Coordination of Benefits: Add or Update
You have chosen to update Medicare or other Group Coverage information for the following family members. Please continue by clicking on the box(es) opposite the family member(s) whose information needs updating for their Medicare and/or other Group Coverage accordingly, and then click SUBMIT.
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Coordination of Benefits |
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*Coverage obtained privately on an individual basis, including government-sponsored plans (such as Champus, CHIP, and Medicaid) are not considered Group Coverage and should not be reported here.
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