Use of the model coordination of benefits provision for group contracts in part 4685.0950 is subject to subparts 2 and 3 and part 4685.0915.
A group contract's coordination provision does not have to use the words and format shown in part 4685.0950. Changes may be made to fit the language and style of the rest of the group contract or to reflect the difference among plans that provide services, that pay benefits for expenses incurred, and that indemnify. No other substantive changes are allowed.
A group contract may not reduce benefits on the basis that:
a person is or could have been covered under another plan, except with respect to Part B of Medicare; or
a person has elected an option under another plan providing a lower level of benefits than another option that could have been elected.
14 SR 901; 14 SR 2004
October 11, 2007
Official Publication of the State of Minnesota
Revisor of Statutes