5101:12-57-10.3 Selecting a health plan option.

(A) When the child support enforcement agency (CSEA) receives from the health plan administrator part B of the OMB 0970-0222, "National Medical Support Notice" ( as referenced in rule 5101:12-57-99 of the Administrative Code), (NMSN) and information on health plan options, the CSEA shall:

(1) Issue the JFS 04035, "Notice of Available Health Plan Options" ( effective or revised effective date as indentified in rule 5101:12-57-99 of the Administrative Code), to the custodial parent or caretaker of the child; and

(2) Attach to the JFS 04035 all information regarding health plan options received from the health plan administrator.

(B) Within five days from the issuance date on the JFS 04035, the custodial parent or caretaker of the child is required to return to the CSEA the portion of the JFS 04035 documenting the health plan option selected by the custodial parent or caretaker of the child.

(C) Within twenty business days from the date the health plan administrator sends part B of the NMSN to the CSEA, the CSEA shall issue the JFS 04034, "Notice of Selection of Health Plan Option" ( effective or revised effective date as indentified in rule 5101:12-57-99 of the Administrative Code), to the health plan administrator and issue a copy to the custodial parent or caretaker of the child.

(D) When the health plan does not have a default option and the CSEA fails to notify the health plan administrator of the health care selection within twenty business days, the CSEA retains responsibility for selecting a health plan option for the child.

Cite as Ohio Admin. Code 5101:12-57-10.3

Effective: 1/15/2017
Five Year Review (FYR) Dates: 10/07/2016 and 01/15/2022
Promulgated Under: 119.03
Statutory Authority: 3119.51
Rule Amplifies: 3125.03
Prior Effective Dates: 1/7/85, 8/1/86, 12/1/87, 12/20/88, 9/1/89, 8/1/90, 6/1/91, 11/1/91, 7/15/92, 4/1/93, 1/1/98, 10/2/03, 1/1/07