Other Coverage definition
Other Coverage means another public or private plan of health insurance or other health benefit arrangement including Medicare, Medicaid or Champus, that provides benefits similar to or exceeding the benefits provided under this Group Contract.
Other Coverage means any recovery or reimbursement for covered charges available from any other source whatsoever whether that is due to an insurance policy, or other type of coverage. This does not include gifts or donations, but does include, but is not limited to:
Other Coverage means any other contract or policy under which the COVERED PERSON is enrolled, such as:
Examples of Other Coverage in a sentence
Other coverage options may be available to you, too, including buying individual insurance coverage through the Health Insurance Marketplace.
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More Definitions of Other Coverage
Other Coverage means comprehensive medical insurance provided by another insurance plan, not the City’s plan.
Other Coverage means coverage under any of the following:
Other Coverage. If an employee who is covered by this provision retires and is able to obtain health care coverage from another source (e.g., other employment), the retiree may choose to drop the City’s health care coverage. However, should the retiree lose his/her alternate coverage for any reason, including voluntary or involuntary separation of employment, upon production of proof-of-loss to the City, such retiree may elect to reenroll under the City’s health coverage. Such coverage shall be restored and recommence immediately following the production of such proof-of-loss. The City shall not prohibit a retiree or surviving spouse or eligible dependent from re-entering the City’s PPO Plan for any reason upon loss of coverage from another program, and the health coverage benefits provided upon return to City coverage will be the same as those the employee was entitled to upon retirement. Hire date on or after July 1, 2016: Employees who are hired on or after July 1, 2016, (or who are promoted from another position in the City in which they were not eligible for retiree health care coverage) will not be eligible for employer paid health care insurance coverage at the time of retirement. For the term of this agreement, the City will annually contribute the actuarial equivalent of the collectively bargained amount into a Retirement Health Reimbursement Account for each bargaining unit member hired on or after July 1, 2016. Effective January 1, 2019, the amount of this contribution is $3,500, as outlined in Appendix F. The account will become available to employees upon their retirement, for reimbursement of eligible medical expenses, or to purchase, at the retiree’s full cost, access to the City health care plan that may be offered at that time.
Other Coverage means any other coverage by means of any individual, entity or program that is, or may be, liable to pay all or part of the medical expenses incurred by a member including, but not limited to, first and third party payers.