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Primary and Secondary CoverageIt may depend on your local regulations but typically which policy is primary is dictated by law and by the terms of your insuring contracts. The default is as follows. Exact Same coverages on both policies / Duplicate coverageThe policy with the earliest effective date is Primary unless the second policy was intended to replace the first. Policies with different coverages.The Policy which has the broadest coverage will be considered primary.


Designating Primary and Secondary Insurance CoverageHere are opinions and answers from Wiki s Contributors:
  • Since it was court ordered for their mother to provide health insurance, I believe that that insurance would be considered primary...yours would be secondary. I had a similar problem before and a few people told me the sorry their mother's health insurance would become their primary coverage.
  • Would your ex-wife be willing to pay for the kids' coverage directly to your insurance company? By paying directly to the company, this avoids "power plays," and she might not feel as resentful about the situation. Plus, you could let her know that you would pick up a rider policy that she can use when she has the kids. That way, you both have 100% coverage on your children. If the insurance is paid through your employer, talk to your lawyer first and see what creative options he/she's seen done in these type of cases. If you're going to pay for insurance regardless of her converage, maybe she can pay you a slightly higher child support payment (assuming she has to make one) and you would then be responsible for insurance as long as you are capable of working. In my personal experience, all it takes is an addendum page drawn up by your lawyer, and then submitted to both her and the courts. The courts will accept almost any agreement within reason as long as it is beneficial for all parties including and especially the children. I wouldn't give up on this especially if both of you are making insurance payments. If your ex-wife is able to speak coherently to you at all, you should be able to resolve this by using the reasoning that you are trying to get the most coverage for the children while maintaining current, established medical relationships with their medical personnel, namely their pediatricians and their staffs. If she can understand that a divorce is hard enough without adding one more change, she will be willing to work something out especially if you are willing to pay for insurance regardless of what she does. That shows her that you are serious about this and that it's not a power play. Good luck to you. I know how hard divorce can be on everyone. Luckily with time, it does get better and easier.
  • If you are married, both have medical insurance and have children, you would follow the "birthday rule". The parent with the birthday that falls earliest in the calender year (no matter what the birthyear is) would be the primary insurance. For example. Mrs. Smith was born May 3, 1945 and has Blue Cross that she has carried for 15 years. Mr. Smith was born June 10, 1939 and has had Aetna for 20 years. The primary insurance would be Mrs. Smith's policy as she was born on May 3rd which comes before June 10th. If both parents have the same birthday (it does happen), then you defer to the policy that has been in place the longest. So, if Mr. And Mrs. Smith had the same birthday month and day, then Mr. Smith who has had insurance for 5 more years than Mrs. Smith, would have the primary insurance policy.
  • The birthday rule above does exist, but court orders supercede the birthday rule. Only use the birthday rule if there is not a court order involved, like a current husband and wife both cover their children under their employer's insurance. The idea about dropping one of the insurances and just having her pay the cost is a good one. Most court orders just say who has to pay for the insurance, not how it is provided.
  • No. Here's the rules from Delta Dental's Web site: What is dual coverage? If you're fortunate enough to be covered by two dental plans, you have what is called dual coverage. Dual coverage doesn't mean that your benefits are doubled. What it does mean is that you will likely enjoy lower out-of-pocket costs for your dental care. Dual coverage works the same way whether you are covered by two Delta Dental plans or by Delta and another carrier. Delta Dental simply works with the other dental carrier to coordinate your benefits. Who is the primary carrier? The first or primary carrier is the one that covers you as a primary enrollee (e.g., your employer rather than your spouse's employer). If you have two jobs, the plan that has covered you longer is considered primary. For your children's coverage, the primary carrier is generally determined by the birthday rule: coverage of the parent whose birthday (month and day, not year) comes first in the year is considered to be your children's primary coverage. The birthday rule may be superseded by a divorce agreement or other court ruling. How does dual coverage work? Suppose, for example, that both of your plans provide two cleanings a year, each with 80 percent coverage. The primary carrier pays 80 percent, and the secondary carrier usually covers up to the remaining 