25-533. Insurer obligations
A. If a court or administrative order requires a parent to provide health coverage for a child and the parent is eligible for family coverage, the insurer shall:
1. Permit the parent to enroll the child under the family coverage if the child is otherwise eligible for the coverage without regard to any enrollment season restrictions.
2. If the parent is enrolled in family coverage but fails to enroll the child, enroll the child under the family coverage on the application of the child's other parent or the state IV-D agency.
3. Not refuse to enroll or terminate the coverage of the child unless the insurer receives satisfactory written evidence that one of the following applies:
(a) The court or administrative order is no longer in effect.
(b) The child will be enrolled in comparable health coverage through another insurer and that coverage will take effect not later than the effective date of the termination of coverage.
(c) The employer has eliminated family health coverage for all of its employees.
(d) Nonpayment of premium.
B. An insurer shall not impose any additional requirements on state agencies or the other parent that are different from the requirements the insurer imposes on all other agents or assignees. An insurer shall provide the state or the other parent with enrollment information and shall process the claims from and make payments to the state, the other parent or the other parent's provider.
Copyright ©2024 LegalFix. All rights reserved. LegalFix is not a law firm, is not licensed to practice law, and does not provide legal advice, services, or representation. The information on this website is an overview of the legal insurance products you can purchase—or that may be provided by your employer as an employee benefit or by your credit union or other membership group as a membership benefit.
LegalFix provides its members with access to legal services through a network of provider law firms. LegalFix, its corporate entity, and its officers, directors, employees, agents, and contractors do not provide legal advice, services, or representation—directly or indirectly.
The articles and information on the site are not legal advice and should not be relied upon—they are for information purposes only. You should become a LegalFix member to get legal services from one of our provider law firms.
You should not disclose confidential or potentially incriminating information to LegalFix—you should only communicate such information to your provider law firm.
The benefits and legal services described in the LegalFix legal plans are not always available in all states or with all plans. See the legal plan Benefit Overview and the more comprehensive legal plan contract during checkout for coverage details in your state.
Use of this website, the purchase of legal insurance products, and access to the LegalFix network of provider law firms are subject to the LegalFix Terms of Service and Privacy Policy.
