67 Rule 5: Cover age 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 retiree 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 above rules determines the order of benefits, the plan that covered you lon ger 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 change: • 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 w ith 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 made; or • Recover any overpayment from your hospital, physician, other he alth 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 the party that made the other payments in the amount that the Fund Offi ce, or its designee, determines to be proper under this provision. Any amounts so paid will be considered covered benefits under this Plan, and this Plan will be fully discharged from any liability it may have to the extent of such payment. To obtain all t he 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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