Hi. I have a question regarding responsibility for adding dependent coverage. Here is the scenario. It is fuzzy at best, but this is what I understand happened:
Employer hired employee that was pregnant. Employee enrolled in employer's health plan. Employee had baby. Employer continued paying Employee's health insurance premiums (even Employee's portion). Eventually, Employee notified Employer that she is not returning to work. One year later, Employee receives invoices from the hospital related to the care of her baby (as there was no dependent coverage elected). Employee blames Employer for not informing her of the need to add her baby as a dependent.
The part I don't understand is when a mother has a baby, at what point do the hospital charges relate to the mother (and get covered by employee-only coverage) versus when do certain hospital charges get attributed to the child (and get covered under dependent coverage).
What responsibilities does Employer have to inform Employee of rights related to dependent coverage? Employee never formally notified Employer of Employee's desire to add a dependent; but all parties knew that Employee was on the company health plan, and was about to have a baby.