Common use of Active Employee or Retired or Laid Clause in Contracts

Active Employee or Retired or Laid. Off Employee The plan that covers a member as an active employee, that is, an employee who is neither laid off nor retired, is the Primary plan. The plan covering that same member as a retired or laid-off employee is the Secondary plan. The same would hold true if a member is a dependent of an active employee and that same person is a dependent of a retired or laid-off employee. If the other plan does not have this rule, and as a result, the plans do not agree on the order of benefits, this rule is ignored. This rule does not apply if the rule labeled Order of benefit determination rules can determine the order of benefits.

Appears in 2 contracts

Samples: Plans, Plans

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Active Employee or Retired or Laid. Off Employee The plan that covers a member Member as an active employee, that is, an employee who is neither laid off nor retired, is the Primary primary plan. The plan covering that same member Member as a retired or laid-off employee is the Secondary secondary plan. The same would hold true if a member Member is a dependent Dependent of an active employee and that same person is a dependent Dependent of a retired or laid-off employee. If the other plan does not have this rule, and as a result, the plans do not agree on the order of benefits, this rule is ignored. This rule does not apply if the rule labeled Order order of benefit determination rules can determine the order of benefits.

Appears in 1 contract

Samples: Plans

Active Employee or Retired or Laid. Off off Employee The plan that covers a member person as an active employee, that is, an employee who is neither laid off nor retired, (or is a Dependent of such employee) is the Primary primary plan. The plan covering that same member person as a retired or laid-off employee (and the Dependent of such employee) is the Secondary secondary plan. The same would hold true if a member is a dependent of an active employee and that same person is a dependent of a retired or laid-off employee. If the other plan does not have this rule, and as a result, the plans do not agree on the order of benefits, this rule is ignored. This rule does not apply if the rule labeled Order of benefit determination rules section Non-Dependent or Dependent can determine the order of benefits.

Appears in 1 contract

Samples: www.bcbsmt.com

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Active Employee or Retired or Laid. Off Employee The plan that covers a member as an active employee, that is, an employee who is neither laid off nor retired, is the Primary plan. The plan covering that same member as a retired or laid-off employee is the Secondary plan. The same would hold true if a member is a dependent Dependent of an active employee and that same person is a dependent Dependent of a retired or laid-off employee. If the other plan does not have this rule, and as a result, the plans do not agree on the order of benefits, this rule is ignored. This rule does not apply if the rule labeled Order of benefit determination rules can determine the order of benefits.

Appears in 1 contract

Samples: Plans

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