Cleveland Clinic Employee Health Plan

Annual Coordination of Benefits (COB) Process

All EHP members are required to complete the COB process when they enroll for the first time and in January each yearFailure to complete the COB process will result in denial of claims for your participating dependents.

BONUS: Complete the 2016 COB process online by Feb. 29, 2016, to be eligible to win an iPad Air! Find the website listed on the enclosed form to begin the process. The drawing takes place March 14 and the winner will be notified directly.

You can complete the annual process in one of three ways:

1.       Update your information electronically at the Mutual Health Services’ website.* (MHS is the health plan’s third-party administrator.) If you prefer, you can access MHS’s website via the HRConnect Portal which allows you to access the site without creating a user ID and password. The instructions are available on this page of the EHP website.

 

2.       Complete a hard copy of COB form (click on link below) and send it to MHS using the fax number or mailing address on the form.

3.       If you had no other insurance coverage 2015 or for 2016, you can call MHS Customer Service at 1.800.451.7929. An automated phone system is available 24/7, or representatives are available Monday-Friday, 8 a.m.-5 p.m. ET. 

If you have questions about the annual COB process, please contact MHS at 1.800.451.7929.

 

2016 Coordination of Benefits (COB) Form  Click on the image below.

 

Coordination of Benefits (COB) is the procedure used to pay healthcare expenses when you or an eligible dependent is covered by more than one health plan. The COB procedure follows the rules established by the laws of the state of Ohio.

Failure to complete the COB process will result in a denial of payment for your medical claims, as well as a delay in scheduling your medical appointments for you and your family.


View and/or print the 2015 Coordination of Benefits form by clicking here

View and/or print the 2014 Coordination of Benefits form by clicking here

 

 

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