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re: A question about health insurance and marriage

Posted on 4/17/17 at 2:22 pm to
Posted by Zach
Gizmonic Institute
Member since May 2005
112766 posts
Posted on 4/17/17 at 2:22 pm to
quote:

I'd imagine the instances of fraud are low enough in situations like this that it's more efficient to go case by case than to do background checks on every couple.


Exactly what I would have thought. But in this case the insurance company is going after EVERY couple.

Today I had to make a copy of our marriage certificate and provide a copy our joint tax return. I stress the word 'and' not 'or.' They demand both.

Their explanation is 'to hold down costs'. If you can read between the lines it means 'stopping fraud.'

This company does not insure the general public. Only employees of the hospital and apparently some people are lying about their spouses and children.
Posted by roadGator
Member since Feb 2009
141433 posts
Posted on 4/17/17 at 2:28 pm to
quote:

Only employees of the hospital and apparently some people are lying about their spouses and children.


It happens a lot. Thus the audits are becoming more and more popular. That's one of the first ways a consultant will tell a group they can save money is to audit their employees and their dependent status.
Posted by TerryDawg03
The Deep South
Member since Dec 2012
15914 posts
Posted on 4/17/17 at 2:33 pm to
quote:

This company does not insure the general public. Only employees of the hospital and apparently some people are lying about their spouses and children.


Is this a self insured or small group? My wife is employed by a hospital and I'd jump on her insurance in a heartbeat. I can see why they're checking if the benefits are good.

ETA: But I can't get on her insurance because I'm eligible through my employer.
This post was edited on 4/17/17 at 2:34 pm
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