Required Child Coverage
After a divorce, a Qualified Medical Child Support Order (QMCSO) may require the Health Benefits Fund to provide coverage for your children when you and your spouse divorce.
The process begins when the Central Administration office receives a QMCSO. This means any judgment, decree, or order, including approval of a settlement agreement, which:
- Is issued by or from a court under state domestic relations law.
- Requires an employee to provide the group health coverage available under the Fund for his or her children, even though he or she no longer has custody of them.
- Clearly specifies:
- The employee’s name and last known mailing address and the names and addresses of each child covered by the order.
- A reasonable description of the coverage to be provided.
- The length of time the order applies.
- Each plan affected by the order.
Please note, a child’s custodial parent, legal guardian or a state agency may apply for Fund coverage of an employee’s children, even if you as the employee do not. The Fund Office or your Employer will provide written notification to you and each identified child that it has received a court order requiring coverage.
The Fund will comply with a QMCSO issued by a judge or a National Medical Support Order (NMSO) issued by a state agency which meets the requirements of a QMCSO. These types of orders require the Fund to provide medical coverage for the child of a member who does not have custody of that child.
If a QMCSO or a NMSO is received, the Fund Office or your Employer will provide written notification to you and each child of his or her eligibility for coverage and will permit immediate enrollment. This notice will include any required enrollment material, a description of the procedures to be followed and a form for designating the child’s custodial parent or legal guardian as his or her representative for all purposes. Contact the Central Administration Office for more information.