This Provision Establishes a System of Primary and Secondary Insurers

question 74

Multiple Choice

This provision establishes a system of primary and secondary insurers.The primary insurer pays the normal benefit amount, as if no other insurance were in force.Then the secondary insurer pays the balance of the covered health care expenses.The total payments by the primary and secondary insurers are limited to 100 percent of the covered charges for the applicable policies.Identify this provision.

• A)Coordination of benefits
• B)Deductible
• C)Indemnity
• D)Coinsurance
• E)Stop-loss

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Definitions:

Principled Negotiation

A negotiation strategy that focuses on the merits of an issue and seeks mutual gains or objectives rather than positioning.

Firm Flexibility

The ability to be resolute in decision-making while being adaptable to changing circumstances.

Inherent Interests

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Collaborative Approach

A strategy that involves working together cooperatively to achieve a common goal.