284-51-205 primary when an enrollee uses a nonpanel provider, except for (1)(b) emergency services or authorized referrals provided by the primary plan. WAC When multiple contracts providing coordinated coverage are 284-51-205 treated as a single plan per WAC 284-51-195, the COB rules (1)(c) apply only to the plan as a whole, and coordination among the component contracts is governed by the terms of the contracts. If more than one issuer pays or provides benefits under the plan, the issuer designated as primary within the plan is responsible for the plan's compliance with Chapter 284-51 WAC. WAC If a person is covered by more than one secondary plan, the 284-51-205 order of benefit determination rules decide the order in which (1)(d) secondary plans pay. Each secondary plan must consider the benefits of the primary plan and the benefits of any other plan, which, under the COB rules, has its benefits determined before those of that secondary plan. WAC Except as provided below, a plan that contains noncompliant 284-51-205 COB provisions is always the primary plan unless the provisions (2)(a) of both plans state that the complying plan is primary. WAC A plan with order of benefit determination rules that comply 284-51-245 with the WAC rules (complying plan) may coordinate its (2)(a) benefits with a plan that is "excess" or "always secondary", or that uses order of benefit determination rules inconsistent with the WAC rules (noncomplying plan) on the following basis: (2)(a)(i) If the complying plan is the primary plan, it must provide its benefits first;
284-51-205 (1)(b) primary when an enrollee uses a nonpanel provider, except for emergency services or authorized referrals provided by the primary plan. WAC 284-51-205 (1)(c) When multiple contracts providing coordinated coverage are treated as a single plan per WAC 284-51-195, the COB rules apply only to the plan as a whole, and coordination among the component contracts is governed by the terms of the contracts. If more than one issuer pays or provides benefits under the plan, the issuer designated as primary within the plan is responsible for the plan's compliance with Chapter 284-51 WAC. WAC 284-51-205 (1)(d) If a person is covered by more than one secondary plan, the order of benefit determination rules decide the order in which secondary plans pay. Each secondary plan must consider the benefits of the primary plan and the benefits of any other plan, which, under the COB rules, has its benefits determined before those of that secondary plan. WAC 284-51-205 (2)(a) Except as provided below, a plan that contains noncompliant COB provisions is always the primary plan unless the provisions of both plans state that the complying plan is primary. WAC 284-51-245 (2)(a) A plan with order of benefit determination rules that comply with the WAC rules (complying plan) may coordinate its benefits with a plan that is "excess" or "always secondary", or that uses order of benefit determination rules inconsistent with the WAC rules (noncomplying plan) on the following basis: (2)(a)(i) If the complying plan is the primary plan, it must provide its benefits first;