{"data":{"id":"us-ok/okla.-stat.-tit.-36-36-6058a","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 36, § 36-6058A","heading":"Enrollment of child under parent's health plan -","body":"Noncustodial parents.\n\nA. Notwithstanding any other provision of law, an insurer shall\n\nnot deny enrollment of a child under the health plan of the child's\n\nparent on the grounds that:\n\n1. The child was born out of wedlock;\n\n2. The child is not claimed as a dependent on the parent's\n\nfederal income tax return; or\n\n3. The child does not reside with the parent or in the\n\ninsurer's service area.\n\nB. If a child has health coverage through an insurer of a\n\nnoncustodial parent the insurer shall:\n\n1. Upon request, provide complete information to the custodial\n\nperson, the designated agency administering the State Medicaid\n\nProgram, the state agency administering the provisions of 42 U.S.C.,\n\nSections 5 through 669, or the Child Support Enforcement Division of\n\nthe Department of Human Services, regarding any insurance benefits\n\nto which the child is entitled, and any forms, publications, or\n\ndocuments necessary to apply for or to utilize the benefits\n\navailable through that coverage;\n\n2. Permit the custodial person, the designated agency\n\nadministering the State Medicaid Program, or the provider with\n\napproval, to submit claims for covered services without the approval\n\nof the noncustodial parent; and\n\n3. Make payments on claims submitted in accordance with\n\nparagraph 2 of this subsection directly to the custodial person, the\n\nprovider, or the designated agency administering the State Medicaid\n\nProgram.\n\nC. When a parent is required by a court or administrative order\n\nto provide health coverage for a child, and the parent is eligible\n\nfor family health coverage, the insurer shall be required:\n\n1. To permit the parent to enroll, under the family coverage, a\n\nchild who is otherwise eligible for the coverage without regard to\n\nany enrollment season restrictions;\n\n2. To enroll the child under family coverage and deduct the\n\nemployee’s cost of the coverage from the employee's wages. The\n\nenrollment shall be made upon application to the employer by the\n\ncustodial person, the designated agency administering the State\n\nMedicaid Program, or the state agency administering the provisions\n\nof 42 U.S.C., Sections 5 to 669, the Child Support Enforcement\n\nDivision; and\n\n3. Not to disenroll, or eliminate coverage for the child unless\n\nthe insurer is provided satisfactory written evidence that:\n\na. the court or administrative order is no longer in\n\neffect, or\n\nb. the child is or will be enrolled in comparable health\n\ncoverage through another insurer which will take\n\neffect not later than the effective date of\n\ndisenrollment;\n\nprovided, however, the provisions of this subsection shall not apply\n\nwhere the coverage is through a group plan and the group’s coverage\n\nthrough the insurer is discontinued or the noncustodial parent\n\nceases to be eligible for participation in the group plan.\n\nD. An insurer may not impose requirements on a state agency,\n\nwhich has been assigned the rights of an individual eligible for\n\nmedical assistance under Medicaid and covered for health benefits\n\nfrom the insurer, that are different from requirements applicable to\n\nan agent or assignee of any other individual covered.\n\nE. As used in this section, \"insurer\" includes a licensed\n\ninsurance company, not-for-profit hospital service or medical\n\nindemnity corporation, a fraternal benefit society, a health\n\nmaintenance organization, a prepaid plan, a preferred provider\n\norganization, a multiple employer welfare arrangement, a self-\n\ninsured, the State and Education Employees Group Insurance Board, or\n\nany other entity providing a plan of health insurance or health\n\nbenefits in this state.\n\nF. If child support services are being provided under the state\n\nchild support plan as provided under Section 237 of Title 56 of the\n\nOklahoma Statutes, the Child Support Enforcement Division shall\n\nnotify the parent’s employer to enroll the child in health care\n\ncoverage available under the employer’s plan by sending the employer\nding a plan of health insurance or health\n\nbenefits in this state.\n\nF. If child support services are being provided under the state\n\nchild support plan as provided under Section 237 of Title 56 of the\n\nOklahoma Statutes, the Child Support Enforcement Division shall\n\nnotify the parent’s employer to enroll the child in health care\n\ncoverage available under the employer’s plan by sending the employer\n\na National Medical Support Notice issued pursuant to Section\n\n466(a)(19) of the Social Security Act, and Section 609(a)(5)(C) of\n\nthe Employee Retirement Income Security Act of 1974, as soon as the\n\nNational Medical Support Notice is promulgated by the United States\n\nDepartment of Health and Human Services. The insurer, upon receipt\n\nfrom the employer of Part B of the National Medical Support Notice\n\nto Plan Administrator, shall comply with Part B of the National\n\nMedical Support Notice. The insurer may be fined up to Two Hundred\n\nDollars ($200.00) per month per child for each failure to comply\n\nwith the requirements of the National Medical Support Notice. Fines\n\ncollected shall be remitted to the Child Support Revenue Enhancement\n\nFund created pursuant to Section 225 of Title 56 of the Oklahoma\n\nStatutes.\n\nG. The Department of Human Services shall promulgate rules as\n\nnecessary to implement the provisions of this section.","path":["OK Code","Title 36"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os36.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"b15729bfaf9b8cbff5c1e04a3bfae492186b52f748447cf60d828f39da3644a0","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-36-36-6058","next":"us-ok/okla.-stat.-tit.-36-36-6059"},"notice":"GroundRules: Original legal text. Not legal advice."}
