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Coordination Of Benefits : When You Are Covered Under Two Or More Health Plans

How To Determine Which Plan Is Primary: Both Plans Are Group Health Coverage And Both Have Coordination Of Benefits Provisions Included In The Policy

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  • Your plan is primary. Your spouse or significant other's plan is secondary.
  • If your spouse or significant other has a claim, his or her policy is primary for him or her and yours is secondary.
  • For children, as strange as it sounds, if both parents have group plans, the plan which covers the parent whose birthday comes earliest in the year is primary.
  • In the event of a dispute between the two plans, the plan that has insured the person the longest is primary.
  • If you have two group policies, the plan that has insured you the longest is primary.

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