Common use of COBRA or State Continuation Coverage Clause in Contracts

COBRA or State Continuation Coverage. If a Member whose coverage is provided under COBRA or under a right of continuation provided by state or other federal law is covered under another plan, the plan covering the Member as an employee, member, Subscriber or retiree or covering the Member as a Dependent of an employee, member, Subscriber or retiree is the primary plan and the COBRA or state or other federal continuation coverage is the secondary plan. 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 under Section D.1. can determine the order of benefits.

Appears in 26 contracts

Samples: Group Medical Coverage Agreement, Group Medical Coverage Agreement, Medical Coverage Agreement

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COBRA or State Continuation Coverage. If a Member person whose coverage is provided under pursuant to COBRA or under a right of continuation provided by state or other federal law is covered under another plan, the plan covering the Member person as an employee, member, Subscriber subscriber or retiree or covering the Member person as a Dependent dependent of an employee, member, Subscriber subscriber or retiree is the primary plan and the COBRA or state or other federal continuation coverage is the secondary plan. 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 under Section D.1. labeled B.4.a can determine the order of benefits.

Appears in 17 contracts

Samples: www.ascensionpersonalizedcare.com, www.ascensionpersonalizedcare.com, www.ascensionpersonalizedcare.com

COBRA or State Continuation Coverage. If a Member whose coverage is provided under COBRA or under a right of continuation provided by state or other federal law is covered under another plan, the plan covering the Member as an employee, member, Subscriber Contract Holder or retiree or covering the Member as a Dependent of an employee, member, Subscriber Contract Holder or retiree is the primary plan and the COBRA or state or other federal continuation coverage is the secondary plan. 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 under Section D.1. can determine the order of benefits.

Appears in 15 contracts

Samples: wa.kaiserpermanente.org, wa.kaiserpermanente.org, producer.ghc.org

COBRA or State Continuation Coverage. If a Member whose coverage is provided under COBRA or under a right of continuation provided by state or other federal law is covered under another plan, the plan covering the Member as an employee, member, Subscriber or retiree or covering the Member as a Dependent of an employee, member, Subscriber or retiree is the primary plan and the COBRA or state or other federal continuation coverage is the secondary plan. 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 under Section D.1. D.1 can determine the order of benefits.

Appears in 12 contracts

Samples: Group Medical Coverage Agreement, Group Medical Coverage Agreement, Group Medical Coverage Agreement

COBRA or State Continuation Coverage. If a Member whose coverage is provided under COBRA or under a right of continuation provided by state or other federal law is covered under another plan, the plan covering the Member as an employee, member, Subscriber or retiree or covering the Member as a Dependent of an employee, member, Subscriber or retiree is the primary plan and the COBRA or state or other federal continuation coverage is the secondary plan. 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 under Section D.1. section d 1) can determine the order of benefits.

Appears in 7 contracts

Samples: Group Medical Coverage Agreement, Group Medical Coverage Agreement, Coverage Agreement

COBRA or State Continuation Coverage. If a Member person whose coverage is provided under pursuant to COBRA or under a right of continuation provided by state or other federal law is covered under another planPlan, the plan Plan covering the Member person as an employee, member, Subscriber subscriber or retiree or covering the Member person as a Dependent dependent of an employee, member, Subscriber subscriber or retiree is the primary plan Primary Plan, and the COBRA or state or other federal continuation coverage is the secondary planSecondary Plan. If the other plan Plan does not have this rule, and as a result, the plans Plans do not agree on the order of benefits, this rule is ignored. This rule does not apply if the rule under Section labeled D.1. can determine the order of benefits.

Appears in 5 contracts

Samples: www.uhc.com, www.uhc.com, insurance.maryland.gov

COBRA or State Continuation Coverage. If a Member person whose coverage is provided under pursuant to COBRA or under a right of continuation provided by state or other federal law is covered under another planPlan, the plan Plan covering the Member person as an employee, member, Subscriber subscriber or retiree or covering the Member person as a Dependent dependent of an employee, member, Subscriber subscriber or retiree is the primary Primary plan and the COBRA or state or other federal continuation coverage is the secondary Secondary plan. If the other plan Plan does not have this rule, and as a result, the plans Plans do not agree on the order of benefits, this rule is ignored. This rule does not apply if the rule under Section D.1. paragraph 1 can determine the order of benefits.

Appears in 3 contracts

Samples: Benefits and Services, Your Benefits, Your Benefits

COBRA or State Continuation Coverage. If a Member member whose coverage is provided under pursuant to COBRA or under a right of continuation provided by state or other federal law is covered under another plan, the plan covering the Member member as an employee, member, Subscriber subscriber or retiree or covering the Member member as a Dependent dependent of an employee, member, Subscriber or retiree is the primary Primary plan and the COBRA or state or other federal continuation coverage is the secondary plan. 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 under Section D.1. labeled Order of benefit determination rules can determine the order of benefits.

Appears in 2 contracts

Samples: Plans, Plans

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COBRA or State Continuation Coverage. If a Member person whose coverage is provided under pursuant to COBRA or under a right of continuation provided by state or other federal law is covered under another planPlan, the plan Plan covering the Member person as an employee, member, Subscriber subscriber or retiree or covering the Member person as a Dependent dependent of an employee, member, Subscriber subscriber or retiree is the primary plan Primary Plan and the COBRA or state or other federal continuation coverage is the secondary planSecondary Plan. If the other plan Plan does not have this rule, and as a result, the plans Plans do not agree on the order of benefits, this rule is ignored. This rule does not apply if the rule under Section D.1. labeled D(1) can determine the order of benefits.

Appears in 2 contracts

Samples: Group Agreement, cms9files.revize.com

COBRA or State Continuation Coverage. If a Member person whose coverage is provided under pursuant to COBRA or under a right of continuation cont inuation provided by state or other federal law is covered under another plan, the plan covering the Member person as an employee, member, Subscriber subscriber or retiree or covering the Member person as a Dependent dependent of an employee, member, Subscriber subscriber or retiree is the primary plan pla n and the COBRA or state or other federal continuation coverage is the secondary plan. 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 The rule does not apply if the rule under Section D.1. labeled C(3) above can determine the order of benefits.

Appears in 1 contract

Samples: www.bidnet.com

COBRA or State Continuation Coverage. If a Member whose coverage is provided under pursuant to COBRA or under a right of continuation provided by state or other federal law is covered under another plan, the plan covering the Member as an employee, member, Subscriber subscriber or retiree or covering the Member as a Dependent of an employee, member, Subscriber subscriber or retiree is the primary plan and the COBRA or state or other federal continuation coverage is the secondary plan. 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 under Section D.1. labeled order of benefit determination rules can determine the order of benefits.

Appears in 1 contract

Samples: Plans

COBRA or State Continuation Coverage. If a Member member whose coverage is provided under pursuant to COBRA or under a right of continuation provided by state or other federal law is covered under another plan, the plan covering the Member member as an employee, member, Subscriber subscriber or retiree or covering the Member member as a Dependent of an employee, member, Subscriber or retiree is the primary Primary plan and the COBRA or state or other federal continuation coverage is the secondary plan. 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 under Section D.1. labeled Order of benefit determination rules can determine the order of benefits.

Appears in 1 contract

Samples: Plans

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