Common use of Qualified Medical Child Support Order Clause in Contracts

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.

Appears in 5 contracts

Samples: Dental Insurance Contract, Managed Care Group Contract, Group Contract

AutoNDA by SimpleDocs

Qualified Medical Child Support Order. A. If this Contract provides for family coverage, BCI will Blue Cross of Idaho shall 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 under this Contract 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; and 4. Each group health plan to which such order applies. C. 1. Within fifteen (15) days of receipt of a medical child support order, BCI will Blue Cross of Idaho shall notify the party who sent the order and each affected child of the such receipt and of the criteria by which BCI Blue Cross of Idaho determines if the medical child support order is a QMCSO. In addition, BCI Blue Cross of Idaho 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 BCIBlue Cross of Idaho. With respect to a medical Each affected child support order, affected children may designate a representative for receipt of copies of notices sent to each of themaffected child with respect to a medical child support order.

Appears in 4 contracts

Samples: Dental Insurance Contract, Group Contract, Group Contract

AutoNDA by SimpleDocs
Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!