Coverage Under Another Plan Clause Samples
The "Coverage Under Another Plan" clause defines how benefits are coordinated when an individual is covered by more than one insurance policy or health plan. Typically, this clause outlines the procedures for determining which plan pays first (the primary plan) and how much the secondary plan will cover, often to prevent duplicate payments or over-insurance. For example, if an employee has both a group health plan and a spouse’s plan, this clause clarifies the order and extent of coverage. Its core function is to ensure fair allocation of benefits and avoid excessive payouts by coordinating between multiple insurers.
Coverage Under Another Plan. Notwithstanding the preceding provisions of this Section 2.4, upon the Executive becoming covered as a primary insured (that is, not as a beneficiary under a spouse’s or partner’s plan) under another employer’s group health plan during the period provided for herein, the Executive promptly shall inform the Company and the Company’s obligations under this Section 2.4.2 shall cease.
Coverage Under Another Plan. In the event the Executive becomes covered as a primary insured (that is, not as a beneficiary under a spouse’s or partner’s plan) under another employer’s group health plan during the period provided for herein, the Executive promptly shall inform the Company and the Company shall cease provision of continued group health insurance for the Executive and any dependents.
Coverage Under Another Plan. If the Employer maintains, or at any time maintained, one or more qualified defined contribution plans covering any Participant in this Plan, a welfare benefit fund, as defined in Section 419(e) of the Code, or an individual medical account as defined in Section 415(l)(2) of the Code, the sum of the Participant's defined contribution fraction and defined benefit fraction will not exceed 1.0 in any limitation year, and the annual benefit otherwise payable to the Participant under this Plan will be limited in accordance with Section III.D.2 of the Adoption Agreement.
Coverage Under Another Plan. If the Participant is covered under another qualified defined contribution plan maintained by the "employer," "annual additions" which may be credited to the Participant's Accounts under this Plan for any Limitation Year will be limited in accordance with Section 4.4(b), unless the "employer" provides other limitations in Appendix A to the Adoption Agreement (Special Effective Dates and Other Permitted Elections).
Coverage Under Another Plan. Employees shall not be required to take dental and vision insurance coverage; employees may waive medical coverage by providing written proof of having medical coverage under another plan if employee qualifies under 13.2.3 and not excluded under either 13.2.3 (a) or (b).