5101:12-57-10.1 Responsibility of employer.

 

 

 

5101:12-57-10.1          Responsibility of employer.

 

 

 

(A)In accordance with section 3119.36 of the Revised Code, upon receipt of the OMB 0970-0222, "National Medical Support Notice" (expiration date 02/29/2008), (NMSN) and the JFS 03377, "Employer/Health Plan Administrator Health Insurance Verification Request" (rev. 05/2005), the employer is required, not later than twenty business days after the date of the NMSN, to do one of the following:

 

(1)When the person named in the NMSN is a current employee and the person and the child listed on the NMSN are already enrolled in health insurance coverage through the employer, complete and return the JFS 03377 to the CSEA.

 

(2)When the person named in the NMSN is a current employee and health insurance coverage of the child is available through the employer, send part B of the NMSN and the JFS 03377 to the health plan administrator.

 

(3) Complete and return part A of the NMSN to the CSEA when:

 

(a) The person named in the NMSN is not a current employee;

 

(b) The employee is among a class of employees that are not eligible for family health coverage under any group health plan maintained by the employer or to which the employer contributes;

 

(c) The  employer  does  not  maintain  or  contribute  to  plans  providing dependent or family health care coverage; or

 

(d)The employer determines that coverage of the child would cause the total amount of income withholding, which includes child support and health insurance contributions, to exceed the withholding limitation permitted under the Consumer Credit Protection Act, Pub. L. No. 90-321, 82 Stat. 146 (1968), 15 U.S.C. 1673(b).

 

(B)In  accordance  with  sections  3119.362  and  3119.364  of  the  Revised  Code,  an employer who receives an NMSN is required to:

 

(1)Upon written request from the other parent, any person subject to the order, or the CSEA, release to the requestor all information about the  employee's health insurance coverage, which may include the name and address of the health plan administrator and any policy, contract or plan number; and

 

(2)Notify the CSEA of any change in or the termination of the health insurance coverage that is maintained pursuant to the NMSN.

 

 

 

 

 

 

 

5101:12-57-10.1                                                                                                                    2

Replaces:                                                     Part of 5101:1-29-35.2

Effective:                                                     01/01/2007

R.C. 119.032 review dates:                         01/01/2012

CERTIFIED ELECTRONICALLY

Certification

12/19/2006

Date

Promulgated Under:                           119.03

Statutory Authority:                           3119.51

Rule Amplifies:                                  3119.36, 3119.362, 3119.364

Prior Effective Dates:                         1/7/85, 8/1/86, 12/1/87, 12/20/88, 9/1/89, 8/1/90,

6/1/91, 11/1/91, 7/15/92, 4/1/93, 1/1/98, 10/2/03