Common use of Order of Benefit Determination Rules Clause in Contracts

Order of Benefit Determination Rules. When a person is covered by two or more Plans, the rules for determining the order of benefit payments are as follows: 1. The primary plan pays or provides its benefits according to its terms of coverage and without regard to the benefits of under any other plan. 2. a. Except as provided in Paragraph (b), a plan that does not contain a coordination of benefits provision that is consistent with this regulation is always primary unless the provisions of both plans state that the complying plan is primary.