Common use of Effect on the Benefits of this Plan Clause in Contracts

Effect on the Benefits of this Plan. When This Plan is secondary, it may reduce its benefits so that the total benefits paid or provided by all Plans are not more than the total Allowable Expenses. In determining the amount to be paid for any claim, the Secondary Plan will calculate the benefits it would have paid in the absence of other health care coverage and apply that calculated amount to any Allowable Expense under its Plan that is unpaid by the Primary Plan. The Secondary Plan may then reduce its payment by the amount so that, when combined with the amount paid by the Primary Plan, the total benefits paid or provided by all Plans for the claim do not exceed the total Allowable Expense for that claim. In addition, the Secondary Plan shall credit to its plan deductible any amounts it would have credited to its deductible in the absence of other health care coverage.

Effect on the Benefits of this Plan. When This Plan plan is secondary, it may reduce its benefits so that the total benefits paid or provided by all Plans during a plan year are not more than the total Allowable Expensesexpenses. In determining the amount to be paid for any claim, the Secondary Plan will calculate the benefits it would have paid in the absence of other health care coverage and apply that calculated amount to any Allowable Expense expense under its Plan that is unpaid by the Primary Plan. The Secondary Plan may then reduce its payment by the amount so that, when combined with the amount paid by the Primary Plan, the total benefits paid or provided by all Plans for the claim do not exceed the total Allowable Expense expense for that claim. In addition, the Secondary Plan shall credit to its plan deductible any amounts it would have credited to its deductible in the absence of other health care coverage.

Effect on the Benefits of this Plan. When This Plan is secondary, it may reduce its benefits so that the total benefits paid or provided by all Plans during a plan year are not more than the total Allowable Expenses. In determining the amount to be paid for any claimCovered Service, the Secondary Plan will calculate the benefits it would have paid in the absence of other health dental care coverage and apply that calculated amount to any Allowable Expense under its Plan that is unpaid by the Primary Plan. The Secondary Plan may then reduce its payment by the amount so that, when combined with the amount paid by the Primary Plan, the total benefits paid or provided by all Plans for the claim Covered Service do not exceed the total Allowable Expense for that claimCovered Service. In addition, the Secondary Plan shall credit to its plan deductible any amounts it would have credited to its deductible in the absence of other health care coverage.

Effect on the Benefits of this Plan. a) When This Plan this plan is secondary, it may reduce its benefits so that the total benefits paid or provided by all Plans plans are not more than the total Allowable Expensesallowable expenses. In determining the amount to be paid for any claim, the Secondary Plan secondary plan will calculate the benefits it would have paid in the absence of other health care coverage and apply that calculated amount to any Allowable Expense allowable expense under its Plan plan that is unpaid by the Primary Planprimary plan. The Secondary Plan secondary plan may then reduce its payment by the amount so that, when combined with the amount paid by the Primary Planprimary plan, the total benefits paid or provided by all Plans plans for the claim do not exceed equal 100 percent of the total Allowable Expense allowable expense for that claim. In addition, the Secondary Plan shall secondary plan must credit to its plan deductible any amounts it would have credited to its deductible in the absence of other health care coverage.