Common use of Longer or Shorter Length of Coverage Clause in Contracts

Longer or Shorter Length of Coverage. The Plan that covered the Member as an employee, policyholder, Subscriber or retiree longer (as measured by the effective date of coverage) is the Primary Plan and the Plan that covered the Member the shorter period of time is the Secondary Plan. The status of the Member must be the same for all Plans for this provision to apply. The same primacy would be true if the Member is a dependent of an employee covered by the Longer or Shorter length of coverage. If the preceding rules do not determine the order of benefits, the Allowable Expense is shared equally between the Plans. In addition, This Coverage will not pay more than it would have paid had it been the Primary Plan.

Appears in 10 contracts

Samples: Individual Hmo Subscriber Agreement, Individual Hmo Subscriber Agreement, Hmo Subscriber Agreement

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