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House Journal: Page 1956: Wednesday, April 26, 1995

39     b.  Enroll a child who is eligible for coverage
40   under the applicable terms and conditions of the
41   health benefit plan and the standard enrollment
42   guidelines of the insurer, without regard to any time
43   of enrollment restriction, under dependent coverage
44   upon application by the obligee or other legal
45   custodian of the child or by the department of human
46   services in the event an obligor required by a court
47   order or administrative order fails to apply for
48   coverage for the child.
49     c.  Maintain coverage and not cancel the child's
50   enrollment unless the insurer obtains satisfactory

Page   4

 1   written evidence of any of the following:
 2     (1)  The court order or administrative order is no
 3   longer in effect.
 4     (2)  The child is eligible for or will enroll in
 5   comparable health coverage through an insurer which
 6   shall take effect not later than the effective date of
 7   the cancellation of enrollment of the original
 8   coverage.
 9     (3)  The employer has eliminated dependent health
10   coverage for its employees.
11     (4)  The obligor is no longer paying the required
12   premium because the employer no longer owes the
13   obligor compensation, or because the obligor's
14   employment has terminated and the obligor has not
15   elected to continue coverage.
16     4.  A group health plan shall establish reasonable
17   procedures to determine whether a child is covered
18   under a qualified medical child support order issued
19   pursuant to chapter 252E.  The procedures shall be in
20   writing, provide for prompt notice of each person
21   specified in the medical child support order as
22   eligible to receive benefits under the group health
23   plan upon receipt by the plan of the medical child
24   support order, and allow an obligee or other legal
25   custodian of the child under chapter 252E to designate
26   a representative for receipt of copies of notices in
27   regard to the medical child support order that are
28   sent to the obligee or other legal custodian of the
29   child and the department of human services' child
30   support recovery unit.
31     5.  For purposes of this section, unless the
32   context otherwise requires:
33     a.  "Child" means a person, other than an obligee's
34   spouse or former spouse, who is recognized under a
35   qualified medical child support order as having a
36   right to enrollment under a group health plan as the
37   obligor's dependent.
38     b.  "Court order" or "administrative order" means a
39   ruling by a court or administrative agency in regard

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index Index: House Journal (76th General Assembly: Session 1)

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