Dependent Child/Parents Separated or Divorced. If two or more plans cover a person as a dependent child of divorced or separated parents, the plan responsible to cover benefits for the child will be determined in the following order: • first, the plan of the parent with custody of the child; • then, the plan of the spouse of the parent with custody of the child; and • finally, the plan of the parent not having custody of the child. If the terms of a court decree state that: • one of the parents is responsible for the healthcare expenses of the child, and the entity obligated to pay or provide the parent's benefits under that parent's plan has actual knowledge of those terms, the benefits of that plan are determined first and the benefits of the plan of the other parent are the secondary plan. • both parents share joint custody, without stating that one of the parents is responsible for the healthcare expenses of the child, the plans covering the child will follow the order of benefit determination rules outlined above.
Appears in 172 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Dependent Child/Parents Separated or Divorced. If two or more plans cover a person as a dependent child of divorced or separated parents, the plan responsible to cover benefits for the child will be determined in the following order: • first, the plan of the parent with custody of the child; • then, the plan of the spouse of the parent with custody of the child; and • finally, the plan of the parent not having custody of the child. If the terms of a court decree state that: • one of the parents is responsible for the healthcare expenses of the child, and the entity obligated to pay or provide the parent's benefits under that parent's plan has actual knowledge of those terms, the benefits of that plan are determined first and the benefits of the plan of the other parent are the secondary plan. • both parents share joint custody, without stating that one of the parents is responsible for the healthcare expenses of the child, the plans covering the child will follow the order of benefit determination rules outlined above.
Appears in 20 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Dependent Child/Parents Separated or Divorced. If two or more plans cover a person as a dependent child of divorced or separated parents, the plan responsible to cover benefits for the child will be determined in the following order: • first, the plan of the parent with custody of the child; • then, the plan of the spouse of the parent with custody of the child; and • finally, the plan of the parent not having custody of the child. If the terms of a court decree state that: • one of the parents is responsible for the healthcare dental expenses of the child, and the entity obligated to pay or provide the parent's benefits under that parent's plan has actual knowledge of those terms, the benefits of that plan are determined first and the benefits of the plan of the other parent are the secondary plan. • both parents share joint custody, without stating that one of the parents is responsible for the healthcare dental expenses of the child, the plans covering the child will follow the order of benefit determination rules outlined above.
Appears in 11 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Dependent Child/Parents Separated or Divorced. If two or more plans cover a person as a dependent child of divorced or separated parents, the plan responsible to cover benefits for the child will be determined in the following order: • first, the plan of the parent with custody of the child; • then, the plan of the spouse of the parent with custody of the child; and • AND finally, the plan of the parent not having custody of the child. If the terms of a court decree state that: • that one of the parents is responsible for the healthcare health care expenses of the child, and the entity obligated to pay or provide the parent's benefits under that parent's plan has actual knowledge of those terms, the benefits of that plan are determined first and the benefits of the plan of the other parent are the secondary plan. • both If the terms of a court decree state that the parents share joint custody, without stating that one of the parents is responsible for the healthcare health care expenses of the child, the plans covering the child will follow the order of benefit determination rules outlined in Section 6.3 (2) above.
Appears in 7 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Dependent Child/Parents Separated or Divorced. If two or more plans cover a person as a dependent child of divorced or separated parents, the plan responsible to cover benefits for the child will be determined in the following order: • first, the plan of the parent with custody of the child; • then, the plan of the spouse of the parent with custody of the child; and AND • finally, the plan of the parent not having custody of the child. If the terms of a court decree state that: • that one of the parents is responsible for the healthcare health care expenses of the child, and the entity obligated to pay or provide the parent's benefits under that parent's plan has actual knowledge of those terms, the benefits of that plan are determined first and the benefits of the plan of the other parent are the secondary plan. • both If the terms of a court decree state that the parents share joint custody, without stating that one of the parents is responsible for the healthcare health care expenses of the child, the plans covering the child will follow the order of benefit determination rules outlined in Section 6.3 (2) above.
Appears in 7 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Dependent Child/Parents Separated or Divorced. If two or more plans cover a person as a dependent child of divorced or separated parents, the plan responsible to cover benefits for the child will be determined in the following order: • first, the plan of the parent with custody of the child; • then, the plan of the spouse of the parent with custody of the child; and AND • finally, the plan of the parent not having custody of the child. If the terms of a court decree state that: • that one of the parents is responsible for the healthcare dental care expenses of the child, and the entity obligated to pay or provide the parent's benefits under that parent's plan has actual knowledge of those terms, the benefits of that plan are determined first and the benefits of the plan of the other parent are the secondary plan. • both If the terms of a court decree state that the parents share joint custody, without stating that one of the parents is responsible for the healthcare dental care expenses of the child, the plans covering the child will follow the order of benefit determination rules outlined in Section 6.3 (2) above.
