Guest Tuck Posted July 8, 2008 Report Share Posted July 8, 2008 Self insured health insurance plan provides employee's spouse not eligible for participation in employer # 1's group plan if spouse eligible for medical coverage through spouse's group plan. Employer' # 1's plan required that as a condition to participation, employee deliver a signed form which allowed employer # 1 to contact spouse's employer to confirm whether spouse eligible for group medical coverage. Form completed by employee and / or employee's spouse and returned to employer # 1. Later, from check with spouse's employer, it is learned that the form we were provied was false when provided. Anyone have thoughts re: 1) ability of employer 1's plan to bring action to recover from employee claims paid which would have not been paid had a correct form been provided, and 2) ability to take disciplinary action against the employee who delivered to employer 1 the false statement pertaining to spouse's medical coverage? Thanks for any thoughts on this. Link to comment Share on other sites More sharing options...
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!Register a new account
Already have an account? Sign in here.Sign In Now