Coordination of Benefits - Summary
Please update or confirm the information we have on file for you and
your eligible family members. Correct information helps us process your
claims accurately and efficiently.
If you have new coverage information to add or update for any
member(s), check the box next to the member(s). Then click Update.
If the data displayed below is still current, click Confirm.
||Coordination of Benefits
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.