Can I be held responsible for back bills if my spouse canceled my health insurance coverage and Iwas not notified until 1 1/2 years later?

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Can I be held responsible for back bills if my spouse canceled my health insurance coverage and Iwas not notified until 1 1/2 years later?

I separated from my husband 3 years ago. I have a PFA that prevents him from contacting me, but we both have attorneys. He chose to maintain my health insurance in lieu of being ordered to pay spousal support, and then removed me from the policy without telling me. I was not notified by the insurance company. They said they were only able to send him my copy of the letter to request a continuation of coverage. They continued to pay my claims for over 18 months, and have just now told me they are going to demand my doctors repay the benefits they received retroactive to the first of last year.

Asked on July 25, 2011 Pennsylvania

Answers:

M.T.G., Member, New York Bar / FreeAdvice Contributing Attorney

Answered 10 years ago | Contributor

If you have an attorney let he or she do their job and notify them of this matter.  If he agrees to maintain the coverage and did not in lieu of spousal support then he breached the agreement and you are going to have to go after him to make it right.  You are going to have to find out how much the bills amount to for reimbursement to the insurance company.  I a sure that they sent EOB's (explanation of benefit letters) to your husband's address.  Since the health information was regarding you ask them to fax you copies of the forms.  It should not be a HIPAA problem.  Once you have all the information you are going to have to determine how you want to proceed. And now you need to modify the agreement for spousal support.  Good luck.


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