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SPOUSAL COORDINATION OF BENEFITS FORM SELF SERVICE GUIDE (FOR STATE AGENCY (INCLUDING DOE), K12, DCC AND DSU EMPLOYEES)Phone: 18004898933 Email: benefits@delaware.gov Website: de.gov/statewidebenefitsThis
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How to fill out spousal coordination of benefits

01
Gather all necessary information regarding your spouse's health insurance coverage.
02
Contact both your insurance provider and your spouse's insurance provider to request a Coordination of Benefits form.
03
Fill out the form accurately, providing all required information about both insurance policies and coverage details.
04
Submit the completed form to the appropriate insurance provider for processing.
05
Make sure to follow up with both insurance providers to confirm that the Coordination of Benefits has been successfully implemented.

Who needs spousal coordination of benefits?

01
Individuals who are married and have health insurance coverage through both their own employer and their spouse's employer may need to complete a Spousal Coordination of Benefits form to ensure proper coordination of benefits between the two insurance policies.
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Spousal coordination of benefits is a process where spouses coordinate their health insurance coverage to ensure they are maximizing their benefits and avoiding overpayment.
Spouses who both have health insurance coverage are required to file spousal coordination of benefits.
To fill out spousal coordination of benefits, spouses need to provide information about their respective health insurance plans, including policy numbers, coverage details, and any coordination requirements.
The purpose of spousal coordination of benefits is to streamline the payment process for medical expenses and ensure that all available benefits are utilized before out-of-pocket costs are incurred.
Information such as policy numbers, coverage details, coordination requirements, and any other relevant details about the health insurance plans must be reported on spousal coordination of benefits.
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