COBRA or State Continuation Coverage. If a Member whose coverage is provided under COBRA or under a right of continuation provided by state or other federal law is covered under another plan, the plan covering the Member as an employee, member, Subscriber or retiree or covering the Member as a Dependent of an employee, member, Subscriber or retiree is the primary plan and the COBRA or state or other federal continuation coverage is the secondary plan. If the other plan does not have this rule, and as a result, the plans do not agree on the order of benefits, this rule is ignored. This rule does not apply if the rule under Section D.1. can determine the order of benefits.
Appears in 27 contracts
Sources: Group Medical Coverage Agreement, Group Medical Coverage Agreement, Group Medical Coverage Agreement
COBRA or State Continuation Coverage. If a Member person whose coverage is provided under pursuant to COBRA or under a right of continuation provided by state or other federal law is covered under another plan, the plan covering the Member person as an employee, member, Subscriber subscriber or retiree or covering the Member person as a Dependent dependent of an employee, member, Subscriber subscriber or retiree is the primary plan and the COBRA or state or other federal continuation coverage is the secondary plan. If the other plan does not have this rule, and as a result, the plans do not agree on the order of benefits, this rule is ignored. This rule does not apply if the rule under Section D.1. labeled B.4.a can determine the order of benefits.
Appears in 17 contracts
Sources: Individual Epo Medical Policy, Individual Epo Medical Policy, Individual Epo Medical Policy
COBRA or State Continuation Coverage. If a Member whose coverage is provided under COBRA or under a right of continuation provided by state or other federal law is covered under another plan, the plan covering the Member as an employee, member, Subscriber Contract Holder or retiree or covering the Member as a Dependent of an employee, member, Subscriber Contract Holder or retiree is the primary plan and the COBRA or state or other federal continuation coverage is the secondary plan. If the other plan does not have this rule, and as a result, the plans do not agree on the order of benefits, this rule is ignored. This rule does not apply if the rule under Section D.1. can determine the order of benefits.
Appears in 15 contracts
Sources: Individual & Family Medical Coverage Agreement, Individual & Family Medical Coverage Agreement, Individual & Family Medical Coverage Agreement
COBRA or State Continuation Coverage. If a Member whose coverage is provided under COBRA or under a right of continuation provided by state or other federal law is covered under another plan, the plan covering the Member as an employee, member, Subscriber or retiree or covering the Member as a Dependent of an employee, member, Subscriber or retiree is the primary plan and the COBRA or state or other federal continuation coverage is the secondary plan. If the other plan does not have this rule, and as a result, the plans do not agree on the order of benefits, this rule is ignored. This rule does not apply if the rule under Section D.1. D.1 can determine the order of benefits.
Appears in 13 contracts
Sources: Group Medical Coverage Agreement, Group Medical Coverage Agreement, Group Medical Coverage Agreement
COBRA or State Continuation Coverage. If a Member whose coverage is provided under pursuant to COBRA or under a right of continuation provided by state or other federal law is covered under another planPlan, the plan Plan covering the Member as an employee, member, Subscriber or retiree or covering the Member as a Dependent of an employee, member, Subscriber or retiree is the primary plan and the Primary Plan. The COBRA or state or other federal continuation coverage is the secondary planSecondary Plan. If the other plan Plan does not have this rule, and as a result, the plans Plans do not agree on the order of benefits, this rule is ignored. This rule does not apply if the “Non-Dependent or Dependent” rule under Section D.1. can determine the order of benefits.
Appears in 11 contracts
Sources: Individual Hmo Subscriber Agreement, Individual Hmo Subscriber Agreement, Individual Hmo Subscriber Agreement
COBRA or State Continuation Coverage. If a Member person whose coverage is provided under pursuant to COBRA or under a right of continuation provided by state or other federal law is covered under another plan, the plan covering the Member person as an employee, member, Subscriber employee or retiree or covering the Member person as a Dependent of an employee, member, Subscriber employee or retiree is the primary plan and the COBRA or state or other federal continuation coverage is the secondary plan. If the other plan does not have this rule, and as a result, the plans do not agree on the order of benefits, this rule is ignored. This rule does not apply if the rule under Section D.1. section Non-Dependent or Dependent can determine the order of benefits.
Appears in 11 contracts
Sources: Health Insurance Plan, Health Insurance Contract, Health Insurance Contract
COBRA or State Continuation Coverage. If a Member whose coverage is provided under COBRA or under a right of continuation provided by state or other federal law is covered under another plan, the plan covering the Member as an employee, member, Subscriber or retiree or covering the Member as a Dependent of an employee, member, Subscriber or retiree is the primary plan and the COBRA or state or other federal continuation coverage is the secondary plan. If the other plan does not have this rule, and as a result, the plans do not agree on the order of benefits, this rule is ignored. This rule does not apply if the rule under Section D.1. section d 1) can determine the order of benefits.
Appears in 7 contracts
Sources: Group Health Cooperative Medical Coverage Agreement, Group Health Cooperative Medical Coverage Agreement, Medical Coverage Agreement
COBRA or State Continuation Coverage. If a Member person whose coverage is provided under pursuant to COBRA or under a right of continuation provided by state or other federal law is covered under another planPlan, the plan Plan covering the Member person as an employee, member, Subscriber subscriber or retiree or covering the Member person as a Dependent dependent of an employee, member, Subscriber subscriber or retiree is the primary plan Primary Plan, and the COBRA or state or other federal continuation coverage is the secondary planSecondary Plan. If the other plan Plan does not have this rule, and as a result, the plans Plans do not agree on the order of benefits, this rule is ignored. This rule does not apply if the rule under Section labeled D.1. can determine the order of benefits.
Appears in 5 contracts
Sources: Group Health Insurance Certificate of Coverage, Individual Medical Policy, Individual Medical Policy
COBRA or State Continuation Coverage. If a Member person whose coverage is provided under pursuant to COBRA or under a right of continuation provided by state or other federal law is covered under another planPlan, the plan Plan covering the Member person as an employee, member, Subscriber subscriber or retiree or covering the Member person as a Dependent dependent of an employee, member, Subscriber subscriber or retiree is the primary Primary plan and the COBRA or state or other federal continuation coverage is the secondary Secondary plan. If the other plan Plan does not have this rule, and as a result, the plans Plans do not agree on the order of benefits, this rule is ignored. This rule does not apply if the rule under Section D.1. paragraph 1 can determine the order of benefits.
Appears in 3 contracts
Sources: Group Agreement, Group Agreement, Group Agreement