Longer/Shorter Length of Coverage. If none of the above rules determine the order of benefits, the benefits of the plan that covered a member or subscriber longer are determined before those of the plan that covered that person for the shorter term.
Longer/Shorter Length of Coverage. If none of the above rules determine the order of benefits, the benefits of the plan which covered a member or subscriber longer are determined before those of the plan which covered that person for the shorter term. In general, if you use more benefits than you are covered for during a benefit period, the following formula is used to determine coverage: The insurer covering you first will cover you up to its allowance. Then, the other insurer will cover any allowable benefits you use over that amount. It will never be more than the total amount of coverage that would have been provided if benefits were not coordinated. Maximum benefits paid by primary insurer + Any remaining allowable expense to be paid by secondary insurer Total Benefits Payable
Longer/Shorter Length of Coverage. If none of the above rules determines the order of benefits, the Plan that covered the person for a longer period of time is primary to the Plan which covered that person for the shorter time period. Two consecutive Plans shall be treated as one Plan if:
Longer/Shorter Length of Coverage. The plan that covered you as an employee, member, subscriber or retiree longer is primary. Note: Under this contract, PIC will not pay more than it would pay as the primary plan. The Effect of the Benefits of this Plan: When this plan is secondary, it may reduce its benefits at the time of processing, so that the total benefits paid or provided by all plans for each claim are not more than 100% of total allowable expenses for such claim. The reduction in this plan’s benefits is equal to the difference between:
Longer/Shorter Length of Coverage. 1. If none of the above rules determines the order of benefits, then the plan that has covered a Subscriber longer time is primary to the plan that has covered the Subscriber for a shorter time.
Longer/Shorter Length of Coverage. If none of the above rules determines the order of benefits, the Plan that has covered a Subscriber longer is Primary to the Plan which has covered the Subscriber for the shorter time. Effect of COB on the Benefits of this Plan When Health Plan is the Primary Plan, COB has no effect on the benefits or services provided under this Agreement. When Health Plan is a Secondary Plan as to one or more other Plans, its benefits may be coordinated with the Primary Plan carrier using the guidelines below. COB shall in no way restrict or impede the rendering of services provided by Health Plan. At the Member’s request, Health Plan will provider or arrange for covered services and then seek coordination with a Primary Plan.
Longer/Shorter Length of Coverage. If none of the above rules determines the order of benefits, the benefits of the Plan that covered an employee, member or subscriber longer are determined before those of the Plan which covered that person for the shorter time. If a covered person is entitled to coverage under a group health care plan which primarily covers services or expenses other than dental care, and if the covered person first became eligible under the Plans on the same date, this Plan shall be the secondary payor for those services covered by both Plans.
Longer/Shorter Length of Coverage. If none of the above rules determines the order of benefits, the Program which covered a Member longer is Primary to the Program which covered that Member for a shorter time.
Longer/Shorter Length of Coverage. If none of the above rules determine the order of benefits of the Plan which covered a participant longer are primary, and those of the Plan which covered the participant for a shorter time are secondary. Atlantic City Board of Education Administration Office CitiCenter Building 5th Floor 0000 Xxxxxxxx Xxxxxx Xxxxxxxx Xxxx, XX 00000 (000) 000-0000 Fax (000) 000-0000 INITIAL NOTICE OF COBRA CONTINUATION RIGHTS ATLANTIC CITY BOARD OF EDUCATION GROUP HEALTH PLANS Introduction You are receiving this notice because you are covered under a group health plan (the “Plan”) sponsored by the Atlantic City Board of Education. The Plan includes Medical, Prescription, Dental and Vision. This notice contains important information about your right to COBRA continuation coverage, which is a temporary extension of coverage under the Plan. This notice generally explains COBRA continuation coverage, when it may become available to you and your family, and what you need to do to protect your right to receive it. The right to COBRA continuation coverage was created by a federal law, the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA). COBRA continuation coverage can become available to you when you would otherwise lose your group health coverage. It can also become available to other members of your family who are covered under the Plan when they would otherwise lose their group health coverage. For additional information about your rights and obligations under the Plan and under federal law, you should review the Plan’s Summary Plan Description or contact the Plan Administrator.
