Source: https://development.code.dccouncil.us/dc/council/code/sections/46-251.05.html
Timestamp: 2019-04-23 12:30:26+00:00

Document:
D.C. Law Library - § 46–251.05. Duties of the health insurer.
↪ § 46–251.05. Duties of the health insurer.
§ 46–251.04. Duties of the employer.
§ 46–251.06. Selection of a health insurance coverage option.
§ 46–251.05. Duties of the health insurer.
(vi) Send the child’s custodian a written description of the available health insurance coverage, the effective date of the health insurance coverage, summary plan descriptions, and, if not already provided, forms, documents, or other information necessary to obtain health insurance coverage for the child and to submit claims for benefits.
(b) Notification to the child’s custodian of the availability of health insurance coverage pursuant to subsection (a)(3)(E) [sic] of this section shall be deemed to be notification to the child if the child resides at the same address.
(c) If enrollment of a child in health insurance coverage is subject to a waiting period that has not been completed, within 40 business days after the date of the medical support notice the health insurer shall complete and send to the employer, the IV-D agency, and both parents the applicable portion of the medical support notice. Within 20 business days after the employee’s completion of the waiting period, the health insurer shall comply with the requirements of subsection (a)(3) [sic] of this section.
(2) Send the IV-D agency copies of applicable summary plan descriptions or other documents that describe the available coverage, including any additional employee contributions necessary to obtain coverage for the child under each option, and any applicable service area limitations for each option.
(2) Enroll the child in any default option for which the child is eligible, and comply with the other requirements of subsection (a)(3) [sic] of this section, if the IV-D agency has not notified the health insurer of its selection of a different option.
This section is referenced in § 1-307.41 and § 46-251.06.
D.C. Law 15-354, in subsec. (a)(2)(B), substituted “subsections” for “paragraphs”.
For temporary (90 day) addition of this section, see § 105 of Medical Support Establishment and Enforcement Emergency Amendment Act of 2002 (D.C. Act 14-485, October 3, 2002, 49 DCR 9631).
For temporary (90 day) addition of this section, see § 105 of Medical Support Establishment and Enforcement Congressional Review Emergency Amendment Act of 2002 (D.C. Act 14-600, January 7, 2003, 50 DCR 664).
For temporary (90 day) addition of this section, see § 105 of Medical Support Establishment and Enforcement Emergency Amendment Act of 2003 (D.C. Act 15-208, October 24, 2003, 50 DCR 9856).
For temporary (90 day) addition of this section, see § 105 of Medical Support Establishment and Enforcement Congressional Review Emergency Amendment Act of 2004 (D.C. Act 15-330, January 28, 2004, 51 DCR 1603).
For temporary (225 day) addition of section, see § 105 of Medical Support Establishment and Enforcement Temporary Amendment Act of 2002 (D.C. Law 14-238, March 25, 2003, law notification 50 DCR 2751).
For temporary (225 day) addition of section, see § 105 of Medical Support Establishment and Enforcement Temporary Amendment Act of 2003 (D.C. Law 15-84, March 10, 2004, law notification 51 DCR 3376).

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