| (1) To determine the length of time a person has been
covered under a plan, two successive plans must be treated as one
if the covered person was eligible under the second plan within 24
hours after the first plan ended.
(2) The start of a new plan does not include:
(A) a change in the amount or scope of a plan's benefits;
(B) a change in the entity that pays, provides, or
administers the plan's benefits; or
(C) a change from one type of plan to another, such
as, from a single employer plan to a multiple employer plan.
(3) The person's length of time covered under a plan
is measured from the person's first date of coverage under that plan.
If that date is not readily available for a group plan, the date the
person first became a member of the group must be used as the date
from which to determine the length of time the claimant's coverage
under the present plan has been in force.
(f) Sharing equally between the plans. If subsections
(a) - (e) of this section do not determine the order of benefits,
the allowable expenses must be shared equally between the plans.
|