Appears in 6 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Dependent Child/Parents Separated or Divorced. If two or more plans cover a person as a dependent child of divorced or separated parents, the plan responsible to cover benefits for the child will be determined in the following order: • first, the plan of the parent with custody of the child; • then, the plan of the spouse of the parent with custody of the child; and • AND finally, the plan of the parent not having custody of the child. If the terms of a court decree state that: • that one of the parents is responsible for the healthcare dental care expenses of the child, and the entity obligated to pay or provide the parent's benefits under that parent's plan has actual knowledge of those terms, the benefits of that plan are determined first and the benefits of the plan of the other parent are the secondary plan. • both If the terms of a court decree state that the parents share joint custody, without stating that one of the parents is responsible for the healthcare dental care expenses of the child, the plans covering the child will follow the order of benefit determination rules outlined in Section 6.3 (2) above.
Appears in 6 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Dependent Child/Parents Separated or Divorced. If two or more plans cover a person as a dependent child of divorced or separated parents, the plan responsible to cover benefits for the child will be determined in the following order: • first, the plan of the parent with custody of the child; Subscriber Agreement • then, the plan of the spouse of the parent with custody of the child; and AND • finally, the plan of the parent not having custody of the child. If the terms of a court decree state that: • that one of the parents is responsible for the healthcare health care expenses of the child, and the entity obligated to pay or provide the parent's benefits under that parent's plan has actual knowledge of those terms, the benefits of that plan are determined first and the benefits of the plan of the other parent are the secondary plan. • both If the terms of a court decree state that the parents share joint custody, without stating that one of the parents is responsible for the healthcare health care expenses of the child, the plans covering the child will follow the order of benefit determination rules outlined in Section 6.3 (2) above.
Appears in 3 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Dependent Child/Parents Separated or Divorced. If two or more plans cover a person as a dependent child of divorced or separated parents, the plan responsible to cover benefits for the child will be determined in the following order: • first, the plan of the parent with custody of the child; • Subscriber Agreement then, the plan of the spouse of the parent with custody of the child; and • AND finally, the plan of the parent not having custody of the child. If the terms of a court decree state that: • that one of the parents is responsible for the healthcare health care expenses of the child, and the entity obligated to pay or provide the parent's benefits under that parent's plan has actual knowledge of those terms, the benefits of that plan are determined first and the benefits of the plan of the other parent are the secondary plan. • both If the terms of a court decree state that the parents share joint custody, without stating that one of the parents is responsible for the healthcare health care expenses of the child, the plans covering the child will follow the order of benefit determination rules outlined in Section 6.3 (2) above.
Appears in 3 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Dependent Child/Parents Separated or Divorced. If two or more plans cover a person as a dependent child of divorced or separated parents, the plan responsible to cover benefits for the child will be determined in the following order: • first, the plan of the parent with custody of the child; • then, the plan of the spouse of the parent with custody of the child; and • finally, the plan of the parent not having custody of the child. If the terms of a court decree state that: • one of the parents is responsible for the healthcare dental expenses of the child, and the entity obligated to pay or provide the parent's benefits under that parent's plan has actual knowledge of those terms, the benefits of that plan are determined first and the benefits of the plan of the other parent are the secondary plan. • both parents share joint custody, without stating that one of the parents is responsible for the healthcare dental expenses of the child, the plans covering the child will follow the order of benefit determination rules outlined above.
Appears in 2 contracts
Samples: Subscriber Agreement, Subscriber Agreement
Dependent Child/Parents Separated or Divorced. If two or more plans cover a person as a dependent child of divorced or separated parents, the plan responsible to cover benefits for the child will be determined in the following order: • first, the plan of the parent with custody of the child; • then, the plan of the spouse of the parent with custody of the child; and • finally, the plan of the parent not having custody of the child. If the terms of a court decree state that: • that one of the parents is responsible for the healthcare health care expenses of the child, and the entity obligated to pay or provide the parent's benefits under that parent's plan has actual knowledge of those terms, the benefits of that plan are determined first and the benefits of the plan of the other parent are the secondary plan. • both If the terms of a court decree state that the parents share joint custody, without stating that one of the parents is responsible for the healthcare health care expenses of the child, the plans covering the child will follow the order of benefit determination rules outlined in Section 6.3 (2) above.
Appears in 1 contract
Samples: Subscriber Agreement