20 percent that you would have had to pay out-of-pocket if covered by only one plan. You would not, however, be entitled to four cleanings per year. Why not twice as many benefits? Why don't you receive double the benefits when you have two dental programs, especially if your dentist recommends that you receive more than two cleanings per year? Dual coverage limitations, like all other program limitations, are built into your group's contract and into the rates your group pays for your coverage. These contracts are set up to provide affordable dental care to a maximum number of people. Given the choice between doubling one individual's benefits or providing a greater scope of benefits to more people in the group, most group purchasers choose to spread their benefit dollars more evenly. What if you have non-duplication of benefits? For groups with a non-duplication of benefits rule in their plan, the secondary carrier pays only the difference between what the primary carrier actually paid and what the secondary carrier would have paid if it had been the primary carrier. For example, if the primary carrier paid 80 percent and the secondary carrier normally covers 80 percent as well, the secondary carrier would not make any additional payment. However, if the primary carrier had only paid 50 percent, the secondary carrier would pay up to the remaining 30 percent. Dual coverage saves money for you and your group by sharing the total cost of dental benefits between two carriers. Containing costs is an important part of Delta's plan to keep you smiling. Sample coordination of benefits: Procedure Primary carrier pays 80%, Cleaning $80 $64 $16 $0.
  • When it comes to children, it falls under the "Birthday Rule". The parent whose birthday comes first is primary. For example if mom is January 1,1952 and dad is February 2, 1951, then mom would be primary. The primary plan is responsible for paying covered expenses up to the limits of the policy. If any unpaid costs are left over, the secondary coverage kicks in. The birthday rule is often used to determine which plan is primary and which is secondary. Under this rule, the plan of the parent whose birthday occurs first in the calendar year is designated as primary. The date of birth is the determining factor-not the year-so it doesn't matter which spouse is older. Like most rules, the birthday rule has exceptions: If both parents share the same birthday, the parent who has been covered by his or her plan longest provides the primary coverage for the children; If one spouse is currently employed and has health insurance through a current employer, and the other spouse has coverage through a former employer (e.g., through COBRA), the plan belonging to the currently employed spouse would be primary; and In the event of divorce or separation, the plan of the parent with custody generally provides primary coverage. If the custodial parent remarries, the new spouse's coverage becomes secondary. And finally, the non-custodial parent's plan would provide a third layer of insurance protection. This order of payment can be altered by a court-issued divorce decree or by agreement, but the insurance companies must be notified. Keep in mind that these practices are common among insurance companies, but they are not governed by law. Practices may vary from one insurer to another. Read your policy carefully to make sure you understand how your insurance company handles dual coverage. If the policy language is unclear, ask for help from your employer's benefit specialist or your insurer's customer service department.
  • Here's the 43 page booklet from Medicare
  • The answer simply put is no. the order of liability is determined by general rules (such as the birthday rule) or by a court order. In the case of dual coverage through a single individual (someone with two jobs) the effective date determines which is primary - I've never come across a situation where someone could choose themselves.
  • The question is not specific enough. Coverage for yourself or for your children? This can get really tricky and no you cannot designate coverage - it's dictated by the insurance coordination of benefits rule written in the employer's contract when they sign up for coverage. Here are a few scenarios: 1. If you are the insured and have coverage through 2 different employers rule is the employer that you have been with the longest will be primary. 2. If you have coverage through your work and your spouse's work then yours will be primary - ALWAYS...NO EXCEPTION. 3. If you have government coverage like Medicare or Medicaid and also have private insurance from work then again your work insurance will be primary and government insurance secondary. 4. If children have coverage through both parents and they are not divorced the birthday rule takes effect. Whoever birthday comes first that's primary. 5. If children have coverage through both divorced parents then primary is the parent with whom they reside. If they have 50/50 custody then the birthday rule applies again. These terms are usually dictated in the contract between the insured and the specific insurance company. Hope it helps.
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โˆ™ 2015-07-15 20:54:45
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โˆ™ 2020-03-26 20:16:47


