Birthday Rule. This rule determines whether a plan is primary or secondary for a dependent child who is covered by both parents' benefit plans and those parents live together. The plan covering the parent whose birthday (month and day only) falls first in a calendar year provides primary coverage for the child. If both parents have the same birthday, then the plan that has been in effect the longest pays as primary. A different set of rules applies to a dependent child whose parents are divorced or separated or are not living together, whether or not they have ever been married:
Appears in 4 contracts
Samples: Member Benefit Agreement, Member Benefit Agreement, Member Benefit Agreement
