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Birthday Rule Insurance New York. An insurance regulation known as the birthday rule is tripping up couples who are putting their newborn children on the wrong policy and risk losing thousands of dollars. Under the birthday rule, the health plan of the parent whose birthday comes first in the calendar year is designated as the primary plan,.
(a) the benefits of the plan of the parent whose birthday falls earlier in a year are determined before those of the plan of the parent whose birthday falls later in that year; Pursuant to new york insurance law § 4303 (mckinney 2007), coverage of the mother and newborn infant is required for at least 48 hours after a vaginal birth and at least 96 hours after a caesarean birth. If you live in missouri, connecticut, maine, washington, or new york then see below for their enrollment periods and guarantee issue rules.
If your medicaid is with your ldss, to order a new medicaid benefit identification card, please call or visit your local department of social services.
If a child is covered under both parents’ health plans, a provision known as the “birthday rule” comes into play. When the parents have the same birthday, the parents with the insurance the longest provides the primary insurance. Connecticut, massachusetts, maine, and new york. The year is excluded from this rule.