Right of Recovery. If the amount of the payments made by the Company is more than it should have paid under this COB provision, it may recover the excess from one or more of the persons it has paid or for whom it has paid; or any other person or organization that may be responsible for the benefits or services provided for the covered person. The "amount of the payments made" includes the reasonable cash value of any benefits provided in the form of services.
Appears in 8 contracts
Samples: Individual Epo Medical Policy, Individual Epo Medical Policy, Individual Epo Medical Policy
Right of Recovery. If the amount of the payments made by the Company us is more than it we should have paid under this COB provisionsection, it may we can recover the excess from one or more of the persons it has we have paid or for whom it has we have paid; or any other person or organization that may can be responsible for the benefits or services provided for the covered personmember. The "“amount of the payments made" ” includes the reasonable cash value of any benefits provided in the form of services.
Appears in 3 contracts
Samples: Group Certificate of Medical, Surgical, Pharmacy and Hospital Insurance, Group Certificate of Medical, Surgical, Pharmacy and Hospital Insurance, Group Certificate of Medical, Surgical, Pharmacy and Hospital Insurance
Right of Recovery. If the amount of the payments that We made by the Company is more than it should have paid under this COB provisionsection, it We may recover the excess excess. We may get such recovery or payment from one or more of of:
1. the persons it has We have paid or for whom it has We have paid;
2. insurance companies; or any or
3. other person or organization that may be responsible for the benefits or services provided for the covered personorganizations. The "“amount of the payments made" ” includes the reasonable cash value of any benefits provided in the form of services. If the excess amount is not received when requested, any Benefits due under This Plan will be reduced by the amount to be recovered until such amount has been satisfied.
Appears in 3 contracts
Samples: Comprehensive Major Medical Contract, Individual Comprehensive Major Medical Contract, Individual Dental Contract
Right of Recovery. If the amount of the payments that We made by the Company is more than it should have paid under this COB provisionsection, it We may recover the excess excess. We may get such recovery or payment from one or more of of:
1. the persons it has We have paid or for whom it has We have paid;
2. insurance companies; or any or
3. other person or organization that may be responsible for the benefits or services provided for the covered personorganizations. The "“amount of the payments made" ” includes the reasonable cash value of any benefits provided in the form of services.
Appears in 2 contracts
Samples: Limited Benefit Contract, Individual Dental Contract
Right of Recovery. If the amount of the payments made by the Company Surency is more than it should have paid under this COB provision, it may recover the excess from one or more of the persons it has paid or for whom it has paid; or any other person or organization that may be responsible for the benefits or services provided for the covered person. The "“amount of the payments made" ” includes the reasonable cash value of any benefits provided in the form of services.
Appears in 2 contracts
Samples: Agreement to Provide Vision Benefits, Agreement to Provide Vision Benefits
Right of Recovery. If the amount of the payments made by the Company is more than it should have paid under this COB provision, it may recover the excess from one or more of the persons it has paid or for whom it has paid; or any other person or organization that may be responsible for the benefits or services provided for the covered person. The "amount of the payments made" includes the reasonable cash value of any benefits provided in the form of services.;
Appears in 2 contracts
Samples: Individual Epo Medical Policy, Individual Epo Medical Policy
Right of Recovery. If the amount of the payments made by the Company us is more than it we should have paid under this COB provision, it we may recover the excess from one or more of the persons it has we have paid or for whom it has we have paid; , or any other person or organization that may be responsible for the benefits or services provided for the covered person. The "“amount of the payments made" ” includes the reasonable cash value of any benefits provided in the form of services.
Appears in 1 contract
Samples: Dental Insurance Policy
Right of Recovery. If the amount of the payments payment made by the Company is more than it should have paid under this COB provisionsection, it may recover the excess excess. It may get such recovery or payment from one or more of the of:
A. The persons it has paid or for whom it has paid;
B. Insurance companies; or any other person or organization that may be responsible for the benefits or services provided for the covered personor
C. Other organizations. The "amount of the payments made" includes the reasonable cash value of any benefits Benefits provided in the form of services.
Appears in 1 contract
Samples: Individual Dental Contract
Right of Recovery. If the amount of the payments we made by the Company is more than it we should have paid under this COB provision, it we may recover the excess from one or more of the persons it has we have paid or for whom it has we have paid; or any other person or organization that may be responsible for the benefits or services provided for the covered personyou. The "amount of the payments made" includes the reasonable cash value of any benefits provided in the form of services.
Appears in 1 contract
Samples: Group Policy
Right of Recovery. If the amount of the payments made by the Company is more than it should have paid under this COB provision, it may recover the excess excess, at its option, from one or more of of:
(a) the persons person(s) it has paid or for whom it has paid;
(b) insurance companies; or any or
(c) other person or organization that may be responsible for the benefits or services provided for the covered personorganizations. The "“amount of the payments made" ” includes the reasonable cash value of any benefits provided in the form of services.
Appears in 1 contract
Samples: Master Group Ppo Contract
Right of Recovery. If the amount of the payments made by the Company us is more than it we should have paid under this COB provisionsection, it may we can recover the excess from one or more of the persons it has we have paid or for whom it has we have paid; or any other person or organization that may can be responsible for the benefits or services Services provided for the covered personMember. The "“amount of the payments made" ” includes the reasonable cash value of any benefits provided in the form of servicesServices.
Appears in 1 contract
Samples: Group Certificate of Medical, Surgical, Pharmacy and Hospital Insurance
Right of Recovery. If the amount of the payments made by the Company [Organization responsible for COB administration] is more than it should have paid under this COB provision, it may recover the excess from one or more of the persons it has paid or for whom it has paid; paid or any other person or organization that may be responsible for the benefits or services provided for the covered person. The "amount of the payments made" includes the reasonable cash value of any benefits provided in the form of services.
Appears in 1 contract
Samples: Group Dental Indemnity Agreement