Order of Benefit Determination. If any covered person is eligible for services or benefits under two or more plans, any plan without a COB provision is automatically designated as the primary plan. When all applicable plans have COB provisions, the order of benefit determination will be as follows:
Order of Benefit Determination. When there is a basis for a Claim under this Benefit Program and another Benefit Program, this Benefit Program is a Secondary Program that has its benefits deter mined after those of the other program, unless:
Order of Benefit Determination. When 2 or more Plans pay benefits, the rules for determining the order of payment are as follows:
Order of Benefit Determination. Each plan determines its order of benefits using the first of the following rules that applies:
Order of Benefit Determination. 1. When this is the Primary Plan, We will pay Benefits as if there were no other Plans.
Order of Benefit Determination. DEFINITIONS THIRD PARTY LIABILITY . LEGAL ACTION ........... PURPOSE OF THIS BOOKLET BASIC ACCIDENT INSURANCE GROUP INSURANCE PLAN FOR EMPLOYEES OF MacMillan Eastern Operations Group Life Health Insurance Policy Division: Weyerhaeuser Union Employees The following outlines the benefits available from November Please check your group certificate for the coverage applicable to you. BENEFIT DESCRIPTION Life
Order of Benefit Determination. When a claim is made, the primary plan pays its benefits without regard to any other plans. The secondary plan adjusts its benefits so that the total benefits available will not exceed the Allowable Expense. No plan pays more that it would without the Coordination of Benefits Provision. A Plan without a Coordination of Benefits provision is always the Primary Plan. If all plans have such a provision:
Order of Benefit Determination. The payment of benefits will be determined in the following order:
Order of Benefit Determination. When two or more plans pay benefits, the Primary Plan pays or provides its benefits as if the Secondary Plan or plans did not exist. A plan may consider the benefits paid or provided by another plan in determining its benefits only when it is secondary to that other plan. Each plan determines its order of benefits using the first of the following rules that applies:
Order of Benefit Determination. If a person is eligible to receive a benefit under this agreement and the same or similar benefit under any other contract, policy or plan, pay- ment of benefits shall be decided in the following manner: if another plan does not contain a coordination of benefits provi- sion, the benefits of such plan shall be deemed payable prior to the application of benefits under this agreement;
