Question

multiple choice question

guidelines for dependent coverage of separated or divorced parents can be overruled by ______.

birthday rule
gender rule
coordination of benefits
court order

Explanation:

Identify standard rules for dependent coverage

Using the Coordination of Benefits, Birthday Rule, and Gender Rule knowledge points

• Standard coordination of benefits rules (like the birthday rule or gender rule) determine primary and secondary coverage for a dependent child of married parents.
• For divorced or separated parents, standard rules dictate primary coverage based on custody arrangements (e.g., the plan of the parent with custody is primary).

Determine the overriding authority

• Any standard administrative guidelines or rules established by insurance policies can be legally superseded.
• A legally binding decree issued by a judge dictates which parent must provide primary health insurance coverage.
• Therefore, a court order overrules standard insurance coordination guidelines.

Answer:

• birthday rule
• gender rule
• coordination of benefits
• court order (Correct answer)