Md. Code Regs. 07.07.20.05

Current through Register Vol. 51, No. 24, December 2, 2024

Section 07.07.20.05 - Processing the NMSN

A. Within 20 business days of receipt of the NMSN, the employer shall:

(1) Complete and forward Part A of the NMSN to the Administration if:

(a) The employer does not maintain or contribute to plans providing dependent or family health care coverage;

(b) The employee is not eligible for family health coverage; or

(c) Health care coverage is not available because the employee is no longer working for the employer; or

(2) Forward Part B of the NMSN to the employer's insurer, as required by the NMSN.

B. Within 20 business days of receipt of an NMSN from an employer, an insurer shall:

(1) Determine if the NMSN contains the:

(a) Employee's name and mailing address; and

(b) Child's name and mailing address or the address of the Administration;

(2) If the NMSN does not contain the required information, complete Part B of the NMSN and forward it to the Administration and the employer indicating that the NMSN is incomplete and therefore does not constitute a qualified medical child support order; or

(3) If the NMSN contains the required information, enroll the child in a health care plan and send written notification of eligibility for enrollment and information about the insurance plan as specified in the NMSN to the:

(a) Employee;

(b) Employer;

(c) Other parent; and

(d) If requested, the Administration.

C. Upon receiving notice from the insurer of the eligibility of an employee's child for enrollment, the employer shall:

(1) Withhold from the employee's next pay and each pay thereafter the amount of the employee contribution required to enroll the child, and notify the employee of the deduction;

(2) If the employee's child is ineligible for health insurance coverage but will become eligible, withhold from the employee's earnings, at the earliest time the employee's child becomes eligible, the contribution required to enroll the child, and notify the employee of the deduction;

(3) If the employer determines that the employee's child is not eligible for health insurance coverage, complete and forward Part A of the NMSN to the Administration indicating the reason the child is ineligible; or

(4) If the Federal Consumer Credit Protection Act withholding limitations or prioritization as specified in Regulation .06B of this chapter prevents withholding from the employee's earnings the amounts required for enrollment, complete and forward Part A of the NMSN to the Administration indicating the employee's income is insufficient for enrollment.

D. If the employer withholds a contribution under §D(1) or (2) of this regulation, the employer shall send to the insurer the amount deducted from the employee's earnings each pay period within 10 business days after the day on which the earnings are paid to the employee.

E. Within 15 days of the first deduction from the employee's pay, the employer shall provide to both parents and to the Administration the following information:

(1) The employee's Social Security number;

(2) The name, address, and telephone number of the insurer;

(3) The policy number;

(4) The group number;

(5) The effective date of coverage; and

(6) Any schedule of benefits.

Md. Code Regs. 07.07.20.05

Regulation .05 amended effective October 6, 2008 (35:20 Md. R. 1773)