For purposes of health insurance, an employer that offers spousal coverage would include in its insurance contractual definition of “spouse” the spouse of a common law marriage. Once a common law marriage is established, it must be recognized even in states that do not recognize a common law marriage.

Benefits For Your Spouse Benefits are payable to your spouse: Age 62 or older, unless your spouse collects a higher Social Security benefit based on their earnings record. The benefit amount for your spouse is permanently reduced by a percentage, based on the number of months up to their full retirement age.

Unfortunately, short-term disability insurance does not cover spouses, children, other family members, or anyone besides the policyholder. The only person covered is the policyholder and the coverage applies only to the income that person earns.

Once you are married, you are eligible to join one another’s employer-sponsored health insurance. You may also be subject to the “spousal surcharge,” where an employer will charge more for a family health insurance plan if it knows that a spouse has a health insurance plan available at his or her own employer.

A. Yes, it is legal. The ACA requires employers with 50 or more workers to offer coverage to employees and their children (until age 26), but not spouses. However, only 86 percent of those employers allow spouses to enroll if they have access to coverage from their own employer.

When it comes to health insurance, marriage is a qualifying life event. This means you don’t have to wait until open enrollment to add your new spouse to your plan—you can do it within 30 days of your marriage. There are several advantages to being on the same plan as your spouse.

The spouse premium surcharge is a monthly charge in addition to your regular medical coverage contribution/premium for a spouse who is working or retired and who is eligible for medical coverage through their employer or former employer.

Primary coverage generally comes from the plan that belongs to the parent whose birthday comes first in the year. So if one parent’s birthday is February 6 and the other’s is October 3, the kids will have primary coverage from the parent whose birthday is in February.

Coordination of benefits (COB) allows plans that provide health and/or prescription coverage for a person with Medicare to determine their respective payment responsibilities (i.e., determine which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an …

The Coordination of Benefits (COB) provision applies when a person has health care coverage under more than one Plan. Plan is defined below. The order of benefit determination rules govern the order in which each Plan will pay a claim for benefits. The Plan that pays after the Primary plan is the Secondary plan.

Coordination of benefits (COB) claims are ones you submit to Sun Life for the amount remaining after a claim has been partially paid through another group benefits plan. Typically, this is for a product or service that your spouse or partner has submitted to his or her plan first.

​​​​​​​Disability income (DI) insurance is designed to replace between 45% and 65% of the insured’s gross income on a tax-free basis. Some policies include bonuses and commissions as income. The benefits are tax-free because the policyholder used after-tax dollars to pay premiums.