Common use of Spousal Coordination of Benefits Clause in Contracts

Spousal Coordination of Benefits. ⬩ Any spouse of an employee of the Versailles Exempted Village Schools (VEVSD) who is eligible or later becomes eligible for benefits under his or her employer’s Medical, Dental, Vision or retiree health insurance plan is required to enroll for at least single coverage in the plan offered by or through his or her employer. Xxxxxxx enrolled in their employer’s plan may be enrolled as a covered dependent for secondary coverage under VEVSD plans. ⬩ If the spouse is eligible for coverage and does not enroll, he or she is not eligible to be covered by the Versailles Exempted Village Schools health care benefit plan. This change in the health insurance plan policy became effective July 1, 2005 and is applicable to you if you currently cover your spouse under the plan and he or she is eligible for health care benefits (Medical, Dental, Vision) through his or her own employer. In order to certify that your spouse is or is not covered by a plan where he or she works, you must complete a Spousal Coordination of Benefits Policy Form if you are enrolled in the Versailles Exempted Village Schools’ Medical, Dental or Vision insurance plan for family coverage. Falsification of statements on this form regarding benefits information will be considered grounds for termination of your contract. Generally, the following waivers apply: ⬩ If none of the above group mentioned sponsored health care benefit plans are available to the spouse, he or she is exempt from this requirement. ⬩ Spouse is under sixty-five (65), retired and does not have access to the option to purchase group or system pooled and/or sponsored retiree health care coverage ⬩ Spouse is unemployed

Spousal Coordination of Benefits. ⬩  Any spouse of an employee of the Versailles Exempted Village Schools (VEVSD) who is eligible or later becomes eligible for benefits under his or her employer’s Medical, Dental, Vision or retiree health insurance plan is required to enroll for at least single coverage in the plan offered by or through his or her employer. Xxxxxxx Spouses enrolled in their employer’s plan may be enrolled as a covered dependent for secondary coverage under VEVSD plans. ⬩  If the spouse is eligible for coverage and does not enroll, he or she is not eligible to be covered by the Versailles Exempted Village Schools health care benefit plan. This change in the health insurance plan policy became effective July 1, 2005 and is applicable to you if you currently cover your spouse under the plan and he or she is eligible for health care benefits (Medical, Dental, Vision) through his or her own employer. In order to certify that your spouse is or is not covered by a plan where he or she works, you must complete a Spousal Coordination of Benefits Policy Form if you are enrolled in the Versailles Exempted Village Schools’ Medical, Dental or Vision insurance plan for family coverage. Falsification of statements on this form regarding benefits information will be considered grounds for termination of your contract. Generally, the following waivers apply: ⬩  If none of the above group mentioned sponsored health care benefit plans are available to the spouse, he or she is exempt from this requirement. ⬩  Spouse is under sixty-five (65), retired and does not have access to the option to purchase group or system pooled and/or sponsored retiree health care coverage ⬩  Spouse is unemployed

Spousal Coordination of Benefits. ⬩ Any spouse of an employee of the Versailles Exempted Village Schools (VEVSD) who is eligible or later becomes eligible for benefits under his or her employer’s Medical, Dental, Vision or retiree health insurance plan is required to enroll for at least single coverage in the plan offered by or through his or her employer. Xxxxxxx Spouses enrolled in their employer’s plan may be enrolled as a covered dependent for secondary coverage under VEVSD plans. ⬩ If the spouse is eligible for coverage and does not enroll, he or she is not eligible to be covered by the Versailles Exempted Village Schools health care benefit plan. This change in the health insurance plan policy became effective July 1, 2005 and is applicable to you if you currently cover your spouse under the plan and he or she is eligible for health care benefits (Medical, Dental, Vision) through his or her own employer. In order to certify that your spouse is or is not covered by a plan where he or she works, you must complete a Spousal Coordination of Benefits Policy Form if you are enrolled in the Versailles Exempted Village Schools’ Medical, Dental or Vision insurance plan for family coverage. Falsification of statements on this form regarding benefits information will be considered grounds for termination of your contract. Generally, the following waivers apply: ⬩ If none of the above group mentioned sponsored health care benefit plans are available to the spouse, he or she is exempt from this requirement. ⬩ Spouse is under sixty-five (65), retired and does not have access to the option to purchase group or system pooled and/or sponsored retiree health care coverage ⬩ Spouse is unemployed