Discuss the “Coordination of Benefit” provision. What policy pays first in the event that someone is covered by multipl...
- Discuss the “Coordination of Benefit” provision. What policy pays first in the event that someone is covered by multiple policies.
Homework Answers
A coordination of benefit provision can be availed if an individual has availed more than one healthcare policy. It is a provision to determine the primary insurer who will be responsibility for payment and in the ratio in which the other insurers will share the balance.
If an individual is covered by more than one plan, the plan that is determined as the primary insurer pays first.
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Discuss the “Coordination of Benefit” provision. What policy pays first in the event that someone is covered by multipl...
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1. Many insurance policies carry a deductible provision that states how much of a claim a person must pay out of pocket before the insurance company pays the remaining of the expenses. For example, if someone files a claim for $350 on a policy with a $200 deductible, he or she pays $200 and the insurance company pays $150. In the following cases, determine how much a person would pay with and without an insurance policy. Complete parts (a) and...
In automobile collision insurance and health insurance, the policy usually has a provision calling for a deductible according to which the portion of any insured loss up to some fixed limit is payed for by the insured person; only the excess is paid by the insurance company. In addition, health insurance policies often provide for co-payments by the insured so that even after the deductible is met, the insured pays some fraction or fixed amount of the medical costs until...
A family of five is covered by multiple insurance companies: . Father Jones works for a priva ate firm, has his primary health insurance-(ABC) through work, and his secondary health insurance through (XYZ) through his wife. .Mother Jones works for the state in which the Jones family resides, has health insurance (XY2) through work, and life insurance through her husband. . Sally Smith is covered under her mother's health insurance policy until the age of 24 Jeff Jones works at...
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