Rules & Regulations of the State of Tennessee
Title 1240 - Human Services
Subtitle 1240-02 - Child Support Services Division
Chapter 1240-02-02 - Forms for Withholding of Income for Child Support
Section 1240-02-02-.10 - DEPARTMENT NOTICE OF ENROLLMENT IN HEALTH CARE COVERAGE
Current through September 24, 2024
(1) The Notice form in Paragraph (4) shall be used by the Department of Human Services or its contractors which establish or enforce support under Title IV-D of the Social Security Act for the purpose of providing notice to an obligor of support in Tennessee, as directed on the Modified Income Withholding for Support (Order for Income Assignment), that, following a change of employers by the obligor, the obligor's employer has been directed to enroll the obligor's child(ren) who are subject to the court order for support in health care coverage provided by the obligor's employer.
(2) For a modification of a previous Income Withholding for Support (Order for Income Assignment) which now includes a notice of enrollment in health care, the form referenced in 1240-02-02-.04(1)(a), will be attached to the Notice form in Paragraph (4).
(3) The Department may combine the language in this form with language of the notices issued by the Department described in this Chapter to provide notice of various actions taken by the court or actions taken administratively by the Department, and the form may be modified and transmitted by the TCSES system to contain, as may be applicable, combinations of the language in any of those notices on one form.
(4) Form:
STATE OF TENNESSEE
DEPARTMENT OF HUMAN SERVICES
NOTICE OF ENROLLMENT OF CHILDREN IN HEALTH CARE COVERAGE
Authority: T.C.A. §§ 4-5-202, 8-21-403, 36-5-101(f), 36-5-116, 36-5-501, 36-5-1002, and 71-1-132(c); 42 U.S.C. §§ 651 et seq., 42 U.S.C §§ 652(a)(11), 654(9)(E), 654a(g)(1)(A)(ii), 654b(a), and 666(a)(8) and (b); 45 C.F.R. §§ 303.6(c)(1), 303.7, and 303.100; and United States Department of Health and Human Services Office of Child Support Enforcement Action Transmittal 04-05 (July 15, 2004).