Common use of Longer/Shorter Length of Coverage Clause in Contracts

Longer/Shorter Length of Coverage. The plan that covered you as an employee, member, subscriber or retiree longer is primary. Note: Under this contract, PIC will not pay more than it would pay as the primary plan. The Effect of the Benefits of this Plan: When this plan is secondary, it may reduce its benefits at the time of processing, so that the total benefits paid or provided by all plans for each claim are not more than 100% of total allowable expenses for such claim. The reduction in this plan’s benefits is equal to the difference between: 1. The benefit payments that this plan would have paid had it been the primary plan; and 2. The benefit payments that this plan actually paid or provided. When the benefits of this plan are reduced as described above, each benefit is reduced in proportion to any applicable limit, such as the deductible of this plan.

Appears in 8 contracts

Sources: Health Insurance Contract, Health Insurance Contract, Health Insurance Contract