North Carolina Affidavit of No Coverage by Another Group Health Plan

State:
Multi-State
Control #:
US-321EM
Format:
Word; 
Rich Text
Instant download

Description

The employee named in this affidavit attests to the fact that he or she is not covered by any other group health plan.

Keywords: North Carolina, Affidavit of No Coverage, Another Group Health Plan The North Carolina Affidavit of No Coverage by Another Group Health Plan is a legal document that serves as proof stating that an individual does not have coverage under any other group health plan. This affidavit is used primarily in situations where an individual is applying for health coverage under a new group health plan, such as through their employer or a government-sponsored program. The purpose of this affidavit is to ensure that individuals do not have duplicate coverage from multiple group health plans, which can lead to unnecessary costs and complications. It also helps prevent fraudulent activities, as individuals cannot claim benefits from multiple plans simultaneously. There are different types of North Carolina Affidavit of No Coverage by Another Group Health Plan, depending on the specific context in which it is being used: 1. Individual Affidavit: This type of affidavit is completed by an individual seeking coverage under a new group health plan. It requires detailed information about the individual's personal details, current health plan(s) if any, and certification that they do not have coverage under any other group health plan. 2. Employer Affidavit: Employers may be required to submit this affidavit on behalf of their employees when they are enrolling in a new group health plan provided by the employer. It certifies that the employee does not have coverage through another group health plan. 3. Government Program Affidavit: Some government-sponsored health programs may require individuals to submit this affidavit to confirm that they do not have coverage through a group health plan. This includes programs like Medicaid, Medicare, or other state-specific assistance programs. To complete the North Carolina Affidavit of No Coverage by Another Group Health Plan, individuals need to accurately provide their personal information, including full name, address, social security number, and contact information. They must indicate their current health plan(s) and specify that they do not have coverage through any other group health plan. It's important to note that providing false information on this affidavit may have legal consequences, such as denial of coverage, financial penalties, or even criminal charges. In summary, the North Carolina Affidavit of No Coverage by Another Group Health Plan is a crucial document that certifies an individual's lack of coverage under any other group health plan. It ensures the transparency and integrity of the healthcare system and prevents duplicate coverage.

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FAQ

How long will COBRA continuation coverage last? When loss of coverage due to end of employment or a reduction in hours of employment, coverage generally may be continued for up to a total of 18 months.

The short answer is no under the new healthcare reform, no North Carolina employer is required by law to offer health insurance coverage to their employees.

North Carolina residents are required to have health insurance per the Affordable Care Act (ACA). However, there is no North Carolina state law mandating employers to provide employees with group health plans.

A certificate of Creditable Coverage (COCC) is a document provided by your previous insurance carrier that proves that your insurance has ended. This includes the name of the member to whom it applies as well as the coverage effective date and cancelation date.

This document explains the health benefits you and your dependents have under the plan. It details the services that will and will not be covered. Services that are not covered are called exclusions.

The primary purpose of the certificate is to show the amount of creditable coverage that you had under a group health plan or other health insurance coverage, because this can reduce or eliminate the length of time that any pre-existing condition clause in a new plan otherwise might apply to you.

Who is issued a certificate of insurance with a group insurance policy? The participant is issued a certificate of insurance with a group insurance policy.

If a Social Security agreement assigns coverage of the employee's work to the United States, the Social Security Administration issues a U.S. Certificate of Coverage. The certificate serves as proof that the employee and employer are exempt from the payment of Social Security taxes to the foreign country.

Continuation coverage allows someone who recently lost their employer-based health coverage to continue their current insurance policy as long as they pay the full monthly premiums.

Under COBRA, you and your family have the right to remain on whatever health plan your former employer has for up to 18 months. You must continue paying the full premium, which includes both your former employer's share and your share plus a 2 percent administrative fee.

More info

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North Carolina Affidavit of No Coverage by Another Group Health Plan