Examples of Other Insurer in a sentence
As part of this revised “Other Insurance” logic for TRICARE and CHAMPVA, CWF shall interpret “additional supplemental coverage” as including entities whose COBA identifiers fall in any of the following ranges: 00001-29999 (Supplemental);30000-54999 (Medigap eligibility-based); 80000-80213 (Other Insurer); and80215-88999 (Other Insurer).
If the policy is a renewal / rollover from any Other Insurer and if the Insured is covered continuously for at least 1 year under a individual health insurance policy for the reimbursement of medical costs for inpatient treatment in a Hospital, this exclusion stands waived provided that the Insured establishes to the Insurer’s satisfaction that Insured was unaware of and had not taken any advice or medication for such Illness or treatment.
If the policy is a renewal / rollover from any Other Insurer and if the Insured is covered continuously for at least 1 year under a individual health insurance policy for the reimbursement of medical costs for inpatient treatment in a Hospital, this exclusion stands waived3.
The “Other Insurance” logic for State Medicaid Agencies includes all of the following COBA ID ranges: 00001-29999 (Supplemental);30000-54999 (Medigap eligibility-based);60000-69999 (TRICARE);80000-80213 (Other Insurance)80214 (CHAMPVA)80215-88999 (Other Insurer).
In case of rollover/renewal policies issued by any Other Insurer which are accepted by usthe following conditions would be applicable for coverage of exclusion of Pre-Existing diseases/conditions but only up to the sum insured limit under the expiring policy held by the insured.