Coordination of Benefits, or COB, is a benefit claim procedure developed by the Canadian Life and Health Insurance Association (CLHIA) for individuals covered under two or more Health and/or Dental Plans.
Applying this procedure ensures that you and your dependents receive the maximum eligible benefits available from all plans under which you are covered. It also outlines the method used for determining where to submit your claims first.
The Explanation of Benefits (EOB) is an important document in the application of COB. An EOB (also called a payment summary) is a letter from the insurance company which is sent to you with the claim reimbursement or available on GroupNet when the claim is submitted online. It outlines the amount of expenses and how much has been reimbursed. For drug claims paid via your drug card, your pharmacy receipt is considered your EOB.
Here is a brief summary of the EOB process:
Supporting Your Wellness
The Homewood Health Employee and Family Assistance Program (EFAP) is a professional, confidential, and proactive service to support you in all aspects of your life.
Your EFAP can help with a variety of situations such as stress, anxiety, life change and transitions, relationship concerns, etc. Your full suite of EFAP services includes counselling, Life Smart Coaching and Online resources.
Click here to review the Homewood Health EFAP resources available to you and to get contact information.