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A question about health insurance and marriage

Posted on 4/17/17 at 1:43 pm
Posted by Zach
Gizmonic Institute
Member since May 2005
112438 posts
Posted on 4/17/17 at 1:43 pm
Let's say John works for the Acme company. His health insurance covers his wife Mary. Mary goes to the doctor more than John but the insurance covers it. One problem. They are not married. They just live together. How does the insurance company know? Or do they care?
Posted by CHSBears
Baton Rouge
Member since Aug 2007
778 posts
Posted on 4/17/17 at 1:49 pm to
Were I have worked, required a marriage license for spousal coverage and birth certificates (adoption papers) for coverage for children.
Posted by UGATiger26
Jacksonville, FL
Member since Dec 2009
9044 posts
Posted on 4/17/17 at 1:51 pm to
I had to provide proof of marriage to my employer/insurance for my spouse to be added to my coverage
Posted by Zach
Gizmonic Institute
Member since May 2005
112438 posts
Posted on 4/17/17 at 1:55 pm to
What was the proof? I have a reason for asking.
Posted by Y.A. Tittle
Member since Sep 2003
101347 posts
Posted on 4/17/17 at 1:57 pm to
How many ways can one prove you are married?
Posted by Zach
Gizmonic Institute
Member since May 2005
112438 posts
Posted on 4/17/17 at 1:58 pm to
There is apparently more than one.
Posted by roadGator
Member since Feb 2009
140060 posts
Posted on 4/17/17 at 1:58 pm to
An audit can be done at any time compelling the employee present a marriage certificate in order to maintain ES coverage.
This post was edited on 4/17/17 at 1:59 pm
Posted by UGATiger26
Jacksonville, FL
Member since Dec 2009
9044 posts
Posted on 4/17/17 at 1:58 pm to
Marriage certificate

ETA: I'm not certain, but I think I could've also provided some sort of documentation regarding my wife changing her last name. I think that was an option, but can't remember.
This post was edited on 4/17/17 at 2:00 pm
Posted by Green Chili Tiger
Lurking the Tin Foil Hat Board
Member since Jul 2009
47590 posts
Posted on 4/17/17 at 2:00 pm to
quote:

How many ways can one prove you are married?



I guess if you don't have a copy of your marriage license, you could always bring your wife in and have her turn you down for sex in front of your benefits person.
Posted by Hawkeye95
Member since Dec 2013
20293 posts
Posted on 4/17/17 at 2:00 pm to
quote:

Let's say John works for the Acme company. His health insurance covers his wife Mary. Mary goes to the doctor more than John but the insurance covers it. One problem. They are not married. They just live together. How does the insurance company know? Or do they care?


this probably varies a lot by state. Common law marriage. And insurance carrier.

plus a lot of plans have domestic partner arrangements. I think some states even require them.
Posted by tigersbb
Member since Oct 2012
10286 posts
Posted on 4/17/17 at 2:01 pm to
quote:

Let's say John works for the Acme company. His health insurance covers his wife Mary. Mary goes to the doctor more than John but the insurance covers it. One problem. They are not married. They just live together.


She is not his wife under this scenario. Now the issue becomes does the policy include persons sharing the same household or exclude all but married souses and dependent children?
Posted by Quidam65
Q Continuum
Member since Jun 2010
19307 posts
Posted on 4/17/17 at 2:02 pm to
quote:

Were I have worked, required a marriage license for spousal coverage and birth certificates (adoption papers) for coverage for children.


What about states that allow for common-law marriages not requiring formality? Texas does not require (though it permits) a couple to submit paperwork stating they are in a common-law marriage to the county.

Otherwise, in Texas as long as 1) there is an agreement to be married, 2) the couple holds itself out to be married, and 3) cohabitation (even for only one day), a common-law marriage is recognized.
Posted by Quidam65
Q Continuum
Member since Jun 2010
19307 posts
Posted on 4/17/17 at 2:03 pm to
quote:

I guess if you don't have a copy of your marriage license, you could always bring your wife in and have her turn you down for sex in front of your benefits person.




But what if she's "Me So Horny" and "me love you long time" freaky?
Posted by Zach
Gizmonic Institute
Member since May 2005
112438 posts
Posted on 4/17/17 at 2:04 pm to
quote:

An audit can be done at any time compelling the employee present a marriage certificate in order to maintain ES coverage.


Yes. But let's say that Mary only gets blood work and an MRI once a year. Will they audit for that?
Posted by Green Chili Tiger
Lurking the Tin Foil Hat Board
Member since Jul 2009
47590 posts
Posted on 4/17/17 at 2:05 pm to
quote:

But what if she's "Me So Horny" and "me love you long time" freaky?


Then you were either married recently enough to still have your marriage license or you're not married.
Posted by Hawkeye95
Member since Dec 2013
20293 posts
Posted on 4/17/17 at 2:05 pm to
quote:

Then you were either married recently enough to still have your marriage license or you're not married.


sucks to be you, my wife is almost always up for sex.
Posted by Zach
Gizmonic Institute
Member since May 2005
112438 posts
Posted on 4/17/17 at 2:06 pm to
quote:

Common law marriage. And insurance carrier. plus a lot of plans have domestic partner arrangements. I think some states even require them.


But since common law is not registered at the court house how do you know that the woman getting the medical treatment is really the employees common law wife?
Posted by WildTchoupitoulas
Member since Jan 2010
44071 posts
Posted on 4/17/17 at 2:09 pm to
quote:

His health insurance covers his wife Mary

quote:

They are not married

Then Mary isn't his wife.

C'mon, Zach, maybe it's time to log out - permanently.
Posted by Zach
Gizmonic Institute
Member since May 2005
112438 posts
Posted on 4/17/17 at 2:11 pm to
Here is another scenario. What if John and Mary get divorced. Neither remarry since they are ugly losers. But Mary realizes that insurance would cost her 100 a month. She offers John 50 a month to keep her on his insurance. The insurance company would never know.
Posted by Zach
Gizmonic Institute
Member since May 2005
112438 posts
Posted on 4/17/17 at 2:11 pm to
quote:

Then Mary isn't his wife.


Mary IS his wife according to the documents he gave his company. It's called LYING. Try to keep up, Wild.
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