(1) When an obligated parent has a health insurance obligation for more than one family, the division of child support (DCS) sends one National Medical Support Notice (NMSN) for each family to the obligated parent's employer.
(2) If the obligated parent is already enrolled in a health insurance plan, the plan administrator must attempt to enroll all children named in all of the NMSNs in the obligated parent's plan.
(3) If the obligated parent is not already enrolled in a health insurance plan, and the employer offers a health insurance plan which would cover all children named in all of the NMSNs, the plan administrator must enroll the children in that plan. See WAC
388-14A-4140.
(4) If the employer offers only one health insurance plan, or multiple plans which would cover some, but not all of the children named in the NMSNs, the plan administrator must so notify DCS.
(5) DCS chooses the appropriate health insurance plan by considering the following factors:
(a) The wishes of the custodial parent of each family;
(b) The premium limits set by the support orders;
(c) The relative ages of all the children;
(d) How many of the obligated parent's children live in Washington and how many live elsewhere;
(e) How many of the obligated parent's children receive medicaid;
(f) How many of the obligated parent's children are already covered by private health insurance;
(g) Which plan covers the most children; and
(h) Other factors as may be developed in DCS policy.
(6) The factors listed in subsection (5) are not exclusive, nor are they equally weighted.
(7) Nothing in this section requires the plan administrator to take action to change the obligated parent's plan unless the obligated parent requests a change.
[Statutory Authority: 2007 c 143, §§ 1, 2, 3, 4, 5, 7, 8, and 9. WSR 08-12-029, § 388-14A-4150, filed 5/29/08, effective 7/1/08. Statutory Authority: RCW
74.08.090,
74.20A.310, and
26.18.170, 42 U.S.C. 666 (a)(19), Child Support Performance and Incentives Act of 1998, 45 C.F.R. 303.31, and 45 C.F.R. 303.32. WSR 04-17-119, § 388-14A-4150, filed 8/17/04, effective 9/17/04.]