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Insurance: spouse can't get coverage

Posted on 9/15/17 at 8:56 am
Posted by dualed
Member since Sep 2010
4683 posts
Posted on 9/15/17 at 8:56 am
Wasn't sure how to title my post, sorry fellas. My SO works for Louisiana CAT. We're getting married next November and I mentioned how I couldn't wait to hop on her plans. She says I can't get on hers because they don't offer coverage for spouses unless they are NOT offered insurance plans for the company they work for.

I've never heard of such a thing. I thought maybe she was wrong, but she insists. So we could have children and they can all get on her plan, but I'll never be able to unless I get a job that doesn't offer benefits. Seems ridiculous.

Anyone have experience with this?
Posted by TheBoo
South to Louisiana
Member since Aug 2012
4477 posts
Posted on 9/15/17 at 9:00 am to
Thanks Obama
Posted by LSURep864
Moscow, Idaho
Member since Nov 2007
10904 posts
Posted on 9/15/17 at 9:07 am to
Yep. My wife is a nurse at large SC hospital. They won't insure a spouse if the spouse is eligible through their employer.
Posted by notsince98
KC, MO
Member since Oct 2012
17938 posts
Posted on 9/15/17 at 9:08 am to
fairly common these days but from what I have seen the check is nothing more than what she says on a form. They don't verify.
Posted by DowntheBayouTiger
Atlanta, GA
Member since Oct 2009
812 posts
Posted on 9/15/17 at 9:08 am to
Yup this isn't unusual anymore. It's actually pretty common since ObamaCare.
Posted by lnomm34
Louisiana
Member since Oct 2009
12603 posts
Posted on 9/15/17 at 9:24 am to
Super common now.
Posted by castorinho
13623 posts
Member since Nov 2010
82010 posts
Posted on 9/15/17 at 9:26 am to
My company is starting this next year.
Posted by poochie
Houma, la
Member since Apr 2007
6168 posts
Posted on 9/15/17 at 9:30 am to
my wife used to work for them. i remember shitty benefits all around...
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
32330 posts
Posted on 9/15/17 at 9:38 am to
I haven't seen that, but I have seen instances where you have to pay more if your spouse if they are on your plan and are eligible for insurance at their own job.

ETA: not that I would suggest lying, but I have no clue how they would attempt to verify that.
This post was edited on 9/15/17 at 9:38 am
Posted by Upperdecker
St. George, LA
Member since Nov 2014
30530 posts
Posted on 9/15/17 at 9:40 am to
Thanks Obama
Posted by LSUFanHouston
NOLA
Member since Jul 2009
36944 posts
Posted on 9/15/17 at 9:41 am to
quote:

She says I can't get on hers because they don't offer coverage for spouses unless they are NOT offered insurance plans for the company they work for.


It's still somewhat rare to see, but this is becoming more and more of a thing. She is probably telling you the truth.

Some companies won't allow spousal coverage at all if you are offered coverage at your work. Other companies will allow it, but will add a surcharge.

And it's not just private companies doing this. The St Tammany School Board does the surcharge thing.
Posted by UpstairsComputer
Prairieville
Member since Jan 2017
1565 posts
Posted on 9/15/17 at 9:42 am to
quote:

They don't verify.


I'd hate to follow this tidbit of advice if you actually had a catastrophic medical issue. I'd bet they would verify if the insurance company was presented with a 5-6 figure bill.
Posted by TDsngumbo
Alpha Silverfox
Member since Oct 2011
41479 posts
Posted on 9/15/17 at 9:49 am to
Hmm, I've never heard of this but the responses here seem pretty uniform that it's a thing now. I guess it's a new thing under Obamacare.

frick that guy.
Posted by TheNolaClap
Jersey Shore (not fist pump)
Member since Jun 2012
1487 posts
Posted on 9/15/17 at 9:57 am to
My company has a large surcharge if they are offered insurance through their employer. This usually makes it not worth the switch.
Posted by LSUFanHouston
NOLA
Member since Jul 2009
36944 posts
Posted on 9/15/17 at 10:10 am to
quote:

Hmm, I've never heard of this but the responses here seem pretty uniform that it's a thing now. I guess it's a new thing under Obamacare.


All of the expense, headaches, etc, involved in dealing with health insurance these days makes large companies not even want to offer it as a benefit. They only reasons they still do is:

1) They are required to offer it to employees

2) Employees expect coverage availability for spouses and kids

3) It's a way to provide value to employees without paying payroll tax on it.

Companies aren't required to provide coverage to spouses and kids, and very, very, very few companies subsidize that coverage. So that takes away points 1 and 3 when it comes to offering coverage for spouses and kids. And I think point 2 is only going to hold on so long. Eventually, a few companies will decide to drop coverage alltogether except for employees, and when that happens, look out.
Posted by notsince98
KC, MO
Member since Oct 2012
17938 posts
Posted on 9/15/17 at 10:40 am to
quote:


I'd hate to follow this tidbit of advice if you actually had a catastrophic medical issue. I'd bet they would verify if the insurance company was presented with a 5-6 figure bill.


You should probably learn to read. No advice was given with that comment.
Posted by UpstairsComputer
Prairieville
Member since Jan 2017
1565 posts
Posted on 9/15/17 at 3:05 pm to
quote:

You should probably learn to read.


Been working with some third graders on witty comebacks all day?
Posted by TigerTatorTots
The Safeshore
Member since Jul 2009
80744 posts
Posted on 9/15/17 at 3:09 pm to
quote:

She says I can't get on hers because they don't offer coverage for spouses unless they are NOT offered insurance plans for the company they work for.
I've only been in the working world for about 7 years now but this is the ONLY way I've ever heard of companies doing it (in my limited experience with companies). My spouse cannot get on mine because her company offers medical coverage
Posted by Twenty 49
Shreveport
Member since Jun 2014
18705 posts
Posted on 9/15/17 at 3:30 pm to
quote:

I guess it's a new thing under Obamacare.


Don't guess, Google.

Obama did not start this. Employers started the trend before Obamacare came along. Obamacare does mandate the employer provide coverage to the employee's kids, but spousal coverage is not mandated, and it never was.

quote:

the trend is older than Obamacare, says JoAnn Volk, a senior research fellow and project director at Georgetown University’s Center on Health Insurance Reforms in Washington, D.C.

“Before the ACA, there were a lot of employers that would not extend coverage to spouses if they had an offer of coverage through their own employer,” she says. The health care law doesn’t require employers to cover husbands and wives in their health insurance plans, she adds, just dependent children.


quote:

Some experts predict that companies will eventually eliminate spousal health coverage altogether, even for husbands and wives who don’t have their own employer health insurance to turn to.


LINK
Posted by fatboydave
Fat boy land
Member since Aug 2004
17979 posts
Posted on 9/15/17 at 4:17 pm to
quote:

Obama did not start this. 

I still blame that SOB and the Dems for screwing the American people and their health insurance!
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