Secondary Plan(s definition

Secondary Plan(s means a Plan which is not a Primary Plan. If a covered person is covered by more than one Secondary Plan, the order of benefit determination rules of this COB section shall be used to determine the order in which the benefits payable under the multiple Secondary Plans are paid in relation to each other. The benefits of each Secondary Plan may take into consideration the benefits of the Primary Plan or Plans and the benefits of any other Plan which, under this Certificate, has its benefits determined before those of that Secondary Plan. Primary and Secondary Plan: When a claim is submitted, the SHP is considered the primary plan and pays benefits per the plan provisions as described herein. When the covered person does not maintain any other insurance (exception—auto and/or boating insurance), the SHP is automatically considered the primary plan. If the covered person maintains another insurance plan in conjunction with the SHP, the SHP is automatically considered the secondary plan; and as such, benefits paid per the SHP provisions, as described herein, would not exceed the allowable plan expenses. No plan pays more than it would without the coordination provision. This Plan considers each Plan separately when coordinating payments. The Primary Plan pays or provides services or supplies first, without taking into consideration the existence of a Secondary Plan. If a Plan has no COB provision, or if the order of benefit determination rules differ from those set forth in this Certificate, it is the Primary Plan. A Secondary Plan takes into consideration the benefits provided by a Primary Plan when, according to the rules set forth below, the Plan is the Secondary Plan. If there is more than one Secondary Plan, the order of benefit determination rules determine the order among the Secondary Plans. The Secondary Plans will pay up to the remaining unpaid Allowable Expenses, but no Secondary Plan will pay more than it would have paid if it had been the Primary Plan.
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Secondary Plan(s means a Plan which is not a Primary Plan. If a person is covered by more than one Secondary Plan, the order of benefit determination rules of this COB section shall be used to determine the order in which the benefits payable under the multiple Secondary Plans are paid in relation to each other. The benefits of each Secondary Plan may take into consideration the benefits of the Primary Plan or Plans and the benefits of any other Plan which, under this Certificate, has its benefits determined before those of that Secondary Plan. Primary and Secondary Plan: This Plan considers each Plan separately when coordinating payments. The Primary Plan pays or provides services or supplies first, without taking into consideration the existence of a Secondary Plan. If a Plan has no COB provision, or if the order of benefit determination rules differ from those set forth in this Certificate, it is the Primary Plan. Secondary Plan takes into consideration the benefits provided by a Primary Plan when, according to the rules set forth below, the Plan is the Secondary Plan. If there is more than one Secondary Plan, the order of benefit determination rules determine the order among the Secondary Plans. The Secondary Plans will pay up to the remaining unpaid Allowable Expenses, but no Secondary Plan will pay more than it would have paid if it had been the Primary Plan. The method the Secondary Plan uses to determine the amount to pay is set forth below in the “Procedures to be followed by the Secondary Plan to Calculate Benefits” section. Rules for the Order of Benefit Determination: The benefits of the Plan that covers the person as an employee, member, subscriber or retiree shall be determined before those of the Plan that covers the person as a dependent. The coverage as an employee, member, subscriber or retiree is the Primary Plan. The benefits of the Plan that covers the person as an employee who is neither laid off nor retired, or as a dependent of such person, shall be determined before those for the Plan that covers the person as a laid off or retired employee, or as such a person’s dependent. If the other Plan does not contain this rule, and as a result the Plans do not agree on the order of benefit determination, this provision shall be ignored. The benefits of the Plan that covers the person as an employee, member, subscriber or retiree, or dependent of such person, shall be determined before those of the Plan that covers the person under a right of continuation pu...
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Secondary Plan(s means a Plan which is not a Primary Plan. If a person is covered by more than one Secondary Plan, the order of benefit determination rules of this COB section shall be used to determine the order in which the benefits payable under the multiple Secondary Plans are paid in relation to each other. The benefits of each Secondary Plan may take into consideration the benefits of the Primary Plan or Plans and the benefits of any other Plan which, under this Certificate, has its benefits determined before those of that Secondary Plan.
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Examples of Secondary Plan(s in a sentence

  • In addition, any expense that a Provider by law or in accordance with a contractual agreement is prohibited from charging You is not an Allowable expense; however, if a Provider has a contractual agreement with both the Primary and Secondary Plans, then the higher of the contracted fees is the Allowable expense, and the Provider may charge up to the higher contracted fee.

  • If there is more than one Secondary Plan, the order of benefit determination rules determine the order among the Secondary Plans.

