| I have run into this exact problem when our twins were born 18 mo.
ago. As a result I carry HCHP coverage for me and the kids, and
Linda has to carry her own individual membership.
I called the HMO, and they had no problem with us all under one
family membership, but personnel told us that the policy is that
a DEC employee can not be a dependent of another DEC employee as
far as insurance goes.
I ran this up the organization as far as the Group Compensation and
Benefits Manager, and got the same answer. I said I thought is
was unfair, since if my wife worked for a different company rather
than Digital, there would be no problem. I pointed out that not only
was my family paying extra money every week, but the company was also
paying twice for the same coverage.
He said it was some kind of law about providing benefits for all
employees, and my wife had the choice of JH or an HMO on her own, but
in any case couldn't be covered as my dependent. He also said the
policy would be reviewed next time they review policies, but in the
mean time, sorry, that's the way it goes.
In changing nodes since then I have deleted the exact text of the
reply, but you get the idea. Obviously from your note this policy
has not changed yet.
The following is from the "HMO Management Guide", page VI.1, 1/85:
QUESTIONS AND ANSWERS
Enrollment
1. IF MY SPOUSE AND I ARE BOTH EMPLOYEES OF DIGITAL, CAN ONE
OF US ENROLL IN THE HMO AND THE OTHER IN THE JOHN HANCOCK
MEDICAL PLAY? WHAT ABOUT OUR DEPENDENT COVERAGE?
Yes. Each employee has a choice between the John Hancock
Medical Plan and an HMO.
Dependent children can also be covered under either teh
HMO or the John Hancock Medical Plan, but not both.
------> You should also note that as an employee of Digital, you
------> may not be covered as a dependent under any company-sponsored
------> plan.
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| Digital is quite correct. I think it buys insurance on average
number of employees, insurance scales, and time. If employees are
married to one another should make no difference.
Also, salaries, I think, are set up assuming a person will need
at least basic coverage. If salaries were set up my married, single,
divorced, or "unknown"...we'd really have a mess, wouldnt we?
Keith
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