Coordination of Benefits Quiz

What happens if both parents were born on the same day according to the Birthday rule?

• The older parent's plan is primary

• The plan in effect the longest is primary

• Both plans are primary

• Neither plan is primary

What is the primary coverage rule for a married dependent covered on their spouse's plan?

• The plan with the higher premium

• The plan with the lower deductible

• The plan that has been in effect the longest

• The plan with the most benefits

What is the primary plan if a court decree states both parents are responsible for health care expenses?

• The plan with the earliest birthday in the year.

• The plan with the latest birthday in the year.

• The plan with the highest premium.

• The plan with the lowest premium.

When routing a request to update member's COB to show no other insurance what is the correct drop down to select in your exempt grievance task?

• Education Provided

• Updated Database

• Referred to Internal Department (COB)

Which condition must be met for a person to be entitled to Medicare due to disability other than ESRD?

• Must be over 65 years old

• Must have at least Medicare Part A

• Must be employed full-time

• Must have a private health plan

What does COB stand for in the context of insurance provisions?

• Coordination of Benefits

• Coverage of Benefits

• Calculation of Benefits

• Collection of Benefits

Who decides which insurance company pays?

• The National Association of Insurance Commissioners

• The member

• Member Services

• The Nations Association of Insurance Companies

When routing a request to update member's COB to show no other insurance because Aetna coverage ended 12/01/2024, what is the correct drop down to select in your exempt grievance task?

• Education Provided

• Updated Database

• Referred to Internal Department (COB)

When member has called because Aetna coverage ended 12/01/2024 and Manage Other Insurance shows correctly, what is the correct drop down to select in your exempt grievance task?

• Education Provided

• Updated database

• Referred to Internal Department (COB)

What's the name of the document mailed to members that usually causes them to call to update their coordination of benefits?

• COB Questionnaire

• COB Inquiry Letter

• Coordination of Benefits Questionnaire

• Coordination of Benefits Inquiry

Tags

CCSS.RI.7.5

CCSS.RI.8.3

CCSS.RI.8.5

CCSS.RI.9-10.3

CCSS.RI.9-10.5