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Add 30 months to
date entitled due
to ESRD!
Is there an EGHP?
If No, there is no
COB and Medicare is
prime
Add 30 months to
date entitled due
to ESRD!
Are there 100 or
more employees in
the group?
If No, there is no
COB and Medicare is
prime
Is the Policy holder
currently employed
(as of ESRD
Entitlement)?
If No, there is no
COB and Medicare is
prime
Is there an EGHP?
If No, there is no
COB and Medicare is
prime
Add 30 months to
date entitled due
to ESRD!
Are there 20 or
more employees in
the group?
If No, there is no
COB and Medicare is
prime
Is the Policy holder
currently employed
(as of ESRD
Entitlement)?
If No, there is no
COB and Medicare is
prime
Is there an EGHP?
If No, there is no
COB and Medicare is
prime
If
Yes
If
Yes
If
Yes
If
Yes
If
Yes
If
Yes
If
Yes
ESRD
AGE
DISABILITY