760 Ind. Admin. Code 1-38.1-8

Current through October 9, 2024

Section 760 IAC 1-38.1-8 - "Primary plan" defined

Authority: IC 27-1-3-7

Affected: IC 27-8-5-19

Sec. 8.

As used in this rule, "primary plan" means a plan whose benefits for a person's health care coverage must be determined without taking the existence of any other plan into consideration. A plan is a primary plan if either of the following conditions are true:

(1) The plan either has:

(A) no order of benefit determination rules; or

(B) rules that differ from those permitted by this rule.

(2) All plans that cover the person use the order of benefit determination provisions of this rule, and under this rule the plan determines its benefits first.

760 IAC 1-38.1-8

Department of Insurance; 760 IAC 1-38.1-8; filed Feb 14, 1990, 3:30 p.m.: 13 IR 1171; readopted filed Sep 14, 2001, 12:22 p.m.: 25 IR 531; filed Sep 15, 2006, 2:02 p.m.: 20061011-IR-760050265FRA; readopted filed Nov 21, 2012, 4:15 p.m.: 20121219-IR-760120454RFA

Readopted filed Nov 13, 2018, 10:02 a.m.: 20181212-IR-760180372RFA