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Yes, under the standard Coordination of Benefits provisions contained within Group Health Plans, the "rules" to determine which coverage pays first (primary) are clearly stated. Also, a plan can contain a provision that states if a spouse is eligible for coverage as an employee and chooses not to take that coverage, the other plan can deduct the amounts the other plan would have provided (even if the spouse did not elect the coverage).

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Q: Can your health insurance company force your spouse to take her employer's health plan as primary instead of yours?
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