Employee Health Care Plan – Coordination of Medical Benefits
In the event an individual is covered under more than one health plan, the medical benefits of the health plans will be coordinated (prescription drug coverage is only coordinated between two University plans). The primary coverage is identified by using the first of the following rules which applies (the other coverage is the secondary coverage):
- The health plan which covers the person as the policyholder.
- For a child of parents living together, the plan of the parent whose birthday falls earlier in the calendar year.
- For a child of parents not living together,
- The plan of the parent with custody;
- The plan of the spouse of the parent with custody;
- The plan of the parent without custody; or
- The plan of the spouse of the parent without custody.
For additional information on coordination of benefits, see the applicable Summary Plan Description or contact the Benefits Department.
RELATED LINKS:
- Affordable Care Act and Health Coverage
- Autism Spectrum Disorder Coverage effective January 1, 2015
- Children's Health Insurance Program (CHIP)
- COBRA Coverage
- Consumer Directed Health Plan (CDHP) & Health Savings Account
- Coordination of Medical Benefits
- Dental Coverage
- Eligibility and Enrollment
- Eligible Dependents
- Employee Assistance Program and Behavioral Health Coverage
- Find a Network Provider
- Preventive Services Under ACA
- Prescription Drug Coverage
- Privacy Notice
- Provider Network and Plan Design Options
- SafeUT Crisis Text and Tip App
- Status Change Events
- Summary Comparison of Medical and Dental Benefits - University Faculty and Staff
- Summary Plan Descriptions
- Tax Form 1095-C
- University Pharmacies
- University Pharmacies
- Virtual Visits