Most group health insurance plans have adopted the coordination-of-benefits rules developed by the National Association of Insurance Commissioners.Under these rules,if a dependent child is covered by both of the health insurance plans of the child's married parents,which health plan is primary for the child's medical expenses?

Question

Quizplus · Accepted Answer

The coordination-of-benefits rules state that the primary plan for a dependent child is determined by the birthday rule, which means that the plan of the parent whose birthday occurs first in the calendar year is considered primary. Therefore, neither parent's plan is always primary and the size of the employer or gender of the parent is not a factor in determining primary coverage.

Most Group Health Insurance Plans Have Adopted the Coordination-Of-Benefits Rules