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Q: Can you designate the primary and secondary insurance coverage yourself?
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Related Questions

Can you be on someone's insurance even if they don't co sign?

You can be on someone's insurance coverage only if they arrange to place you on it with their agent. You cannot put yourself on someone's insurance.You can be on someone's insurance coverage only if they arrange to place you on it with their agent. You cannot put yourself on someone's insurance.You can be on someone's insurance coverage only if they arrange to place you on it with their agent. You cannot put yourself on someone's insurance.You can be on someone's insurance coverage only if they arrange to place you on it with their agent. You cannot put yourself on someone's insurance.

Can you change your secondary insurance to primary insurance if your coverage is better with the secondary insurance?

In most cases no. You can not chage due to better coverage. 90% of insurance companies, if not more, have what is called a birthday rule. Meaning if you have dependant children on the policy the guardian who was born first (or who is older) is the primary carrier for the dependant children and the younger of the two guardians is the secondary carrier. If you were to have coverage through yourself and a spouse you would be your own primary, as would your spouse be their own primary. If you are the carrier for both insurances then it would all depend on your plan provisions and restrictions, in which case you would have to question each insurance company as to how they would handle determining what insurance is primary and what insurance is secondary.

What is covered by cheap liability car insurance?

Liability insurance covers damages to the property or body of others, it does not provide any coverage for yourself of your property. Each state has a minimum coverage which depicts the cost of "cheap" liability auto coverage.

If the primary insurance has a high deductible will the secondary insurance pay the bill?

A supplemental or an indemnity policy will work in conjunction with your Major Medical policy, you may have to file the claims yourself though. The best place to look for an indemnity for good overall coverage is Homeland Healthcare.

Does humana health insurance have good coverage?

Humana is considered to be one of the best health insurance providers in the United States, but the level of coverage varies between plans. If you purchase yourself you can decide on the amount of coverage vs. cost, but if you get it through an employer they will decide your level of coverage themselves.

Can you purchase a secondary health policy on yourself when you have small group coverage through your work?

Yes, but it can create problems with the claims. The coverage through your work will probably want your secondary policy to cover the claims first, then they will pick up what is left over. The problem is if your secondary health care policy wants your work coverage to pick up the tab first.

How much money can you get from life insurance?

Depends on your coverage. The more coverage, the higher the premiums. You of course would not be alive when it pays out, so you would get nothing yourself.

Can one obtain life insurance coverage from Prudential?

"Yes you can obtain life insurance from Prudential. Questions you should ask yourself include how much life insurance do I need, Do I need life insurance for my family."

What does medical coverage on an auto insurance policy cover?

Medical bills for yourself and anyone else in your car in case of an accident

Insurance Being Used To Protect Yourself?

Insurance is meant to protect your valuable assets in life. But in order to get the most out of your protection, it is important that you look for full coverage from a reputable provider. You can do this by searching the Internet or by going into a local insurance agent in your area. Be sure to explain exactly what you want so that you get the coverage that you need without having to worry that you are overpaying for what you have. You will be amazed at the amount of peace of mind that can be attained after buying more insurance for yourself.

Can you get car insurance of you have no car but rent cars frequently?

Some insurance agencies will let you get a sort of temporary coverage, but I'm pretty sure you can't get permanent car insurance for a car you don't own yourself.

If you are married and will be the sole driver of a vehicle can you get auto insurance coverage only for yourself or do you have to get coverage for the spouse with a poor driving record?

You can exclude your husband from your policy thereby not pay premiums for him, but be sure to NEVER let him drive as there would be absolutely no coverage.

If you and your wife both have insurance through your companies and her birthday is first whose is the primary insurance for the family?

If you sign up for insurance with your company, You have to indicate who is primary subscriber between yourself and wife. If both a wife and a husband sign up with the same company and both have stated they are primary, Your wasting your money. In the insurance world, secondary insurance was purchased because you want coverage for medical cost and pharmacy cost your primary insurance does not cover. Birthdays having nothing to do with who is first. Indicating on the insurance form as subscriber does.

Using a Loan Insurance Calculators?

If you ever considered taking out life insurance and were not sure about how much coverage you can afford, then consider using a loan insurance calculator. Using a loan insurance calculator allows you to pick the coverage you need, pick the duration of the term, type in some information about yourself and more. Then the loan calculator, depending on which company it is, will estimate what your monthly payments will be. In many cases, it will also serve as a baseline that an insurance agent will use to work with you on the more exact coverage you want.

What dose medical coverage on an auto insurance policy cover?

Medical bills for yourself and anyone else in the car in the case of an accident- apex

You are eighteen years old and you have a license but not auto insurance the only other thing is that you don't have a car Would i need insurance if i was to drive somebody else's car?

