441—86.10 (514I) Reporting changes. Changes that may affect eligibility shall be reported to the third-party administrator as soon as possible but no later than ten working days after the change. “Day one” shall begin with the date of the change. The parent, guardian, or other adult responsible for the child shall report the change. If the child is emancipated, married, or otherwise in an independent living situation, the child shall be responsible for reporting the change.
	 86.10(1) Pregnancy. The pregnancy of a child shall be reported when the pregnancy is diagnosed.
	 86.10(2) Entry to a nonmedical public institution. The entry of a child into a nonmedical public institution, such as a penal institution, shall be reported following entry to the institution.
	 86.10(3) Iowa residence is abandoned. The abandonment of Iowa residence shall be reported following the move from the state.
	 86.10(4) Other insurance coverage. Enrollment of the child in other health insurance coverage shall be reported.
	 86.10(5) Employment with the state of Iowa. The employment of the child’s parent with the state of Iowa shall be reported.
	 86.10(6) Decrease in income. If the family reports a decrease in income, the third-party administrator shall ascertain whether the change affects the premium obligation of the family. If the change is such that the family is no longer required to pay a premium in accordance with the provisions of rule 441—86.8(514I), premiums will no longer be charged beginning with the month following the month of the report of the change.
	 86.10(7) Failure to report changes. Any benefits paid during a period of time in which the child was ineligible due to unreported changes will be subject to recoupment in accordance with 441—Chapter 11.