Medical Child Support Order: How to Determine Qualification

Purpose

Under certain circumstances, the Research Foundation (RF) is required by the Employee Retirement and Income Security Act (ERISA) to offer medical benefits to dependent children outside of open enrollment without a waiting period. This document describes the procedure for determining if a medical child support order is qualified under ERISA.

Background

Under the following circumstances, the RF offers medical benefits to children outside of the open enrollment period without a waiting period:

Procedure

For a medical child support order to be QMCSO, it must meet all of the following conditions:

Sample Reply Letter

For all medical child support order requests, a reply letter should be issued to the sender of the order. A sample reply letter is provided for responding to the sender of the order. Complete the letter by filling in the appropriate information. Keep a copy of any correspondence for our RF records.

Change History

 

 

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