Michigan Laws > Chapter 550 > Act 64 of 1984 – The Coordination of Benefits Act
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Terms Used In Michigan Laws > Chapter 550 > Act 64 of 1984 - The Coordination of Benefits Act
- Allowable expense: means a health care expense, including coinsurance or copayments and without reduction for any applicable deductible, that is covered in full or in part by any of the plans covering the individual. See Michigan Laws 550.252
- Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
- Claim: means a request that benefits of a plan be provided or paid. See Michigan Laws 550.252
- Closed panel plan: means a plan that provides health benefits to covered persons primarily in the form of services through a panel of providers that have contracted with or are employed by the insurer that issues the plan and that excludes benefits for services provided by other providers, except in cases of emergency or referral by a panel member. See Michigan Laws 550.252
- COB: means a provision that establishes an order in which insurers pay claims, and that permits benefits paid under secondary plans to be reduced so that the combined benefits paid under all plans do not exceed 100% of the total allowable expenses of the claims. See Michigan Laws 550.252
- Contract: A legal written agreement that becomes binding when signed.
- Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
- Custodial parent: means any of the following:
(i) The parent awarded custody of a child by a court order or judgment. See Michigan Laws 550.252Dental care corporation: means a nonprofit dental care corporation incorporated under 1963 PA 125, MCL 550. See Michigan Laws 550.252 Dependent: A person dependent for support upon another. Group-type contract: means a contract that is not available to the general public and is obtained and maintained only because of membership in or a connection with a particular organization or group, including blanket coverage. See Michigan Laws 550.252 Health maintenance organization: means that term as defined in section 3501 of the insurance code of 1956, 1956 PA 218, MCL 500. See Michigan Laws 550.252 Indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. Source: FDIC Insurer: means that term as defined in section 106 of the insurance code of 1956, 1956 PA 218, MCL 500. See Michigan Laws 550.252 Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity. person: may extend and be applied to bodies politic and corporate, as well as to individuals. See Michigan Laws 8.3l plan: means a form of health care coverage with which coordination is allowed. See Michigan Laws 550.252 Primary plan: means a plan under which benefits for an individual's health care coverage are determined without taking into consideration the existence of any other plan. See Michigan Laws 550.252 Secondary plan: means a plan that is not a primary plan. See Michigan Laws 550.252 state: when applied to the different parts of the United States, shall be construed to extend to and include the District of Columbia and the several territories belonging to the United States; and the words "United States" shall be construed to include the district and territories. See Michigan Laws 8.3o