What are the Third Party Liability (TPL) policies for SCHIP?
For SCHIP, a child cannot have other insurance at the time of application or at redetermination. A child may gain other coverage after they have been made eligible, or before their redetermination, without penalty. The policies used to coordinate benefits are the same for both SCHIP and Medicaid. An SCHIP child may be affected by these policies if their SCHIP managed care plan is with the same, or different, company as their other coverage. A summary of the SCHIP TPL policies is below. If you need more detailed information on these policies, contact TPL’s Coordination of Benefits section at 1-800-562-6136.