Nondependent or Dependent. The Health Care Plan that covers the person other than as a Dependent, for example as an employee, member, policyholder, subscriber, or retiree, is the primary plan, and the Health Care Plan that covers the person as a Dependent is the secondary plan. However, if the person is a Medicare beneficiary and, as a result of federal law, Medicare is secondary to the Health Care Plan covering the person as a dependent and primary to the Health Care Plan covering the person as other than a dependent, then the order of benefits between the two plans is reversed so that the Health Care Plan covering the person as an employee, member, policyholder, subscriber, or retiree is the secondary plan and the other Health Care Plan is the primary plan. An example includes a retired employee.
Appears in 14 contracts
Sources: Certificate of Coverage, Certificate of Coverage, Certificate of Coverage
Nondependent or Dependent. The Health Care Plan that covers the person other than as a Dependent, for example as an employee, memberMember, policyholder, subscriberSubscriber, or retiree, is the primary plan, and the Health Care Plan that covers the person as a Dependent is the secondary plan. However, if the person is a Medicare beneficiary and, as a result of federal law, Medicare is secondary to the Health Care Plan covering the person as a dependent Dependent and primary to the Health Care Plan covering the person as other than a dependentDependent, then the order of benefits between the two plans is reversed so that the Health Care Plan covering the person as an employee, memberMember, policyholder, subscriberSubscriber, or retiree is the secondary plan and the other Health Care Plan is the primary plan. An example includes a retired employee.
Appears in 8 contracts
Sources: Certificate of Coverage, Certificate of Coverage, Certificate of Coverage
Nondependent or Dependent. The Health Care Plan that covers the person other than as a Dependent, for example as an employee, member, policyholder, subscriber, or retiree, is the primary plan, and the Health Care Plan that covers the person as a Dependent is the secondary plan. However, if the person is a Medicare beneficiary and, as a result of federal law, Medicare is secondary to the Health Care Plan covering the person as a dependent and primary to the Health Care Plan covering the person as other than a dependent, then the order of benefits between the two plans is reversed so that the Health Care Plan covering the person as an employee, member, policyholder, subscriber, or retiree is the secondary plan and the other Health Care Plan is the primary plan. An example includes a retired employee.. TX317-PPO-IFM-GF-COB-AMD-0125
Appears in 3 contracts
Sources: Preferred Provider Contract, Preferred Provider Contract, Preferred Provider Contract
Nondependent or Dependent. The Health Care Plan health plan that covers the person Member other than as a Dependentdependent, for example as an employee, member, policyholder, subscriberSubscriber, or retiree, is the primary plan, and the Health Care Plan health plan that covers the person Member as a Dependent dependent is the secondary plan. However, if the person Member is a Medicare beneficiary and, as a result of federal law, Medicare is secondary to the Health Care Plan health plan covering the person Member as a dependent and primary to the Health Care Plan plan covering the person Member as other than a dependent, then the order of benefits between the two health plans is reversed so that the Health Care Plan health plan covering the person Member as an employee, member, policyholder, subscriberSubscriber, or retiree is the secondary plan and the other Health Care Plan health plan is the primary plan. An example includes a retired employee.
Appears in 2 contracts
Sources: Health Insurance Contract, Health Insurance Contract
Nondependent or Dependent. The Health Care Plan health plan that covers the person Member other than as a Dependentdependent, for example as an employee, member, policyholdercontractholder, subscriberSubscriber, or retiree, is the primary plan, and the Health Care Plan health plan that covers the person Member as a Dependent dependent is the secondary plan. However, if the person Member is a Medicare beneficiary and, as a result of federal law, Medicare is secondary to the Health Care Plan health plan covering the person Member as a dependent and primary to the Health Care Plan plan covering the person Member as other than a dependent, then the order of benefits between the two health plans is reversed so that the Health Care Plan health plan covering the person Member as an employee, member, policyholdercontractholder, subscriberSubscriber, or retiree is the secondary plan and the other Health Care Plan health plan is the primary plan. An example includes a retired employee.
Appears in 2 contracts
Sources: Health Insurance Contract, Health Insurance Contract
Nondependent or Dependent. The Health Care Plan that covers the person other than as a Dependent, for example as an employee, member, policyholder, subscriber, or retiree, is the primary plan, and the Health Care Plan that covers the person as a Dependent is the secondary plan. However, if the person is a Medicare beneficiary and, as a result of federal law, Medicare is secondary to the Health Care Plan covering the person as a dependent and primary to the Health Care Plan covering the person as other than a dependent, then the order of benefits between the two plans is reversed so that the Health Care Plan covering the person as an employee, member, policyholder, subscriber, or retiree is the secondary plan and the other Health Care Plan is the primary plan. An example includes a retired employee.. Sample
Appears in 1 contract
Sources: Health Care Benefits Program