My wife and I each have separate, individual health plans with our employers. When our son was born, we immediately added him to my wife’s plan and never added him to my plan. Our son had some complications and initially after paying them, her health plan is denying his claims for his first 31 days of life. They are citing automatic coverage under my plan and the birthday rule. They want my plan to be the primary payer. Is this the right application of the birthday rule?

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Not an expert, but found an article that says the child falls under whichever parent has a birthday closest to January 1st (December 31 being the furthest away).

I found an article about a couple going through what you’re going through now and they had to fight it out with both insurance companies. They eventually got it right but it took some time

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