Common use of Coordination of This Contract’s Benefits With Other Benefits Clause in Contracts

Coordination of This Contract’s Benefits With Other Benefits. This Coordination of Benefits (COB) provision applies when a Member has health care coverage under more than one (1) Contract. Contract is defined below. The Order of Benefit Determination Rules govern the order in which each Contract will pay a claim for benefits. The Contract that pays first is called the Primary Contract. The Primary Contract must pay benefits in accordance with its Contract terms without regard to the possibility that another Contract may cover some expenses. The Contract that pays after the Primary Contract is the Secondary Contract. The Secondary Contract may reduce the benefits it pays so that payments from all Contracts does not exceed one hundred percent (100%) of the total Allowable Expenses.

Coordination of This Contract’s Benefits With Other Benefits. This Coordination of Benefits (COB) provision applies when a Member has health care coverage under more than one one (1) Contract. Contract is defined below. The Order of Benefit Determination Rules govern the order in which each Contract will pay a claim for benefits. The Contract that pays first is called the Primary Contract. The Primary Contract must pay benefits in accordance with its Contract terms without regard to the possibility that another Contract may cover some expenses. The Contract that pays after the Primary Contract is the Secondary Contract. The Secondary Contract may reduce the benefits it pays so that payments from all Contracts does not exceed one hundred percent (100%) of the total Allowable Expenses.