COORDINATION OF SPOUSAL BENEFITS Sample Clauses

COORDINATION OF SPOUSAL BENEFITS. Employees and their spouse who both work for Carleton University will have the option to coordinate their benefits.
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COORDINATION OF SPOUSAL BENEFITS. Where a spouse is able to obtain health insurance coverage through an employer, the spouse will be required to obtain coverage through his/her employer unless the spouse must pay more than one hundred fifty dollars ($150.00) per month for available coverage. The spouse's plan will be treated as the primary plan for the spouse, and the District's plan will be then secondary for the spouse.

Related to COORDINATION OF SPOUSAL BENEFITS

  • Death Benefits Upon the Executive's death during the Contract Period, his estate shall not be entitled to any further benefits under this Agreement.

  • Death Benefit Should Employee die during the term of employment, the Company shall pay to Employee's estate any compensation due through the end of the month in which death occurred.

  • Coordination of Benefits The coordination of benefits (COB) provision applies when a Member has health care coverage under more than one plan. Plan is defined below. The order of benefit determination rules govern the order in which each plan will pay a claim for benefits. The plan that pays first is called the primary plan. The primary plan must pay benefits according to its policy terms without regard to the possibility that another plan may cover some expenses. The plan that pays after the primary plan is the secondary plan. In no event will a secondary plan be required to pay an amount in excess of its maximum benefit plus accrued savings. If the Member is covered by more than one health benefit plan, and the Member does not know which is the primary plan, the Member or the Member’s provider should contact any one of the health plans to verify which plan is primary. The health plan the Member contacts is responsible for working with the other plan to determine which is primary and will let the Member know within 30 calendar days. All health plans have timely claim filing requirements. If the Member or the Member’s provider fails to submit the Member’s claim to a secondary health plan within that plan’s claim filing time limit, the plan can deny the claim. If the Member experiences delays in the processing of the claim by the primary health plan, the Member or the Member’s provider will need to submit the claim to the secondary health plan within its claim filing time limit to prevent a denial of the claim. If the Member is covered by more than one health benefit plan, the Member or the Member’s provider should file all the Member’s claims with each plan at the same time. If Medicare is the Member’s primary plan, Medicare may submit the Member’s claims to the Member’s secondary carrier.

  • Duration of Benefits Eligibility for Income Protection benefits will cease upon the earliest of the following dates:

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