(1) A hearing on a notice of support owed for medical support served under WAC
388-14A-3312 is subject to WAC
388-14A-3320 and this section. See WAC
388-14A-3323 for the rules concerning a hearing on a notice of support owed under WAC
388-14A-3311.
(2) A hearing on a notice of support owed served under WAC
388-14A-3312 is only for the purpose of determining:
(a) Issues regarding the reimbursement of uninsured medical expenses, such as:
(i) Whether the party on whom the notice was served is obligated under a support order to pay for uninsured medical expenses for the children covered by the order;
(ii) Whether the party seeking reimbursement has provided sufficient proof of payment for uninsured medical expenses for the children;
(iii) The total amount of uninsured medical expenses paid by the party seeking reimbursement;
(iv) The obligated parent's share of the uninsured medical expenses;
(v) The amount, if any, the obligated parent has already paid to the party seeking reimbursement;
(vi) Whether the obligated parent provided coverage during the time in question if reimbursement of medical premium costs is requested; and
(vii) The amount owed by the obligated parent to the party seeking reimbursement for unreimbursed medical expenses.
(b) Issues regarding a monthly payment toward the premium paid for coverage for the children, such as:
(i) Whether the support order requires the obligated parent to pay when the obligated parent does not provide coverage;
(ii) Whether the obligated parent is currently providing coverage, or did so during the time period in question;
(iii) The amount of the premium paid by the other parent or by the state to cover the children;
(iv) The obligated parent's proportionate share of the premium;
(v) The amount, if any, the obligated parent has already contributed toward health care coverage premiums paid by the other parent or the state for the time period in question; and
(vi) The monthly amount to be paid by the obligated parent as his or her proportionate share of the health care coverage premium.
(3) If the administrative law judge (ALJ) determines that the uninsured medical expenses claimed by the party seeking reimbursement do not amount to at least five hundred dollars, the ALJ:
(a) May not dismiss the notice on this basis;
(b) Must make the determinations listed in subsection (2)(a) above.
(4) In an annual review hearing under WAC
388-14A-3330, the ALJ may not set a payment schedule on the support debt other than as provided in WAC
388-14A-3312 if the ALJ determines that the obligated parent has paid less than his or her actual obligation for medical support under the order after actual expenses or updated proportionate shares owed are considered.
(a) If the obligated parent is the noncustodial parent (NCP), any amounts owed are added to the NCP's support debt.
(i) Any amounts owed to the custodial parent (CP) are added to the nonassistance child support arrears owed by the NCP to the CP.
(ii) Any amounts owed to the state are added to the assigned child support arrears owed by the NCP.
(b) If the obligated parent is the CP, any amounts owed are paid as provided in WAC
388-14A-3312(17).
(5) If, in an annual review hearing under WAC
388-14A-3330, the ALJ determines that the NCP's obligation calculated in a previous notice of support owed is more than his or her actual obligation for medical support under the order after actual expenses or updated proportionate shares owed are considered, and the parties cannot agree on how the difference may be credited or repaid, the ALJ must enter an order providing that any difference may be:
(a) Applied as an offset to any nonassistance child support arrears owed by the NCP to the CP.
(b) In the form of a credit against the NCP's future child support obligation, if there is no nonassistance debt owed to the CP:
(i) Spread equally over a twelve-month period starting the month after the administrative order becomes final; or
(ii) When the future support obligation will end under the terms of the order in less than twelve months, spread equally over the life of the order.
(c) Paid in the form of a direct reimbursement by the CP to the NCP, but only with the consent of the CP.
(6) If the ALJ determines that the CP's obligation under a previous notice of support owed is more than his or her actual obligation for medical support under the order after actual expenses and updated proportionate share amounts are considered, and the parties cannot agree on how the difference may be credited or repaid, the ALJ must enter an order providing that any difference must be added to the nonassistance child support arrears owed by the NCP.
(7) The ALJ must determine either or both of the following, depending on what was requested in the notice of support owed:
(a) The amount owed by the obligated parent to the other for reimbursement of uninsured medical expenses; and
(b) The monthly amount to be paid by the obligated parent as his or her proportionate share of the health care coverage premium paid by the other parent or the state.