Qualified Medical Child Support Order. A child who would otherwise meet the eligibility requirements and is required to be covered by a Qualified Medical Child Support Order (QMCSO) is considered an eligible dependent.
Qualified Medical Child Support Order. Coverage is available for a dependent child not residing with a Subscriber and who resides outside the Service Area, if there is a qualified medical child support order requiring the Subscriber to provide dependent health coverage for a non-resident child. The child must meet the definition of a Covered Dependent, and the Subscriber must make a written request for coverage within 31 days of the court order.
Qualified Medical Child Support Order. A. If this Contract provides for family coverage, BCI will comply with a Qualified Medical Child Support Order (QMCSO) according to the provisions of Section 609 of ERISA and any other applicable federal or state laws. A medical child support order is any judgment, decree or order (including approval of a settlement agreement) issued by a court of competent jurisdiction that:
1. Provides for child support with respect to a child of an Enrollee or provides for health benefit coverage to such a child, is made pursuant to a state domestic relations law (including a community property law) and relates to benefits under this Contract, or
2. Enforces a law relating to medical child support described in Section 1908 of the Social Security Act with respect to a group health plan.
B. A medical child support order meets the requirements of a QMCSO if such order clearly specifies:
1. The name and the last known mailing address (if any) of the Enrollee and the name and mailing address of each child covered by the order.
2. A reasonable description of the type of coverage to be provided by this Contract to each such child, or the manner in which such type of coverage is to be determined.
3. The period to which such order applies.
C. 1. Within fifteen (15) days of receipt of a medical child support order, BCI will notify the party who sent the order and each affected child of the receipt and of the criteria by which BCI determines if the medical child support order is a QMCSO. In addition, BCI will send an application to each affected child. The application must be completed by or on behalf of the affected child and promptly returned to BCI. With respect to a medical child support order, affected children may designate a representative for receipt of copies of notices sent to each of them.
Qualified Medical Child Support Order. If You are required by a Qualified Medical Child Support Order or court order, as defined by applicable State or federal law, to enroll Your child under this Agreement, and the child is otherwise eligible for the coverage, You must request permission from Oscar for Your child to enroll under this Agreement, and once approved by Xxxxx, We will provide the benefits of this Agreement in accordance with the applicable requirements of such order. Coverage for Dependents, gained through a court order, including a child support order, will be effective the first day of the court order. If permitted by Xxxxx, the Qualified Individual may elect a later coverage effective date in accordance with the rules of Oscar.
Qualified Medical Child Support Order. (QMCSO). A child support order from a court of competent jurisdiction or state child care agency, which requires the plan to pro- vide coverage for a dependent child or mem- ber if the plan normally provides coverage for dependent children.
Qualified Medical Child Support Order. A child who would otherwise meet the eligibility
Qualified Medical Child Support Order. If You are required by a Qualified Medical Child Support Order or court order, as defined by applicable State or federal law, to enroll Your child under this Agreement, and the child is otherwise eligible for the coverage, You must request permission from the Exchange for Your child to enroll under this Agreement, and once approved by the Exchange, We will provide the benefits of this Agreement in accordance with the applicable requirements of such order. Coverage for Dependents, gained through a court order, including a child support order, will be effective the first day of the court order. If permitted by the Exchange, the qualified individual may elect a later coverage effective date in accordance with the rules of the Exchange. A child's coverage under this provision will not extend beyond any Dependent age limit. Any claims payable under this Agreement will be paid to the child or the child's custodial parent or legal guardian, for any expenses paid by the child, custodial parent, or legal guardian. We will make information available to the child, custodial parent, or legal guardian on how to obtain benefits and submit claims to Us directly. The earliest Effective date for the annual open enrollment period is the first day of the following Benefit Period for a Qualified Individual who has made a QHP selection during the annual open enrollment period. A Subscriber’s actual Effective date is determined by the date he or she submits a complete application and the applicable Premium to the Exchange. Effective Dates for special enrollment periods:
Qualified Medical Child Support Order. A QMCSO creates or recognizes a right of a child who is recognized under the order as having the right to be enrolled under the health benefit plan to receive benefits for which the Employee is entitled under the plan; and includes the name and last known address of the Employee and each such child, a reasonable description of the type of coverage to be provided by the plan, the period for which coverage must be provided and each plan to which the order applies. Under the Affordable Care Act, starting in 2014, an insurance plan that is certified by an Exchange, provides essential health benefits, follows established limits on cost-sharing (like deductibles, copayments, and out-of-pocket maximum amounts), and meets other requirements. A qualified health plan will have a certification by each Exchange in which it is sold. Specific instructions from a Member’s Physician, in conformance with our policies and procedures, that direct a Member to an In-Network Provider for Medically Necessary care. Care furnished during a period of time when the Member’s family or usual caretaker cannot, or will not, attend to the Member’s needs. A facility that provides limited basic medical care services to Members on a “walk-in” basis. These clinics normally operate in major pharmacies or retail stores. Medical services are typically provided by Physicians Assistants and Nurse Practitioners. A Hospital room which contains two or more beds. Includes counties listed in the appropriate Service Area map. (Please refer to your Provider Directory.)
Qualified Medical Child Support Order. The Plan Administrator has established procedures that are to be followed if the Plan receives a medical child support order that requires you to provide health care coverage for your child under the Plan. These procedures are set forth in Claims for Benefits to this summary.
Qualified Medical Child Support Order. A medical child support order is a judgment, decree or order (including approval of a property settlement) made under state law that provides for child support or health coverage for the child of a participant. The child becomes an "alternate recipient" and can receive benefits under the health plans of the Employer, if the order is determined to be "qualified." You may obtain, without charge, a copy of the procedures governing the determination of qualified medical child support orders from the Plan Administrator.
