Both husband and wife have group health insurance through their employers. Each spouse is covered un...

Question

Both husband and wife have group health insurance through their employers. Each spouse is covered under both policies. Under the coordination of benefits provision, how will the benefits be paid if the wife incurs a $400 covered loss?

Poker Exams Expert · Accepted Answer

The primary insurer will pay as much of the claim as the policy permits, then the secondary insurer will pay the remainder of the claim as its policy permits.

User · Answer

The husband's insurer will pay as much of the claim as the policy permits, then the wife's insurer will pay the remainder.

User · Answer

Only the primary insurer will pay expenses toward the loss under the limits of the plan.

User · Answer

Only the wife's insurer will pay expenses toward the loss.

Both husband and wife have group health insurance through their employers. Each spouse is covered under both policies. Under the coordination of benefits provision, how will the benefits be paid if the wife incurs a $400 covered loss?

The primary insurer will pay as much of the claim as the policy permits, then the secondary insurer will pay the remainder of the claim as its policy permits.

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