2015 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.
Download as PDF
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A court or administrative order requiring coverage of the child is no
longer in effect; or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.
Disclaimer: These codes may not be the most recent version. Kentucky may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.