You dont need insurance coverage yourself as long as the owner of the car you are driving has insurance on the vehicle.

Should I put uninsured motorist insurance on my car or truck?

It is a very good idea to have uninsured motorist coverage. You need to always have yourself protected.

Is a claim payout from a life insurance coverage taxed as a regular income?

If you are the beneficiary of a life insurance payout, the income is not taxable. If you withdraw from a policy that you have on yourself, then yes, it is taxable as regular income.

Can you collect bodily liability on your own car insurance?

No. Liability insurance is, by its nature, third-party insurance. That means that proceeds are paid to the person(s) that are hurt as a result of your negligence. It does, however, indemnify you for your carelessness up to the amount of coverage that you purchased. If sued for the collision by someone claiming bodily injury, the insurer will also provide a defense attorney. Somewhat analogous to bodily injury coverage is uninsured motorist coverage. It is a form of first party coverage, meaning that you buy it for yourself. If you are hurt by the negligence of another driver, and that person does not have bodily injury liability insurance, you may have a claim for damages under your uninsured motorist coverage.

How can you recover from an uninsured motorist?

If you have uninsured motorist coverage let your insurance company settle with you then recover from the motorist in court. If you don't you will have to take the motorist to court yourself. Your insurance company is far better equipped for this than you are.

Is Oman Insurance Company acredited by BUPA I need to use my health insurance coverage in the Philippines?

Since you are the business owner, you are considered an independant contractor, and therefore not eligable for workmen's you can not sue yourself.

Can i buy auto insurance with a learner's permit?

Sure most companies will be happy to take your money. in most states, you are covered under the drivers policy. If you still live with parents, you can add yourself as a secondary driver with a jump to full coverage after you get your license. check with your state laws and chosen ins co.

Will homeowner's insurance cover the cost of replacing carpeting if a hired painter spills paint and ruins the carpet?

Typically your homeowners insurance does not provide coverage for poor workmanship or for hired labor. Accidental damage caused by your contractor is the responsibility and liability of the contractor The first place I would go for coverage under the painter's liability coverage. In the event that you hired a painter and failed to check his insurance coverage then I would ask your insurance agent for advice on whether to file a claim or not. You might find that the increase in premium that can be associated with a claim will mean that you are better off covering the damage yourself. Sue the painter.

Cut Costs on Auto Insurance?

In order to lower your auto insurance rates, it is essential that you drop any policy that you do not need. Many people think that if they have a car, they absolutely need collision coverage at all times. The truth of the matter is that as long as you do not have a loan on your vehicle, you do not have to carry collision insurance. By getting rid of this type of coverage, you should be able to save yourself hundreds of dollars every year. This is why it sometimes pays to own an older car for yourself to drive in.

Coverage To Drive?

If you are driving a car in the state of Illinois, then you need to carry insurance on the vehicle. Uninsured motorists can get insurance at affordable rates if they know where to look. There is a minimum amount of coverage that the driver needs to have on their insurance. This amount is not high so that drivers can get insurance coverage at an affordable rate. However, if a driver wants to take a risk and let someone else drive their car, they need to carry uninsured motorist insurance on their policy. The minimum amount for this coverage is $20,000. This covers the driver of the car if they were in an accident and were not covered under an insurance policy. In the event of a car accident and the driver of your car or the other car were not covered under their own insurance policy, the uninsured motorist coverage would protect not only yourself but the other drivers in the accident. The coverage will pay for any medical necessities that are incurred during the accident and any wages that are lost. The coverage will only pay up to the amount that you have on your insurance policy. Anything over this amount will be the responsibility of the driver. If the accident was the fault of the other driver, then their insurance will cover up to the amount listed on their policy and then your insurance will cover the remaining amount. An uninsured policy is different than an underinsured policy. An underinsured driver has insurance, but they may not have enough coverage to pay for the expenses if the driver were in an accident. An uninsured motorist has no insurance at all. The only way that an uninsured motorist can usually drive a vehicle is if there is a family member who has taken out the uninsured motorist coverage on their insurance. An uninsured policy is not expensive to get, but it would be best for the driver to obtain their own policy as soon as possible.