Introduction. This Coordination of Benefits (COB) provision applies when you or your covered dependents have healthcare coverage under more than one plan. This plan follows the COB rules of payment issued by the Rhode Island Office of the Health Insurance Commissioner (OHIC) in Regulation 48, and the National Association of Insurance Commissioners (NAIC). From time to time these rules may change before a revised agreement can be provided. The most current COB regulations in effect at the time of coordination are used to determine the benefits available to you. When this provision applies, the order of benefit determination rules described below will determine whether we pay benefits before or after the benefits of another plan.
Appears in 144 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Introduction. This Coordination of Benefits (COB) provision applies when you or your covered dependents have healthcare coverage under more than one plan. This plan follows the COB rules of payment issued by the Rhode Island Office of the Health Insurance Commissioner (OHIC) in Regulation 48230-RICR-20-30-2, and the National Association of Insurance Commissioners (NAIC). From time to time these rules may change before a revised agreement can be provided. The most current COB regulations in effect at the time of coordination are used to determine the benefits available to you. When this provision applies, the order of benefit determination rules described below will determine whether we pay benefits before or after the benefits of another plan.
Appears in 52 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Introduction. This Coordination of Benefits ("COB") provision applies when you or your covered dependents have healthcare coverage health care benefits under more than one plan. This plan follows We follow the COB rules of payment issued by the National Association of Insurance Commissioners (NAIC). The COB rules have been adopted by the Rhode Island Office of the Health Insurance Commissioner (OHIC) in Regulation 48, and the National Association of Insurance Commissioners (NAIC). From time to time these rules may change before we issue a revised agreement can be providedsubscriber agreement. The most current We use the COB regulations in effect at the time of coordination are used to determine the benefits available to youyou under this agreement. When If this provision applies, the order of benefit determination rules described below as stated in this section will determine whether we pay benefits before or after the benefits of another plan.
Appears in 4 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Introduction. This Coordination of Benefits ("COB") provision applies when you or your covered dependents have healthcare coverage health care benefits under more than one plan. This plan agreement follows the COB rules of payment issued by the Rhode Island Office of the Health Insurance Commissioner (OHIC) in Regulation 48, 48 and by the National Association of Insurance Commissioners (NAIC). From time to time these rules may change before we issue a revised benefit booklet. This agreement can be provided. The most current uses the COB regulations in effect at the time of coordination are used to determine the benefits available to you. When If this provision applies, the order of benefit determination rules described below as stated in this section will determine whether we pay benefits before or after the benefits of another plan.
Appears in 3 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Introduction. This Coordination of Benefits ("COB") provision applies when you or your covered dependents have healthcare coverage health care benefits under more than one plan. This plan follows We follow the COB rules of payment issued by the Rhode Island Office of the Health Insurance Commissioner (OHIC) in Regulation 48, 48 and the National Association of Insurance Commissioners (NAIC). From time to time these rules may change before we issue a revised agreement can be providedsubscriber agreement. The most current We use the COB regulations in effect at the time of coordination are used to determine the benefits available to youyou under this agreement. When If this provision applies, the order of benefit determination rules described below as stated in this section will determine whether we pay benefits before or after the benefits of another plan.
Appears in 3 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement