Coordination of
Benefits
Some individuals have dental expense coverage in
addition to coverage under this Plan. When this happens, the benefits from
"Other Plans" will be taken into account. The purpose of the coordination of
benefits assures that no participant will receive more money than 100% of
reasonable dental charges through payment from both Plans and not allow for
payment of more than 100% of charges.
This may
require a reduction of benefits under this Plan. "Other Plans" means any plan
providing primary coverage on yourself or your dependent.
Benefit Determination
- When both plans have coordination of benefits provisions,
benefits will be determined first under this Plan if the claimant is
covered:
- As a participant under this Plan and as a dependent under
the other program
- As a participant under both plans but has been covered
longer under this Plan
- When one plan has no coordination of benefits provision,
benefits will be determined first under such plan.
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