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[Health Insurance] 12, Coordination of Benefits
Published 3 weeks ago
Description
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams.
In this episode you will learn:
- The main purpose of Coordination of Benefits (COB) is to prevent receiving payments that exceed 100% of the cost of services.
- How to determine the primary payer when an individual is covered under their own employer's plan and a spouse's plan.
- The "Birthday Rule" makes the primary payer the parent whose birthday comes earlier in the calendar year, regardless of age.
- How a divorce decree or custody arrangement can override the standard Birthday Rule for dependent children.
- The difference in payment responsibility between a primary plan, which pays first, and a secondary plan, which covers remaining costs.
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