SPOUSAL COORDINATION OF BENEFITS

Documentation and Forms

• Spousal Coordination of Benefits Policy
   
• Spousal Coordination of Benefits - Electronic Form
   
• Spousal Coordination of Benefits - Paper Form - BCBSD and Aetna
  The Spousal COB form has been revised to enable data entry directly to the form, but must be printed and signed before submission to your organizations' Human Resources/Benefits Office by May 21, 2008.

If you cover your spouse in one of the State of Delaware's Group Health Insurance medical plans; you MUST complete a new Spousal Coordination of Benefits form each year during Open Enrollment and anytime their employment or insurance status changes.

Please note: If your spouse is "eligible for Medicare" and enrolled in the State's Medicare Supplement plan, NO ACTION IS REQUIRED.