would not be constructed or increase its emissions except as a result of the construction or operation of the major stationary source or major modification. “Secondary emissions” does not include any emissions which come directly from a mobile source, such as emissions from the tailpipe of a motor vehicle, from a train, or from a vessel.

  • Primary care-giver means a person who assumes the principal role of providing care and attention to a child.

  • Health carrier or "carrier" means a disability insurer

  • Carrier means a person engaged in the transportation of passengers or property by land or water as a common, contract, or private carrier, or by civil aircraft.

  • secondary education means attendance at a public or private school offering instruction at grade levels 9-12, or equivalent. (interim eff. 6/6/2010 TL:SR-735; final eff. 7/4/2010 TL:SR-737)

  • Pharmacist means an individual licensed by this state to compound and dispense drugs, prescriptions, and poisons.

  • veterinary clinic means a building where animals are given medication or surgical treatment and are cared for during the time of such treatment for financial gain;

  • Secondary Systems means control or power circuits that operate below 600 volts, AC or DC, including, but not limited to, any hardware, control or protective devices, cables, conductors, electric raceways, secondary equipment panels, transducers, batteries, chargers, and voltage and current transformers.

  • Secondary dose monitoring system means a system which will terminate irradiation in the event of failure of the primary dose monitoring system.

  • Cannabis wholesaler means any licensed person or entity that purchases or otherwise obtains, stores, sells or otherwise transfers, and may transport, cannabis items for the purpose of resale or other transfer to either another cannabis wholesaler or to a cannabis retailer, but not to consumers.

  • Private carrier means an owner of a transport vehicle other than a public carrier who uses that vehicle solely for the carriage of goods which are his property or the carriage of which is necessary for the purposes of his business, not being a business of providing transport, or who uses the vehicle for any of the purposes specified in sub-section (2) of section 44;

  • Interexchange Carrier (IXC means a carrier that provides, directly or indirectly, InterLATA or IntraLATA Telephone Toll Services.

  • Mobile food vendor means every corporation, association, joint stock association, person, firm or partnership, their lessees, directors, receivers, trustees, appointees by any court whatsoever, or the heirs, executors, administrators, or personal representatives or assignees of any deceased owner, owning, controlling, operating or managing any mobile food vending unit.