Ohio Administrative Code Search

...r modify an order to provide health insurance coverage for the children subject to a support order. (D) A request for services is initiated when a CSEA receives: (1) A referral of a support order from a court; (2) A signed IV-D application; or (3) A IV-D referral.

...ode, medicaid and the children's health insurance program. (4) "Medical support" means support specified as support for the purpose of medical care by order of a court or administrative agency, which includes: (a) Current cash medical support; (b) Current medical support obligations; (c) Cash medical support arrears that accrued while the person received medical assistance; and (d) Medical support arrears that a...

...ompletes an ODM 06613, "Accident/Injury Insurance Information" (effective or revised effective date as identified in rule 5101:12-1-99 of the Administrative Code), when required by the CSEA. (e) Fully discloses any health insurance coverage or third party coverage that the medicaid recipient has or for which the medicaid recipient may be eligible. (f) Provides any available information that is n...

...ompletes an ODM 06613, "Accident/Injury Insurance Information," when required by the CSEA. (e) Fully discloses any health insurance coverage or third party coverage that the medicaid recipient has or for which the medicaid recipient may be eligible. (f) Provides any available information that is necessary for identification and collection of potential third party payments. (4) The CSEA shall consider a caretaker n...

...approved for social security disability insurance benefits because of a mental or physical disability, or the court or CSEA determines that the parent is unable to work based on medical documentation that includes a physician's diagnosis and a physician's opinion regarding the parent's mental or physical disability and inability to work; or (3) The parent has proven that the parent has made conti...

...approved for social security disability insurance benefits because of a mental or physical disability, or the court or CSEA determines that the parent is unable to work based on medical documentation that includes a physician's diagnosis and a physician's opinion regarding the parent's mental or physical disability and inability to work; or (3) The parent has proven that the parent has made conti...

...the child support order. Private health insurance is presumed accessible unless determined inaccessible by a child support enforcement agency (CSEA) during an administrative proceeding, or by a court with jurisdiction over the child support case. (B) "Cash medical support" has the same meaning as in division (C)(1) of section 3119.01 of the Revised Code. (C) "Child support order" means eithe...

... list of any available group health insurance policies, contracts, or plans to the CSEA. Based on information provided by the parties, the CSEA shall issue medical support provisions in accordance with this rule. (B) In accordance with division (B) of section 3119.30 of the Revised Code, the obligee is presumed to be the appropriate parent to provide health insurance coverage for the children ...

...t benefits; disability or sick pay; insurance proceeds; lottery prize awards; federal, state, or local government benefits to the extent that the benefits can be withheld or deducted under the law governing the benefits; any form of trust fund or endowment; lump sum payments, including a one-time pay supplement of one hundred fifty dollars or more paid under section 124.183 of the Revised Code; an...

...t benefits; disability or sick pay; insurance proceeds; lottery prize awards; federal, state, or local government benefits to the extent that the benefits can be withheld or deducted under the law governing the benefits; any form of trust fund or endowment; lump sum payments, including a one-time pay supplement of one hundred fifty dollars or more paid under section 124.183 of the Revised Code; an...

...ces (ODJFS), office of unemployment insurance operations (OUIO) when: (1) In accordance with section 3121.07 of the Revised Code, the CSEA completes the required investigation and determines that the obligor is receiving unemployment compensation benefits; or (2) In accordance with section 4141.284 of the Revised Code, the CSEA is notified by the director of ODJFS that an individual who owes...

...ces (ODJFS), office of unemployment insurance operations (OUIO) when: (1) In accordance with section 3121.07 of the Revised Code, the CSEA completes the required investigation and determines that the obligor is receiving unemployment compensation benefits; or (2) In accordance with section 4141.284 of the Revised Code, the CSEA is notified by the director of ODJFS that an individual who owes...

...(A) This rule describes the insurance claim intercept program that a child support enforcement agency (CSEA) shall use to intercept insurance claims, settlements, or awards to be paid to an obligor on a IV-D case by an insurer, in accordance with sections 3123.23 and 3121.03 of the Revised Code. (B) Claim, settlement, or award notification. (1) Upon notification through the office of child support or by the insuran...

