Dual Coverage definition

Dual Coverage applies effective on and after January 1, 2010. With this exception, all other provisions of section 12.5 apply.

Dual Coverage. The parties agree that dual coverage of medical insurance is prohibited. Employees who are covered by another employer's (i.e., spouse's employer) medical plan shall not be eligible for the Board provided medical coverage. Bargaining unit members who are discovered to have provided false information shall immediately be removed from the Board's medical coverage for the remainder of the fiscal year. Persons working 20, 25 or 30 hours will have their benefits prorated based upon their assigned status. Should an employee work less than the assigned time, benefits will not be diminished. Should an employee work twenty-two days or more over the assigned status category, within a thirty (30) day period, the employee shall be moved to the next higher category for the next thirty (30) days. Employees not enrolled in healthcare will receive a prorated cash in lieu benefits. The Board has adopted a qualified plan pursuant to Section 125 of the Internal Revenue Code. The plan is designed to allow secretaries receiving the additional benefits to receive the cash options which are part of those plans. The cash option received by the secretaries may be utilized to purchase a tax deferred annuity. (All costs relating to the implementation and administration of tax deferred annuity benefits under the plan shall be borne by the Board). To purchase a tax deferred annuity, the secretary shall enter into a salary reduction agreement.

Dual Coverage. An individual cannot be enrolled as a Subscriber and a dependent under the same DDAZ Employer Group Dental Contract. However, an individual may be covered as a Subscriber under one (1) DDAZ Employer Group Dental Contract and as a dependent under a different DDAZ Employer Group Dental Contract (Refer to the Coordination of Benefits section of This Contract and the Dental Benefits Booklet). No one can be insured as a dependent of more than one (1) insured individual within the same Employer Group Dental Contract. A dependent may be covered under two (2) different Employer Group Dental Contracts with DDAZ.

Examples of Dual Coverage in a sentence

• Coordination of Benefits (Dual Coverage) If you or your dependent(s) are entitled to dental benefits under more than one group plan, MetLife will coordinate its payment in accordance with the rules specified in the County’s Group Dental Agreement with MetLife so that the total payments made by all plans will not be greater than the actual cost of covered services.

• Dual Coverage: If two married employees are enrolled in separate health plans neither employee may be covered as a dependent on their employee spouse’s health plan.

• Dual Coverage Saves You MoneyWhen your spouse is covered by her employer’s plan and this Plan at the same time, the two plans together will usually pay 100% of her covered claims under the coordination of benefits rules.

• Dual Coverage does not extend or increase limits above what is allowed on the primary plan, unless the benefits on the secondary plan exceeds the primary plan’s limits and then only up to the secondary plan’s maximum.

• Dual Coverage If you and/or your spouse are both enrolled as employees under this Plan, you and/or your spouse have the option to enroll your eligible dependents for coverage.

• Dual Coverage With Us - We will not insure your pet under more than one pet insurance policy during any policy period.

• As to dental coverage only, the following Sections apply to all classifications listed in Exhibit E: Section 2.13 “Retirement Coverage,” Section 2.14 “Layoff and Other Loss of Coverage,” Section 2.15 “Health Plan Coverages and Provisions,” and Section 2.16 “Family Member Eligibility Criteria.” 2.C. All Employees 2.23 Dual Coverage: a.

• No Dual Coverage Eligible individuals may be covered under only one of the following categories: as an Employee, an Annuitant, a Survivor Annuitant or a Family Member, but not under any combination of these.

• Dual Coverage: Each employee, eligible dependent and retiree may be covered by only a single CCCERA health or dental plan.

• No Dual Coverage Eligible individuals may be covered under only one of the following categories: as an Employee, a Retiree, a Survivor or a Family Member.

More Definitions of Dual Coverage

Dual Coverage is defined as an individual who is eligible for coverage under a VEBA medical insurance plan both as a Subscriber (District Employee or Retiree) and as a De- pendent (spouse or registered domestic partner of a benefited District Employee or Retiree). This option out of Dual Coverage (“Exclusion”) is applicable beginning March 1, 2009 and shall be available only while authorized by VEBA with no cost to the District. In the event the Subscriber Employee/Retiree loses eligibility for coverage, or the Dependent Employee/Retiree ceases to be eligible as a Dependent due to divorce from, or death of, the Subscriber Employee/Retiree, the Dependent Employee/Retiree will be allowed to become a Subscriber, provided such Dependent Employee/Retiree continues to be eligible for medical in- surance coverage under this Agreement. Participation in this Dual Coverage Exclusion is optional for the Subscriber Employee/Retiree. Employee Benefits Dental The District’s Delta Dental PPO Plan maximum is $1,750 per person, per calendar year. The District’s Dental PPO Plan Orthodontia coverage is $1,000 per child, per lifetime. The District’s Delta Dental Premier Plan maximum is $1,000 per person, per calendar year. The District’s Delta Dental Premier Plan Orthodontia coverage is $500 per child, per lifetime.

Dual Coverage means that an Employee who has individual coverage under the Plan cannot also be covered as another Employee’s Dependent on the Plan.