Common use of Children living with ex-spouses outside of the service area Clause in Contracts

Children living with ex-spouses outside of the service area. Covered children living with former spouses outside the service area of the teacher’s plan administrator, and enrolled under this provision as of December 31, 2003, will be covered at Benefit Level Two benefits. If available, services must be provided by providers in the plan administrator’s national preferred provider organization. If the national preferred provider organization is available but not used, benefits will be paid at the POS level described in paragraph “i” below.

Children living with ex-spouses outside of the service area. Covered children living with former spouses outside the service area of the teacheremployee’s plan administrator, and enrolled under this provision as of December 31, 2003, will be covered at Benefit Level Two benefits. If available, services must be provided by providers in the plan administrator’s national preferred provider organization. If the national preferred provider organization is available but not used, benefits will be paid at the POS level described in paragraph “i” below.

Children living with ex-spouses outside of the service area. Covered children living 2 with former spouses outside the service area of the employee’s teacher’s plan administrator, and enrolled under this provision as of December 31, 2003, will be 4 covered at Benefit Level Two benefits. If available, services must be provided by 5 providers in the plan administrator’s national preferred provider organization. If the 6 national preferred provider organization is available but not used, benefits will be paid at 7 the POS level described in paragraph “i” below.

Children living with ex-spouses outside of the service area. Covered children living 6 with former spouses outside the service area of the teacheremployee’s plan administrator, and 7 enrolled under this provision as of December 31, 2003, will be covered at Benefit Level 8 Two benefits. If available, services must be provided by providers in the plan 9 administrator’s national preferred provider organization. If the national preferred 10 provider organization is available but not used, benefits will be paid at the POS level 11 described in paragraph “i” below.

Children living with ex-spouses outside of the service area. Covered children living 7 with former spouses outside the service area of the teacher’s plan administrator, and 8 enrolled under this provision as of December 31, 2003, will be covered at Benefit Level 9 Two benefits. If available, services must be provided by providers in the plan 10 administrator’s national preferred provider organization. If the national preferred 11 provider organization is available but not used, benefits will be paid at the POS level 12 described in paragraph “i” below.