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What is the birthday rule for insurance? |
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Primary versus Secondary Determination
Dependent Child (Parents Not Separated or Divorced)
- PBH applies the "birthday rule" when determining primary coverage. (i.e., for dependent children, the plan of the parent whose month and day of birth occurs earlier in the calendar year is primary)
- If one plan does not follow the birthday rule, then the rules of the plan which does not have the birthday rule provision shall be primary
http://www.pbhi.com/Providers_public/PractitionerManual/GeneralManual/Practman_N17.asp
First answer by Steveshorr. Last edit by Steveshorr. Contributor trust: 460 [recommend contributor]. Question popularity: 8 [recommend question]
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