This Coverage definition

This Coverage. This Coverage means, in a COB provision, the part of the contract providing the health care benefits to which the COB provision applies and which may be reduced because of the benefits of other plans. Any other part of the contract providing health care benefits is separate from This Coverage. A contract may
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Examples of This Coverage in a sentence

  • This Coverage Form provides coverage on all kinds of lawful goods and articles that are the property of the Insured’s customers and have been accepted by the Insured for processing, maintenance or repair usual or incidental to the business operations specified on the “Declaration Page”.

  • This Coverage Form provides coverage for unscheduled fine arts that are not “stock” only while the fine arts are at the location specified on the “Declaration Page”.

  • A payment made under another Plan may include an amount that should have been paid under This Coverage.

  • Covered Service: A service or supply specified in This Coverage for which benefits will be provided when rendered by a Provider to the extent that such item is not covered completely under the Other Plan.

  • Each Member claiming benefits under This Coverage must give Keystone any facts needed to apply those rules and determine benefits payable.

  • When This Coverage is secondary, it may reduce benefits so that the total paid or provided by all Plans for a service are not more than the total Allowable Expenses.

  • The order of benefit determination rules determine whether This Coverage is a Primary Plan or Secondary Plan when the Member has health care coverage under more than one Plan.

  • That amount is treated as though it is a benefit paid under This Coverage.

  • Keystone may obtain and use the facts it needs to apply these rules and determine benefits payable under This Coverage and other Plans covering the Member claiming benefits.

  • Certain facts about health care coverage and services are needed to apply these COB rules and to determine benefits payable under This Coverage and other Plans.

Related to This Coverage

  • Impervious cover means a surface composed of material that significantly impedes or prevents natural infiltration of water into soil.

  • Professional liability insurance means insurance against legal liability incident to the practice of a profession and provision of a professional service.

  • General Liability Insurance Subcontractor shall carry minimum primary General Liability Insurance for the following amounts:

  • Lot coverage means the percentage of lot area covered by all buildings on the lot;

  • Liability Insurance means compulsory professional liability errors and omissions insurance required by a governing body;