Posted:
February 21, 2013
In order to maintain efficiency in the processing of claims, AMO Medical Plan participants with dependents are required to complete a Coordination of Benefits form every year.
The 2013 Coordination of Benefits form has been mailed to all affected participants. These participants will need to complete and return the form to the AMO Medical Plan. This form will be used to update the information in the records of each affected participant, as well as the records of his or her dependent(s). Please make sure to include all requested information when completing the form.
As an AMO Medical Plan participant, claims may be delayed for you and your dependent(s) if the AMO Medical Plan does not have this form on record. You are required to notify the Plan office immediately if any change in dependent status occurs.
Please be aware, if a dependent spouse is employed full time (30 hours or more), and his or her employer does not provide group medical coverage, documentation from the employer on company letterhead will be needed as proof that no coverage is provided.
AMO Medical Plan reminder: Coordination of Benefits required every year for participants with dependents
In order to maintain efficiency in the processing of claims, AMO Medical Plan participants with dependents are required to complete a Coordination of Benefits form every year.
The 2013 Coordination of Benefits form has been mailed to all affected participants. These participants will need to complete and return the form to the AMO Medical Plan. This form will be used to update the information in the records of each affected participant, as well as the records of his or her dependent(s). Please make sure to include all requested information when completing the form.
As an AMO Medical Plan participant, claims may be delayed for you and your dependent(s) if the AMO Medical Plan does not have this form on record. You are required to notify the Plan office immediately if any change in dependent status occurs.
Please be aware, if a dependent spouse is employed full time (30 hours or more), and his or her employer does not provide group medical coverage, documentation from the employer on company letterhead will be needed as proof that no coverage is provided.