Common use of Limitations on Benefits Clause in Contracts

Limitations on Benefits. Coverage Amounts for a particular benefit may only be paid for expenses incurred during the Period of Coverage elected for such benefit and only from contributions made for such benefit during such Period of Coverage. In the case of insured benefits, expenses shall be considered incurred during the period of insurance coverage, and not when the Member is formally billed, charged for or pays the expenses.

Appears in 10 contracts

Samples: Procedural Agreement and Negotiations Agreement, Negotiation Agreement, Procedural Agreement and Negotiations Agreement

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