Md. Code Regs. 07.07.20.07

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

Section 07.07.20.07 - Administration's Selection of a Plan

A. If the insurer sends written notice to the Administration that the obligated parent is eligible for more than one health insurance plan, and the parent is not enrolled in any plan that provides dependent coverage, the Administration shall select a plan in consultation with the custodial parent.

B. If the Administration attempts to consult with the custodial parent as provided for in §A of this regulation, and the custodial parent fails to participate in the selection of a plan, the Administration shall select a plan:

(1) That provides comprehensive coverage, including:

(a) Hospital services;

(b) Medical services; and

(c) Prescriptions;

(2) That provides services that are accessible to the child; and

(3) Whose cost, in combination with the amount withheld for cash support, does not exceed the applicable withholding limits set by the Federal Consumer Credit Protection Act.

C. If more than one plan meets the criteria set forth in §B of this regulation, the Administration shall select the least costly plan.

D. If no plan meets all of the criteria set forth in §B of this regulation, the Administration:

(1) May not select a plan; and

(2) Shall allow the insurer to select a default plan.

Md. Code Regs. 07.07.20.07

Regulation .07A amended effective October 6, 2008 (35:20 Md. R. 1773)
Regulation .07A, B amended effective October 11, 2004 (31:20 Md. R. 1484)
Regulation .07B amended effective August 9, 2010 (37:16 Md. R. 1060)