Get the free Continuation of Medical and/or Dental Coverage - baylor

This form enables employees to elect to continue their medical and dental coverage under the Baylor University group plan following a qualifying event.

How to fill out continuation of medical andor

How to fill out Continuation of Medical and/or Dental Coverage

1. Review your current medical and dental coverage plan details.
2. Obtain the Continuation of Coverage form from your employer or insurance provider.
3. Fill in your personal information accurately, including your name, address, and contact details.
4. Specify the type of coverage you wish to continue (medical, dental, or both).
5. Indicate the effective start date for the continuation of coverage.
6. Provide information about any dependents you wish to include in the continuation of coverage.
7. Sign and date the form to confirm your request for continuation of coverage.
8. Submit the completed form to your employer or the insurance provider within the required timeframe.

Who needs Continuation of Medical and/or Dental Coverage?

1. Individuals who have recently lost their job and are seeking to maintain their health coverage.
2. Employees whose working hours have been reduced, impacting their eligibility for employer-sponsored health plans.
3. Dependents who are aging out of their parent's insurance plan and need to secure their own coverage.
4. Anyone who has been laid off or terminated but wishes to continue their existing medical and/or dental coverage.

People Also Ask about

What does "denied for coordination of benefits" mean?

COB denials typically occur when multiple insurance plans are involved in covering a patient's healthcare costs, and there is confusion or lack of clarity about which plan is primary and which is secondary.

What is the coverage continuation benefit?

COB takes place when a patient has more than one dental plan and is able to use both of them to cover their dental procedures. When this occurs, the two plans work together to coordinate benefits to eliminate over-billing or duplication of benefits.

What is coordination of benefits medical and dental?

California state continuation applies to fully insured group medical, surgical, and hospitalization plans. Standalone dental and vision policies are not covered.

What does continuation of coverage mean?

Continuation coverage allows someone who recently lost their employer-based health coverage to continue their current insurance policy as long as they pay the full monthly premiums. Continuation coverage falls into four categories: COBRA, Cal-COBRA, Conversion, and HIPAA.

What is coordination of benefits dental and medical?

COB takes place when a patient has more than one dental plan and is able to use both of them to cover their dental procedures. When this occurs, the two plans work together to coordinate benefits to eliminate over-billing or duplication of benefits.

What is an example of coordination of benefits?

For example, suppose you visit your doctor and get billed $250 for the appointment. Your primary health plan may cover the majority of the bill. Let's say, for example, that's $200. Then your secondary plan would pay the remaining $50.

Is coordination of benefits worth it?

Your COB will help you receive reimbursement for up to 100% of your healthcare costs and prevent double reimbursement. Because overlap usually exists between multiple plans, COB is necessary to keep patients from taking advantage of duplicate reimbursements.

For pdfFiller’s FAQs

What is Continuation of Medical and/or Dental Coverage?

Continuation of Medical and/or Dental Coverage refers to the ability of individuals to maintain their health insurance or dental coverage after experiencing a triggering event, such as job loss or a reduction in work hours.

Who is required to file Continuation of Medical and/or Dental Coverage?

Employers who provide group health or dental insurance and are subject to certain federal or state laws are required to offer Continuation of Medical and/or Dental Coverage to eligible employees and their dependents.

How to fill out Continuation of Medical and/or Dental Coverage?

To fill out Continuation of Medical and/or Dental Coverage, individuals need to complete the required forms provided by their employer or insurance provider, providing necessary information about their situation, such as dates of coverage, social security numbers, and personal details.

What is the purpose of Continuation of Medical and/or Dental Coverage?

The purpose of Continuation of Medical and/or Dental Coverage is to ensure that individuals do not lose health or dental coverage due to job loss or other qualifying events, allowing them to maintain access to necessary medical care.

What information must be reported on Continuation of Medical and/or Dental Coverage?

The information that must be reported includes the individual's name, contact information, relationship to the covered employee, dates of coverage, reason for the continuation request, and any relevant health insurance policy numbers.