Washington Administrative Code
Title 182 - Health Care Authority
SCHOOL EMPLOYEES BENEFITS BOARD (SEBB) PROGRAM
Chapter 182-31 - Eligible school employees
Section 182-31-160 - National Medical Support Notice (NMSN)
Universal Citation: WA Admin Code 182-31-160
Current through Register Vol. 24-18, September 15, 2024
(1) When a National Medical Support Notice (NMSN) requires a subscriber to provide health plan coverage for a dependent child the following provisions apply:
(a) The subscriber may enroll their dependent
child and request changes to their health plan coverage as described under (c)
of this subsection. School employees submit the required forms to their school
employees benefits board (SEBB) organization. All other subscribers submit the
required forms to the SEBB program;
(b) If the subscriber fails to request
enrollment or health plan coverage changes as directed by the NMSN, the SEBB
organization or the SEBB program may make enrollment or health plan coverage
changes according to (c) of this subsection upon request of:
(i) The child's other parent; or
(ii) Child support enforcement
program.
(c) Changes to
health plan coverage or enrollment are allowed as directed by the NMSN:
(i) The dependent will be enrolled under the
subscriber's health plan coverage as directed by the NMSN;
(ii) A school employee who has waived SEBB
medical as described in WAC
182-31-080 will be enrolled in
medical as directed by the NMSN, in order to enroll the dependent;
(iii) The subscriber's selected health plan
will be changed if directed by the NMSN;
(iv) If the dependent is already enrolled
under another SEBB subscriber, the dependent will be removed from the other
health plan coverage and enrolled as directed by the NMSN;
(v) If the dependent is enrolled in both
public employees benefits board medical and SEBB medical as a dependent as
described in WAC
182-31-070
(6)(f) and there is a NMSN in place,
enrollment will be in accordance with the NMSN; or
(vi) If the subscriber is eligible for and
elects Consolidated Omnibus Budget Reconciliation Act (COBRA) or other
continuation coverage, the NMSN will be enforced and the dependent must be
covered in accordance with the NMSN.
(d) Changes to health plan coverage or
enrollment as described in (c)(i) through (iii) of this subsection will begin
the first day of the month following receipt by the SEBB organization or the
SEBB program of the NMSN. If the NMSN is received on the first day of the
month, the change to health plan coverage or enrollment begins on that day. A
dependent will be removed from the subscriber's health plan coverage as
described in (c)(iv) of this subsection the last day of the month the NMSN is
received. If that day is the first of the month, the change in enrollment will
be made the last day of the previous month.
(2) When a NMSN requires a spouse, former spouse, or other individual to provide health plan coverage for a dependent who is already enrolled in SEBB coverage, and that health plan coverage is in fact provided, the dependent may be removed from the subscriber's SEBB health plan coverage prospectively.
Disclaimer: These regulations may not be the most recent version. Washington 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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