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Disenrollment from Health Plan

Quick Facts

Notice must be given within 30 days to joint child's parents before disenrollment.
Notice must be given within 10 days of end of coverage.

Continuation of Coverage

Unless the court orders differently, if the child is independent and a parent is required to maintain coverage, then the parent must continue to maintain coverage until the child is emancipated.

The health carrier, employer, or union may not disenroll or eliminate coverage for the child unless:

the health carrier, employer, or union is provided satisfactory written evidence that the court order is no longer in effect;
the joint child is or will be enrolled in comparable health care coverage through another health plan that will take effect no later than the effective date of the disenrollment;
the employee is no longer eligible for dependent coverage; or
the required premium has not been paid by or on behalf of the joint child.

The health plan must provide 30 days' written notice to the joint child's parents, and the public authority if the public authority provides support enforcement services, before the health plan disenrolls or eliminates the joint child's coverage.

A joint child enrolled in health care coverage under a qualified medical child support order, including a national medical support notice, is a dependent and a qualified beneficiary. When the order expires, the joint child is entitled to the opportunity to elect continued coverage that is available under the health plan. The employer or union must provide notice to the parents and the public authority, if it provides support services, within ten days of the termination date.

If the public authority provides support enforcement services and a plan administrator reports to the public authority that more than one coverage option is available under the health plan, then the public authority, in consultation with the parent with whom the joint child resides, must promptly select coverage from the available options.