Utah Administrative Code
Topic - Human Services
Title R527 - Recovery Services
Rule R527-201 - Medical Support Services
Section R527-201-9 - Enforcement of Obligation to Maintain Medical and Dental Insurance

Universal Citation: UT Admin Code R 527-201-9

Current through Bulletin 2024-18, September 15, 2024

(1) Appropriate steps shall be taken by ORS to ensure compliance with orders that require either parent or both parents to maintain insurance. Parents shall demonstrate compliance by providing ORS with policy numbers and the insurance provider name for the dependent children for whom the medical support is ordered.

(2) If a parent has been ordered to maintain insurance and insurance is accessible and available at a reasonable cost, ORS shall use the NMSN to transfer notice of the insurance provision to the parent's employer unless ORS is notified pursuant to Section 62A-11-326.1 that the children are already enrolled in an insurance plan in accordance with the order.

(3) When appropriate, ORS shall send the NMSN to the parent's employer within two business days after employment information about the parent is entered in the State Directory of New Hires, has matched with ORS records, and been reported to ORS pursuant to Subsection 35A-7-105(2).

(4) The employer shall transfer the NMSN to the appropriate group health plan for which the children are eligible within 20 business days of the date of the NMSN if each of the following criteria are met:

(a) the parent is still employed by the employer;

(b) the employer maintains or contributes to plans providing dependent or family health coverage;

(c) the parent is eligible for the coverage available through the employer; and

(d) state or federal withholding limitations, prioritization, or both, do not prevent withholding the amount required to obtain coverage.

(5) If more than one coverage option is available under a group insurance plan and the parent is not already enrolled, ORS in consultation with the custodial parent may select the least expensive option if the option complies with the child support order and benefits the children. The insurer shall enroll the children in the plan's default option or least expensive option in accordance with Subsection 62A-11-326.2(1)(b) unless another option is specified by ORS.

(6) The employer shall determine if the necessary employee contributions for the insurance coverage are available. If the amounts necessary are available, the employer shall begin withholding when appropriate and remit directly to the plan.

(7) In accordance with Subsections 62A-11-326.1(2) and (3), the parent may contest withholding insurance premiums based on a mistake of fact. The employer shall continue withholding under the NMSN until notified by ORS to terminate withholding insurance premiums.

(8) If a parent successfully contests the action to enroll the children in a group health plan based on a mistake of fact, ORS shall notify the employer to discontinue enrollment and withholding insurance premiums for the children.

(9) In accordance with Subsection 62A-11-406(9), the employer shall:

(a) notify ORS within five days after the parent terminates employment;

(b) provide ORS with the parent's last-known address; and

(c) provide the name and address of a new employer, if known.

(10) ORS shall promptly notify the employer when a current order for medical support is no longer in effect for which ORS is responsible.

Disclaimer: These regulations may not be the most recent version. Utah may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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