Colorado Code § 26-13-121.5

Enforcement of obligation to maintain health insurance
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(1) If a parent
has been ordered to provide health insurance, as defined in section 14-14-102 (4.7), C.R.S., and
such insurance is available at a reasonable cost consistent with the provisions of section 14-10-
115 (10)(g), C.R.S., the delegate child support enforcement unit shall use the federally mandated
national medical support notice to provide notice of the insurance provision to that parent's
employer unless the child or children are already enrolled in a health insurance plan in
accordance with the order.
(2) The national medical support notice shall be sent to the employer by means of first-
class mail. The notice shall be continuing and shall remain in effect and be binding upon any
current or successor employer upon whom it is served until further notice by the court or by the
delegate child support enforcement unit. Receipt of the national medical support notice by the
employer shall confer jurisdiction of the court over the employer. A notice describing the rights
and conditions in paragraphs (a) to (c) of subsection (3) of this section shall be sent to the
obligor by first-class mail.
(3) (a) The obligor shall be provided with a copy of the national medical support notice
upon submitting a written request to the delegate child support enforcement unit. The obligor
shall have ten days from the date the notice describing the rights and conditions in paragraphs (a)
to (c) of this subsection (3) is mailed to the obligor in which to file a written objection with the
delegate child support enforcement unit based only upon one of the following mistakes of fact:
(I) There is a mistake in identity and the employee is not the obligor; or
(II) There is no court order to provide health insurance.
(b) The delegate child support enforcement unit shall have ten days from the date the
objection is mailed by the obligor to resolve the mistake of fact. The delegate child support
enforcement unit shall immediately notify the obligor in writing, by first-class mail, of its
decision. If the delegate child support enforcement unit agrees with the obligor, it shall
immediately send a notice, by first-class mail, to the employer to terminate the national medical
support notice.
(c) If the obligor does not agree with the decision of the delegate child support
enforcement unit, he or she may file a written objection with the court. Upon any determination
by the court which results in a finding in favor of the obligor, the delegate child support
enforcement unit shall immediately mail a notice of termination of the national medical support
notice to the employer and to the obligor, by first-class mail. The termination of the health
insurance shall only be prospective and the employee shall not be entitled to any reimbursement
for any premiums withheld or deducted from his or her wage prior to the plan administrator's
prompt termination of the deduction for health insurance.
(4) (a) The employer shall complete the employer response, if applicable, attached to
part A of the national medical support notice, which part A includes information for and
responsibilities of the employer, and shall return the employer response to the delegate child
support enforcement unit within twenty business days after the date of the notice.
(b) If the employer does not maintain or contribute to family health insurance coverage
or if the obligor is not eligible for family health insurance coverage through his or her employer
or if the obligor is no longer employed with that employer, then the employer shall specify such
relevant circumstances or conditions in the employer response and shall return part A of the
national medical support notice to the delegate child support enforcement unit.
(c) If none of the circumstances or conditions described in paragraph (b) of this
subsection (4) apply, then the employer shall complete the applicable sections of the employer
response and transfer part B of the national medical support notice to the appropriate plan
administrator within twenty business days after the date of such notice. If the employer offers a
number of different types of benefits through separate health insurance plans, the employer shall
send copies of part B to each appropriate plan administrator.
(d) Any employer who fails to comply with the time frames stated in this subsection (4)
may be found by the court to be in contempt of court.
(5) (a) The plan administrator shall complete and return part B of the national medical
support notice to the delegate child support enforcement unit within forty business days after the
date of such notice.
(b) If the plan administrator determines that the national medical support notice is not a
qualified medical child support order, the plan administrator shall specify on part B the basis for
such determination.
(c) If the plan administrator determines that the national medical support notice is a
qualified medical child support order, the plan administrator shall complete the appropriate parts
of the plan administrator response. Upon enrollment of the child or children, the plan
administrator shall provide the following information to the delegate child support enforcement
unit: The names of the persons covered by the health insurance plan; the complete name,
address, and telephone number of the insurance carrier; and the applicable policy and group
number of the health insurance plan. The plan administrator shall furnish the obligee with a
description of the health insurance coverage available, any required forms, information
describing the steps needed to effectuate such coverage, and the effective date of the coverage.
