Office of Management and Budget : Statewide Benefits Office

SPOUSAL COORDINATION OF BENEFITS



Documentation and Forms

If you cover your spouse in one of the State of Delaware's Group Health Insurance medical plans; you MUST complete a new Spousal Coordination of Benefits form each year during Open Enrollment and anytime their employment or insurance status changes.


IMPORTANT INFORMATION:
IF YOUR SPOUSE IS COVERED BY A HIGH DEDUCTIBLE HEALTH PLAN THAT INCLUDE A HEALTH SAVINGS ACCOUNT


ADULT DEPENDENTS TO AGE 26 – COORDINATION OF BENEFITS



Documentation and Forms

Section Manager: Brenda Lakeman

seperator
Benefits Documentation

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Last Updated: Tuesday March 18 2014
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