Coordination of benefits provision definition

Coordination of benefits provision means this provision and any other provision which may reduce an insurer’s liability because of the existence of benefits under other valid coverage.
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Coordination of benefits provision means this
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Coordination of benefits provision means this provision and any other
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Examples of Coordination of benefits provision in a sentence

  • A Coordination of benefits provision will apply to all eligible dental claims.

  • If your spouse received any economic inducement, incentive, reward or benefit for waiving coverage available to your spouse by your spouse’s Employer Group Health Plan (whether in cash, a flexible spending or benefit account, additional or other benefits, insurance or vacation, or in any other form), the Fund will consider your spouse to be entitled to coverage under your spouse’s Employer Group Health Plan for purposes of the Fund’s Coordination of benefits provision.


More Definitions of Coordination of benefits provision

Coordination of benefits provision or “COB provision” means a contractual provision that establishes an order in which plans intend to pay their claims, and describes how benefits provided by the plan will be calculated when the plan is secondary to avoid duplication of payment.
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Related to Coordination of benefits provision

  • Coordination of Benefits or “COB” means a provision establishing an order in which plans pay their claims, and permitting secondary plans to reduce their benefits so that the combined benefits of all plans do not exceed total allowable expenses.

  • Schedule of Benefits means the section of this policy which shows, among other things, the Eligibility Requirements, Eligibility Waiting Period, Elimination Period, Amount of Insurance, Minimum Benefit, and Maximum Benefit Period.

  • Health benefits plan means a benefits plan which pays or

  • Death Benefit means the insurance amount payable under the Certificate at death of the Insured, subject to all Certificate provisions dealing with changes in the amount of insurance and reductions or termination for age or retirement. It does not include any amount that is only payable in the event of Accidental Death.

  • Terms-of-service agreement means an agreement that controls the relationship between a user and a custodian.

  • Retirement system means a retirement plan or system that is established by or pursuant to title 38.

  • Pharmacy benefits manager means a person that performs pharmacy benefits management.

  • Resource Adequacy Benefits means the rights and privileges attached to the Generating Facility that satisfy any Person’s resource adequacy obligations, as those obligations are set forth in any Resource Adequacy Rulings and shall include any local, zonal or otherwise locational attributes associated with the Generating Facility.