Mealey's Health Law - 6th Circuit Rules On Coordination Of Benefits Provisions In Coverage Dispute

Mealey's Health Law - 6th Circuit Rules On Coordination Of Benefits Provisions In Coverage Dispute

CINCINNATI - A panel of the Sixth Circuit U.S. Court of Appeals on July 1 affirmed that a coordination of benefits provision in an employee welfare benefit plan governed by the Employee Retirement Income Security Act trumped a coordination of benefits policy in a regular health insurance policy, thus making the regular insurer the primary party responsible for paying medical claims when beneficiaries had coverage under both plans (Central States, Southeast and Southwest Areas and Welfare Fund v. First Agency Inc., et al., No. 13-2077, 6th Cir.; 2014 U.S. App. LEXIS 12370).

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