Kate is covered under her employer's group health plan.She is also covered as a dependent under her husband's group health plan.Under the usual coordination-of-benefits provision,how will each company respond to a claim filed by Kate?

Question

Quizplus · Accepted Answer

Kate's employer's group health plan is considered primary because it is her own coverage, while her husband's plan, under which she is covered as a dependent, is considered secondary or excess. This is a common practice in coordination of benefits to determine which plan pays first.

Kate Is Covered Under Her Employer's Group Health Plan