Question

B has group insurance through his employer and is also listed as a dependent under his wife's group plan. B incurs a loss of $5,000 and submits claim notification to both companies. Which of the following will take place?

The two companies will prevent duplication of payment by coordinating benefits.

Answer 1

Answer and explanation:

If an individual is a policyholder with one insurance and appears as a dependent in another insurance company, in front of a payment claim the beneficiary must report the case in both entities. Also, the beneficiary must inform both companies the claim number in each insurance so the two of them can follow up on the case and coordinate the best way possible to help the insured with the payment of the bill.