...(A) This rule describes the insurance claim intercept program that a child support enforcement agency (CSEA) shall use to intercept insurance claims, settlements, or awards to be paid to an obligor on a IV-D case by an insurer, in accordance with sections 3123.23 and 3121.03 of the Revised Code. (B) Claim, settlement, or award notification. (1) Upon notice or discovery of the existence of an...

... satisfy the requirement of the health insurance obligor to provide private health insurance coverage for a child under a child support order. (D) In accordance with section 3119.43 of the Revised Code, when a health insurance obligor does not obtain the required private health insurance coverage within thirty days after the child support order or the JFS 04033, "Notice to Provide Private Health Ins...

...tisfy the requirement of the health insurance obligor to provide private health insurance coverage for a child under a child support order. (E) In accordance with section 3119.43 of the Revised Code, when a health insurance obligor does not obtain the required private health insurance coverage within thirty days after the child support order or the JFS 04033, "Notice to Provide Private Health Ins...

... to report available private health insurance coverage to the child support enforcement agency (CSEA). (1) When a CSEA becomes aware that private health insurance coverage for the child may be available to a party and a health insurance obligor has not been established under the child support order, the CSEA shall conduct an investigation to determine whether private health insurance coverage...

... medical support because private health insurance coverage for the child as ordered is no longer available to the health insurance obligor. (C) When a CSEA determines that private health insurance coverage for the child is no longer being provided by the health insurance obligor(s) in accordance with the order, the CSEA shall: (1) Issue the JFS 04032, "Notice to Provide Cash Medical Support"...

...on regarding whether private health insurance coverage that is accessible and reasonable in cost is available to: (1) The health insurance obligor(s); or (2) Either party to the child support order, when a health insurance obligor has not been identified. (C) The party must file the request for the medical support mistake of fact hearing with the CSEA within fourteen days of the date th...

...NMSN) requires the enrollment in health insurance of the child subject to the child support order and the deduction of premiums for the cost of the health insurance, when available. (B) The NMSN contains instructions and two parts (hereinafter referred to as "Part A" and "Part B"). (1) Part A includes: (a) The notice to withhold for health care coverage, which is completed by the child supp...

...NMSN) requires the enrollment in health insurance of the child subject to the child support order and the deduction of premiums for the cost of the health insurance, when available. (B) The NMSN contains instructions and two parts (hereinafter referred to as "Part A" and "Part B"). (1) Part A includes: (a) The notice to withhold for health care coverage, which is completed by the child supp...

...ployer/Health Plan Administrator Health Insurance Verification Request" (effective or revised effective date as indentified in rule 5101:12-57-99 of the Administrative Code), the employer is required, not later than twenty business days after the date of the NMSN, to do one of the following: (1) When the person named in the NMSN is a current employee and the person and the child listed on the NMSN are already enroll...

...er/Health Plan Administrator Health Insurance Verification Request" (effective or revised effective date as identified in rule 5101:12-57-99 of the Administrative Code), the employer is required, not later than twenty business days after the date of the NMSN, to do one of the following: (1) When the person named in the NMSN is a current employee and the person and the child listed on the NMSN...

...ployer/Health Plan Administrator Health Insurance Verification Request" (effective or revised effective date as indentified in rule 5101:12-57-99 of the Administrative Code), the health plan administrator is required to: (1) Complete and return part B of the NMSN to the child support enforcement agency (CSEA) within forty business days of the date of the NMSN; and (2) Comply with the enrollment requirements in acco...

...er/Health Plan Administrator Health Insurance Verification Request" (effective or revised effective date as identified in rule 5101:12-57-99 of the Administrative Code), the health plan administrator is required to: (1) Complete and return part B of the NMSN to the child support enforcement agency (CSEA) within forty business days of the date of the NMSN; and (2) Comply with the enrollment r...