<BLOCKQUOTE><font size="1" face="Arial, Helvetica, Verdana">quote:</font><HR>Originally posted by stepmom2:
My husband is responsible for health insurance and we are providing it legally through my employer. His ex got mad and went out and got insurance (after not trying to get it for 6 years). My husband and I take the kids to the doctor all the time and she has never taken them. My insurance pays for the visits and then she calls the doctor's office and gets receipts and submits them to her insurance company and gets $70 from her insurance company every time we take them. I called her insurance company and the doctor's office and they both said there is nothing that can be done. To me, this is fraud!<HR></BLOCKQUOTE>
My response:
It's not fraud. If she wants to pay premiums on another, private, policy which is apart from your husband's policy, she is entitled to make her claims because she has an insurable interest - - her children. It also depends upon her policy's language; i.e., if her policy allows it, and it could, she's doing nothing wrong. You'd need to see the particular policy booklet to be sure. It's a little strange, considering the high costs of medical insurance, and that her premiums have got to be larger than any reimbursements, but if that's what she wants to do, then . . .
IAAL
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