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Subject:
Healthcare Qualifying Event \ Coordination of Health Benifits
Category: Health Asked by: fsk1966-ga List Price: $10.00 |
Posted:
22 Feb 2006 08:54 PST
Expires: 24 Mar 2006 08:54 PST Question ID: 448407 |
My wife and I work for two different private companies. Both companies have insurance via Aetna but they have different open enrollment periods. Thus, it is very hard to coordinate the benefits. We cannot shift from plan to plan depending on who has the better coverage without having excess coverage. Does the company or government define and govern what is "qualifying event" for private healthcare? If government, please provide a link and supporting documentation. Also would appreciate a recommendation. |
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There is no answer at this time. |
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Subject:
Re: Healthcare Qualifying Event \ Coordination of Health Benifits
From: jms0300-ga on 05 Mar 2006 22:34 PST |
The U.S. Department of Labor has the guidelines outlined under the HIPPA regulations. The website is: www.dol.gov The general rule of thumb for a qualifying event is: Death of spouse: The surviving spouse and dependents are entitled to Cobra coverage. Divorce - spouse and dependent children are entitled to Cobra. Loss of employment, the employed spouse then has 31 days to enroll spouse who lost coverage along with any dependents. Birth of a child - usually companies require notification within 31 days. Marriage - 31 days to enroll new spouse. If both employers offer Aetna, before the next open enrollment period compare each employers coverage, i.e. - employee cost, co-pays, pharmacy coverages, types of Aetna plans offered - PPO, POS, HMO, EPO, etc. Plan rates never go down they only go up each year. Usually larger employers can offer their employee's lower costs. |
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