67 Rule 5: Coverage of Active Employee and/or Employee’s Dependent: A plan which covers you as an active employee, or that employee’s dependent, is primary. A plan which covers you as a laid - off or re tiree employee, or that employee’s dependent, is secondary. If the other plan does not have this rule and if, as a result, the plans do not agree on which plan is primary, this Rule 5 is ignored. Rule 6: Longer/Shorter Length of Coverage If none of the abo ve rules determines the order of benefits, the plan that covered you longer is primary. The length of time a person is covered under a plan is measured from the date the person was first covered under that plan, and does not start over as the result of a c hange: • In the amount or scope of a plan’s benefits; • In the entity that pays, provides or administers the plan; or • From one type of plan to another (such as from a single employer plan to a Multiemployer plan). Administering Coordination of Benefits To administer COB, the Plan reserves the right to: • Exchange information with other plans involved in paying claims; • Require that you or your health care provider furnish any necessary information; • Reimburse any plan that made payments this Plan should have ma de; or • Recover any overpayment from your hospital, physician, other health care provider, other insurance company, you, your Spouse, or your adult Dependent Child. If this Plan should have paid benefits that were paid by any other plan, this Plan may pay t he party that made the other payments in the amount that the Fund Office, or its designee, determines to be proper under this provision. Any amounts so paid will be considered to be covered benefits under this Plan, and this Plan will be fully discharged f rom any liability it may have to the extent of such payment. To obtain all the benefits available to the covered individual, a claim should be filed under each plan that covers the person for the medical expenses that were incurred. However, any person who claims benefits under this Plan must provide all the information this Plan will need to ap ply COB requirements.
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