Understanding the "Other Insurance Questionnaire"
A key part of your health plan is stop loss insurance, which protects the plan from very high medical costs. The insurance company needs to know about any other health coverage a dependent has to make sure claims are paid correctly and to keep the plan's costs down.
Why We Need This Information
The "Other Insurance Questionnaire" (OIQ) helps us gather information about any other health coverage your dependent may have. This is crucial for a few reasons:
- Coordination of Benefits: If a dependent has more than one health plan, the OIQ helps us figure out which plan pays first and which pays second. This is called coordination of benefits and it prevents claims from being denied or delayed.
- Faster Claims Processing: Without this information, claims for your dependent could be held up while we try to figure out if there's other coverage. Completing the form upfront helps ensure their claims are paid on time.
- Keeping Your Plan Affordable: The insurance company uses this information to accurately manage risk and set rates. By providing this data, you help us keep your health plan as affordable as possible.
Please complete the Other Insurance Questionnaire for your dependent(s) once each year around your Open Enrollment. You can access the digital form here: Other Insurance Questionnaire.