Secondary Contract definition
Examples of Secondary Contract in a sentence
As of its applicable Cut-Off Date, each Contract satisfied the criteria for the definition of Eligible Contract set forth in the Pooling Agreement, and each Secondary Contract securing a Vendor Loan constituting a Contract satisfied, as of its applicable Cut-Off Date, the definition of Eligible Secondary Contract set forth in the Pooling Agreement.
As of its applicable Cut-Off Date, each Contract satisfied the criteria for the definition of Eligible Contract set forth in this Agreement, and each Secondary Contract securing a Vendor Loan constituting a Contract satisfied, as of its applicable Cut-Off Date, the definition of Eligible Secondary Contract set forth in this Agreement.
The Secondary Contract may reduce the benefits it pays so that payments from all Contracts does not exceed one hundred percent (100%) of the total Allowable Expenses.
If a Member whose coverage is provided pursuant to COBRA or under a right of continuation provided by state or other federal law is covered under another Contract, the Contract covering the Member as an employee, member, subscriber or retiree or covering the Member as a dependent of an employee, member, subscriber or retiree is the Primary Contract and the COBRA or state or other federal continuation coverage is the Secondary Contract.
The Order of Benefit Determination Rules determine whether This Contract is a Primary Contract or Secondary Contract when the Member has health care coverage under more than one (1) Contract.
However, if the provider has contracted with the Secondary Contract to provide the benefit or service for a specific negotiated fee or payment amount that is different than the Primary Contract’s payment arrangement and if the provider’s contract permits, the negotiated fee or payment shall be the Allowable Expense used by the Secondary Contract to determine its benefits.
The Contract that covered the Member as an employee, member, policyholder, subscriber, or retiree longer is the Primary Contract and the Contract that covered the Member the shorter period of time is the Secondary Contract.
The Contract that pays after the Primary Contract is the Secondary Contract.
As of its applicable Cutoff Date, each Contract satisfied the criteria for the definition of Eligible Contract set forth in the Pooling Agreement, and each Secondary Contract securing a Vendor Loan constituting a Contract satisfied, as of its applicable Cutoff Date, the definition of Eligible Secondary Contract set forth in the Pooling Agreement.
In addition, the Secondary Contract shall credit to its plan deductible any amounts it would have credited to its deductible in the absence of other health care coverage.