Facility of Payment. A payment made under another plan may include an amount that should have been paid under this plan. If it does, the Company may pay that amount to the organization that made that payment. That amount will then be treated as though it were a benefit paid under this plan. The Company will not have to pay that amount again. The term "payment made" includes providing benefits in the form of services, in which case "payment made" means the reasonable cash value of the benefits provided in the form of services.
Appears in 17 contracts
Samples: Individual Epo Medical Policy, Individual Epo Medical Policy, Individual Epo Medical Policy
Facility of Payment. A payment made under another plan may include an amount that which should have been paid under this planThis Plan. If it does, the Company we may pay that amount to the organization that which made that payment. That amount will then be treated as though it were a benefit paid under this planThis Plan. The Company We will not have to pay that amount again. The term "payment made" includes providing benefits in the form of services, in which case "payment made" means the reasonable cash value of the benefits provided in the form of services.
Appears in 4 contracts
Samples: Membership Contract, Membership Contract, Membership Contract
Facility of Payment. A payment made under another plan may include an amount that which should have been paid under this planThis Plan. If it does, the Company Plan Manager may pay that amount to the organization that which made that payment. That amount will then be treated as though it were a benefit paid under this planThis Plan. The Company Plan Manager will not have to pay that amount again. The term "payment made" includes providing benefits in the form of services, in which case "“payment made" ” means the reasonable cash value of the benefits provided in the form of services.
Appears in 3 contracts
Samples: Dental Benefit Plan, Dental Benefit Plan, Dental Benefit Plan
Facility of Payment. A payment made under another plan Plan may include an amount that should have been paid under this planThis Plan. If it does, the Company We may pay that amount to the organization that made that payment. That amount will then be treated as though it were a benefit Benefit paid under this planThis Plan. The Company will not have to pay that amount againTo the extent such payments are made, they discharge Us from further liability. The term "“payment made" ” includes providing benefits in the form of services, in which case "the payment made" means made will be deemed to be the reasonable cash value of the any benefits provided in the form of services.
Appears in 2 contracts
Samples: Limited Benefit Contract, Individual Dental Contract
Facility of Payment. A payment made under another plan may include an amount that which should have been paid under this planThe Plan. If it does, the Company Plan Sponsor may pay that amount to the organization that which made that payment. That amount will then be treated as though it were a benefit paid under this planThe Plan. The Company Plan Sponsor will not have to pay that amount again. The term "“payment made" ” includes providing benefits in the form of services, in which case "“payment made" ” means the reasonable cash value of the benefits provided in the form of services.
Appears in 2 contracts
Samples: Medical Benefit Plan, Medical Benefit Plan
Facility of Payment. A payment made under another plan Plan may include an amount that should have been paid under this planThis Plan. If it does, the Company We may pay that amount to the organization that made that payment. That amount will then be treated as though it were a benefit Benefit paid under this planThis Plan. The Company will not have to pay that amount againTo the extent, such payments are made; they discharge Us from further liability. The term "“payment made" ” includes providing benefits in the form of services, in which case "the payment made" means made will be deemed to be the reasonable cash value of the any benefits provided in the form of services.
Appears in 2 contracts
Samples: Comprehensive Major Medical Contract, Individual Comprehensive Major Medical Contract
Facility of Payment. A payment made under another plan Plan may include an amount that should have been paid under this planThis Plan. If it does, the Company This Plan may pay that amount to the organization that made that payment. That amount will then be treated as though it were a benefit Benefit paid under this planThis Plan. The Company will not have to pay that amount again. The term "“payment made" includes providing benefits in the form of services, in which case "payment made" ” means the reasonable cash value of the benefits provided in the form of services.
Appears in 1 contract
Samples: Master Group Ppo Contract
Facility of Payment. A payment made under another plan Plan may include an amount that should have been paid under this planThis Plan. If it does, the Company We may pay that amount to the organization that made that payment. That amount will then be treated as though it were a benefit Benefit paid under this planThis Plan. The Company will not have to pay that amount againTo the extent such payments are made, they discharge Us from further liability. The term "“payment made" ” includes providing benefits in the form of services, in which case "payment made" means the reasonable cash value of the benefits provided in the form of services.of
Appears in 1 contract
Samples: Individual Dental Contract