  • During each Claim Determination Period, the Secondary Plan(s) will pay up to the remaining unpaid allowable expenses, but no Secondary Plan will pay more than it would have paid if it had been the Primary Plan.

  • If a person is covered by more than one Secondary Plan, the Order of Benefit Determination Rules of LDI Regulation 32 decide the order in which Secondary Plans benefits are determined in relation to each other.

  • You may request a copy in either paper form or electronic form of Appendix C, which provides an explanation for Secondary Plans on the purpose and use of the benefit reserve and how Secondary Plans calculate Claims.

  • The church will again become an attractive venue for Weddings and Funerals and Feast-day Services, which attract visitors who do not regularly attend the church, and often travel from outside the area.

  • Coordination of Benefits or COB – 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 one hundred percent (100%) of the total Allowable Expenses.

  • The Secondary Plan(s) will pay up to the remaining unpaid Allowable Expenses, but no Secondary Plan will pay more than it would have paid if it had been the Primary Plan.

  • One of the two or more plans involved is the Primary Plan and the other plan(s) are Secondary Plans.

  • The Secondary Plan(s) then make up the difference up to the total allowable Expenses Incurred.


More Definitions of Secondary Plan(s

Secondary Plan(s means a Plan which is not a Primary Plan. If a Member is covered by more than one Secondary Plan, the order of benefit determination rules of this COB section shall be used to determine the order in which the benefits payable under the multiple Secondary Plans are paid in relation to each other. The benefits of each Secondary Plan may take into consideration the benefits of the Primary Plan or Plans and the benefits of any other Plan which, under this Certificate, has its benefits determined before those of that Secondary Plan. Primary and Secondary Plan: This Plan considers each Plan separately when coordinating payments. The Primary Plan pays or provides services or supplies first, without taking into consideration the existence of a Secondary Plan. If a Plan has no COB provision, or if the order of benefit determination rules differ from those set forth in this Certificate, it is the Primary Plan.
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Related to Secondary Plan(s

  • Secondary Plan means a plan that is not a primary plan.

  • Primary Plan means a Plan that, in accordance with the rules regarding the order of benefits determination, provides benefits or benefit payments without considering any other Plan.

  • SECONDARY PLAN (SECONDARY means a plan that is not a primary plan.

  • PRIMARY PLAN (PRIMARY means a plan whose benefits for a person's healthcare coverage must be determined without taking the existence of any other plan into consideration.

  • Recovery Plan means a recovery plan drawn up and maintained by an institution in accordance with Article 5;

  • Approved Plans means any new or revised plans that are required by this Permit that received approved from the MPCA.

  • Statutory Plan means a plan required in terms of any legislation, including but not limited to, any structure plan, land use plan, zoning scheme, integrated development plan, water services plan, skills development plan and employment equity plan;

  • Marketing Plan means a plan or system concerning a material aspect of conducting business. Indicia of a marketing plan include any of the following:

  • Procurement Plan means the Recipient’s procurement plan for the Project, dated April 2, 2010, and referred to in paragraph 1.16 of the Procurement Guidelines and paragraph 1.24 of the Consultant Guidelines, as the same shall be updated from time to time in accordance with the provisions of said paragraphs.

  • Project Plans mean the plans for the Project that are attached to this Agreement as Exhibit “B.”

  • Master subcontracting plan means a subcontracting plan that contains all the required elements of an individual subcontracting plan, except goals, and may be incorporated into individual subcontracting plans, provided the master subcontracting plan has been approved.

  • Existing Plan means the Amended and Restated Novatel Wireless, Inc. 2000 Stock Incentive Plan.

  • HUB Subcontracting Plan or “HSP” means written documentation regarding the use of subcontractors, which is required to be submitted with all responses to state agency contracts with an expected value of $100,000.00 or more where subcontracting opportunities have been determined by the state agency to be probable. The HUB subcontracting plan subsequently becomes a provision of the awarded Contract and shall be monitored for compliance by the state agency during the term of the Contract.

  • Decommissioning Plan means the document containing detailed information on the proposed decommissioning and covering the following: the selected decommissioning strategy; the schedule, type and sequence of decommissioning activities; the waste management strategy applied, including clearance; the proposed end state; the storage and disposal of the waste from decommissioning; the timeframe for decommissioning; the cost estimates for the completion of decommissioning; and the objectives, expected results, milestones, target dates, as well as the corresponding key performance indicators, including, as appropriate, earned value based indicators. The plan is prepared by the nuclear facility license holder and is reflected in the multiannual work programmes of the Programme;