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re: A question about health insurance and marriage
Posted on 4/17/17 at 2:22 pm to TerryDawg03
Posted on 4/17/17 at 2:22 pm to TerryDawg03
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 on 4/17/17 at 2:28 pm to Zach
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 on 4/17/17 at 2:33 pm to Zach
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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