5101:12-57-10.2 Responsibility of health plan administrator.

 

 

PUBLIC HEARING NOTICE

OHIO DEPARTMENT OF JOB AND FAMILY SERVICES

 

DATE: 11/10/2016 TIME: 10:00 AM

LOCATION:  Room 3110B, Rhodes State Office Tower, 30 East Broad St., Columbus, Ohio 43215

 

Pursuant to sections 3119.51 and 3125.25 and Chapter 119. of the Ohio Revised Code, the director of the Ohio Department of Job and Family Services gives notice of the department's intent to consider the amendment of the rules as identified below and of a public hearing thereon.

 

The following Ohio Administrative Code (OAC) rules are being proposed for amendment as a result of a review conducted in accordance with section 106.03 of the Revised Code (ORC), which requires five-year reviews of all state agency rules.

 

 

·         Rule 5101:12-57-01, "Enforcement of medical support provisions," outlines the responsibility of the child support enforcement agency (CSEA) to enforce a medical support provision that is contained in a child support order, and provides clarification that Medicaid does not satisfy the requirement of the health insurance obligor to provide medical support under a child support order. The rule is being revised to update the effective date language to the referenced form.

 

·         Rule 5101:12-57-10, "National medical support notice," describes the content and purpose of the National Medical Support Notice (NMSN), the requirements for issuing the NMSN, the purpose of the JFS 03377, "Employer/Health Plan Administrator Health Insurance Verification Request" and the JFS 04036, "Notice of Medical Support Enforcement Activity," and the alternative action required by the CSEA when the health insurance obligor is an active member of the military. The rule is being amended to update the effective date language to the referenced forms.

 

·         Rule 5101:12-57-10.1, "Responsibility of employer," describes the responsibility of the employer of the health insurance obligor upon receiving the NMSN and the accompanying JFS 03377. The rule is being amended to update the effective date language to the referenced forms.

 

·         Rule 5101:12-57-10.2, "Responsibility of health plan administrator," describes the responsibility of the health plan administrator of the health insurance obligor upon receiving the NMSN and the accompanying JFS 03377. The rule is being amended to update the effective date language to the referenced forms.

 

·         Rule 5101:12-57-10.3, "Selecting a health plan option," describes the responsibilities of the CSEA and the custodial parent in selecting a health plan option in which to enroll the child(ren) based on plan information received from the health plan administrator. The rule is being amended to update the effective date language to the referenced forms.

 

·         Rule 5101:12-57-10.4, "Administrative mistake of fact hearing regarding the national medical support notice," describes the reasons a health insurance obligor may request an administrative mistake of fact hearing, the time-frame and method of submitting the request, the hearing process, and the health insurance obligor's right to object to the CSEA decision by filing with the court. The rule is being amended to update the effective date language to the referenced forms.

 

·         Rule 5101:12-57-10.5, "Court mistake of fact hearing regarding the national medical support notice," describes the court mistake of fact hearing process in accordance with ORC sections 3119.40 and

3119.41. The rule is being amended to update the effective date language to the referenced form.

 

 

 

 

·         Rule 5101:12-57-10.6, "Terminating the national medical support notice," describes the circumstances under which a CSEA may terminate the NMSN. The rule is being amended to update the effective date language to the referenced forms.

·         Rule 5101-12-57-99, "Chapter 5101:12-57 forms - enforcement of medical support provisions," contains a compilation of forms within division 5101:12 of the Administrative Code, but first cited within Chapter 5101:12-57 of the Administrative Code. Changes from the existing rule include: corrected the effective date of forms, and added OMB 0970-0222 to the list.

Copies of the proposed rules are available, without charge, to any person affected by the rules at the address listed below. The rules are also available on the internet at http://www.registerofohio.state.oh.us/.

A public hearing on the proposed rules will be held at the date, time, and location listed at the top of this notice. Either written or oral testimony will be taken at the public hearing. Additionally, written comments submitted or postmarked no later than the date of the public hearing will be treated as testimony.

Requests for copies of the proposed rules or comments on the rules should be submitted by mail to the Ohio Department of Job and Family Services, Office of Legal and Acquisition Services, 30 East Broad Street, 31st Floor, Columbus, Ohio 43215-3414, by fax at [phone], or by e- mail at [e-mail].