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Q: Healthcare Qualifying Event \ Coordination of Health Benifits ( No Answer,   1 Comment )
Question  
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.
Answer  
There is no answer at this time.

Comments  
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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