Dependent Coordination of Benefits Form - Aetna - Delaware

Dependent Coordination of Benefits Form - Aetna - Delaware

Dependent Coordination of Benefits Form - Aetna is a legal document that was released by the Delaware Department of Human Resources - a government authority operating within Delaware.

FAQ

Q: What is the Dependent Coordination of Benefits Form?
A: The Dependent Coordination of Benefits Form is a document used by Aetna in Delaware to coordinate health insurance coverage for dependents.

Q: Why is the form necessary?
A: The form is necessary to avoid duplicate payments and ensure correct claims processing for dependents who have primary and secondary health insurance coverage.

Q: Who is required to fill out the form?
A: The form needs to be filled out by the policyholder or the dependent with dual coverage.

Q: What information is needed to complete the form?
A: The form requires information about the primary insurance plan, the secondary insurance plan, and the dependent's coverage under each plan.

Q: Are there any deadlines for submitting the form?
A: Deadlines may vary, but it is important to submit the form as soon as possible to prevent processing delays or incorrect payments.

Q: What happens after I submit the form?
A: Aetna will review the information provided and determine the coordination of benefits to ensure proper payment and avoid overpayment or underpayment.

Q: Can I make changes to the form after submission?
A: Yes, you can make changes by contacting Aetna's customer service.

Q: What if I have additional questions or need assistance?
A: If you have additional questions or need assistance, you can reach out to Aetna's customer service for guidance.

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Form Details:

  • The latest edition currently provided by the Delaware Department of Human Resources;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Delaware Department of Human Resources.

Download Dependent Coordination of Benefits Form - Aetna - Delaware

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