2014 Kentucky Revised Statutes CHAPTER 205 - PUBLIC ASSISTANCE AND MEDICAL ASSISTANCE 205.594 Health coverage for child under medical child support order -- Duties of health insurers.
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205.594 Health coverage for child under medical child support order -- Duties
of health insurers.
As used in KRS 205.593 to 205.598, the term "insurer" includes a group health plan,
as defined in Section 607(1) of the Employment Retirement Income Security Act of
1974, a health maintenance organization, and an entity offering a health service
benefit plan.
(1) Health insurers shall be prohibited from denying enrollment of a child under the
health coverage of the child's parent on the grounds that:
(a) The child was born out of wedlock;
(b) The child is not claimed as a dependent on the parent's federal income
tax return; or
(c) The child does not reside with the parent or in the health insurer's area.
(2) If a parent is required by a court or administrative order to provide health
coverage for a child and the parent is eligible for family health coverage
through an insurer, the insurer shall be required:
(a) To permit the parent to enroll under the family coverage any child who is
otherwise eligible for the coverage without regard to any enrollment
season restrictions;
(b) If a parent is enrolled but fails to make application to obtain coverage for
the child, to enroll the child under family coverage upon application by the
child's other parent, custodial parent, or by the Cabinet for Health and
Family Services; and
(c) Not to disenroll, or eliminate coverage of, a child unless the insurer is
provided satisfactory written evidence that:
1.
A court or administrative order requiring coverage of the child is no
longer in effect; or
2.
The child is or will be enrolled in comparable health coverage
through another insurer which will take effect not later than the
effective date of the disenrollment.
Effective:June 20, 2005
History: Amended 2005 Ky. Acts ch. 99, sec. 243, effective June 20, 2005. -Amended 1998 Ky. Acts ch. 426, sec. 201, effective July 15, 1998. -- Created
1994 Ky. Acts ch. 366, sec. 2, effective July 15, 1994.
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