Active Member Hospital Income Benefit

COBANC provides a hospital income benefit for Active Members and their eligible dependents. The Plan will pay as indicated in the Schedule of Benefits for a hospital admittance ordered by a doctor as a result of an accident or sickness, excluding pregnancy. Emergency room visits do not qualify. This benefit will be paid according to the schedule listed in the Active Member Supplemental Benefits Plan. To view plan coverage, please go to the Active Member Benefits Main Page.

Claims Processing

Healthplex processes claims for this benefit. The Healthplex Member Site is an excellent place to keep track of your claims. Here you will be able to get quick and easy access to the information you need to manage your benefits. Click or tap here to log in or register. If you need to speak to a representative, please call 1-888-468-5178.

Hospital Income Benefit Claim Form (It is preferable that you fill out this form electronically, then print, sign and date it before submitting it. If you hand-write, please print legibly.)