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What would it be considered if an ex-spouse did not take the ex off their company paid health insurance?

July 17, 2010 - 3:37 am 6 Comments

They didn’t take them off because they thought they had to cover them for 3 yrs after the divorce. Which obviously was wrong. They have removed the person now. But could the company or insurance company get them for fraud?

That’s insurance fraud. What will happen, is that the subscriber – the employee – will get a bill for all the money the insurance company paid out for the ex spouse, while they were fraudulently covered.

Charges won’t be pressed unless the employee doesn’t reimburse the insurance company.

Posted company insurance companies |

6 Responses to “What would it be considered if an ex-spouse did not take the ex off their company paid health insurance?”

  1. Bryan Says:
    July 17th, 2010 at 8:58 am

    Yes. That could be considered fraud. Penalties could be civil or possibly criminal.
    References :

  2. Not I Says:
    July 17th, 2010 at 9:18 am

    Yes fraud but they won’t. They will demand financial restitution for the time period in question.
    References :

  3. Tiny Dan Says:
    July 17th, 2010 at 10:04 am

    that is fraud so you have been paying for something that you shouldn’t have and could go to jail if you tried to use it.
    References :

  4. rtfm Says:
    July 17th, 2010 at 10:43 am

    Depends on the terms of the divorce agreement. I’ve known divorced couples where the ex was expected to continue paying for his former spouse’s medical insurance, and it was written up in legal terms so that the insurance company couldn’t object.
    References :

  5. suszcza Says:
    July 17th, 2010 at 11:01 am

    Probably depends on the insurance carrier and what their rules are. I know people who’ve left an ex on their policy and it’s been ok, because they’re usually getting an extra premium for each family member anyway, but I think some companies allow it and some don’t. It would only be fraud if the company didn’t allow it, and clearly stated that it wasn’t allowed, and you were supposed to inform them and didn’t.
    References :

  6. mbrcatz Says:
    July 17th, 2010 at 11:25 am

    That’s insurance fraud. What will happen, is that the subscriber – the employee – will get a bill for all the money the insurance company paid out for the ex spouse, while they were fraudulently covered.

    Charges won’t be pressed unless the employee doesn’t reimburse the insurance company.
    References :

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