A rule included in some coordination of benefits provisions that specifies the manner in which benefits for dependent children are to be coordinated between two insurance plans. According to the birthday rule, benefits for dependent children will be paid by the plan of the parent whose birthday falls earlier in the year.----------[ Back
When a researcher contacts a household and says "I'd like to interview the person who last had a birthday" this is not an advertising gimmick, but a way of ensuring randomness - it assumes that people's birthdays are spread evenly across the year.
coordination of benefits regulation stipulating that the primary payer of benefits for dependent children is determined by the parents date of birth. Regardless of which parent is older, the dental benefit program of the parent whose date of birth falls first in a calendar year is considered primary. (May not apply to “self-funded†programs).
this rule comes into play when a child is involved and both the father and mother have insurance coverage. The parent whose birthday comes first in the calendar year has the primary insurance coverage, regardless of the age of the parents.
A method of determining which parent's coverage will be used first for dependent children. The parent whose birthday falls earliest in the year is considered the primary plan.
For purposes of coordination of benefits, this rule stipulates that, if two parents are carrying insurance coverage for the same dependents, primary coverage is determined based on which parent's birthday falls earlier in the calendar year (regardless of their ages). If both parents have the same birthday, the insurance of the parent who has been covered the longest becomes the primary insurer.
in plans that follow the birthday rule, if two spouses are each covered by their own employer-provided health care plans, the plan covering the parent whose birthday falls first in the calendar year pays benefits first (is the "primary plan") regardless of which parent is older. If both parents have the same birthday, the plan that has covered the person the longest pays first.
The process used to determine which parent’s coverage pays first when a dependent child has health coverage through both parents. According to this coordination of benefits rule, the dependent child’s primary coverage is that of the parent whose birthday falls earlier in the calendar year.
When a dependent child's parents both have dental coverage, this rule states that the "primary" program (the one which pays first) is the one covering the parent whose month and day of birth falls first in the calendar year. The birthday rule is the most common rule for determining primary vs. secondary coverage, but it may be superseded by a court order such as a divorce agreement.
An informal method commonly used by the health insurance industry for determining the coordination of medical benefits — specifically, primary plan coverage — for dependents when children are listed under both parents’ health insurance plans.
A method of determining which parent's medical coverage will be primary for dependent children: the parent whose birthday falls earliest in the year will be considered as having the primary plan.
When a child is covered under both parent's plans, the plan of the parent who's birthday (month and day, not year) falls earlier in the calendar year is billed first. (In cases of divorced of separated parents there are other factors to be considered.)