(d) If the plan administrator reports on part B of the national medical support notice that
the obligor is not enrolled in a plan, as defined in section 14-14-102 (6.5), C.R.S., and more than
one option is available under the plan, the plan administrator shall provide to the delegate child
support enforcement unit a summary plan description of each option including the additional
participant contribution required by each option and whether there is a limited service area with
any option. The delegate child support enforcement unit shall forward the information to the
obligee. The obligee shall select one of the available options. Within twenty business days after
the date the plan administrator's response was sent to the delegate child support enforcement
unit, the delegate child support enforcement unit shall notify the plan administrator of the
selection. If the delegate child support enforcement unit does not reply to the plan administrator,
the plan administrator shall enroll the child or children in the least costly plan otherwise
available to the obligor for the benefit of the child or children.
(e) Promptly after enrollment, the plan administrator shall notify the obligor that
coverage of the child or children is or will become available and the date the coverage takes
effect. The obligor may file a written objection with the court after the date of the notice of such
enrollment by the plan administrator if the premium amount does not meet the definition of
reasonable cost as provided in section 14-10-115 (10)(g), C.R.S. Upon any determination by the
court which results in a finding in favor of the obligor, the delegate child support enforcement
unit shall immediately mail a notice of termination of the national medical support notice to the
obligor and to the employer by first-class mail. The termination of the health insurance shall
only be prospective and the obligor shall not be entitled to any reimbursement for any premiums
withheld or deducted from his or her wage prior to the plan administrator's prompt termination
of the deduction for health insurance.
(f) If the plan administrator indicates that the child or children are enrolled in an option
under the plan for which the employer has determined that the obligor's contribution exceeds the
maximum amount allowed to be withheld under state and federal withholding limitations or
prioritization, then the employer shall indicate the same and return part A of the national medical
support notice to the delegate child support enforcement unit. Upon notification from the plan
administrator that the child or children are enrolled, the employer shall withhold from the
obligor's income any employee contribution and transfer the contribution to the appropriate plan
or, if appropriate, notify the delegate child support enforcement unit that enrollment cannot be
completed because of limitations or prioritization on withholding.
(g) Any employer who fails to comply with the time frames stated in this subsection (5)
may be found by the court to be in contempt of court.
(6) The employer shall initiate withholding until and unless the employer receives notice
from the delegate child support enforcement unit that the obligor is not responsible for the child's
or children's health insurance coverage.
(7) The employer shall notify the plan administrator when an obligor has completed a
waiting period or has otherwise met eligibility requirements for coverage.
(8) The national medical support notice shall not be terminated or modified except for
the reasons set forth in section 14-14-112 (2)(h), C.R.S.
(9) If the national medical support notice is terminated or modified, then the employer
shall comply with the provisions of section 14-14-112 (2)(k), C.R.S., regarding termination of
coverage.
(10) An employer who is served with a national medical support notice shall follow the
provisions of section 14-14-112 (2)(g) and (6), C.R.S., regarding notification of the termination
of employment by the named obligor.
(11) Any employer who wrongfully fails to comply with this section may be subject to
the sanctions set forth in section 14-14-112 (5), C.R.S.
(12) An employer shall neither refuse to hire a person nor discharge or take disciplinary
action against an employee because of service of the national medical support notice pursuant to
this section. Any person who violates this subsection (12) may be found by the court to be in
contempt of court. If an employer discharges an employee in violation of the provisions of this
section, the employee may, within ninety days, bring a civil action for the recovery of wages lost
as a result of the violation and for an order requiring the reinstatement of the employee.
Damages recoverable shall be lost wages not to exceed six weeks, costs, and reasonable attorney
fees.
(13) An employer who complies with a national medical support notice to deduct for
health insurance benefits pursuant to this section shall not be liable to the obligor for wrongful
withholding.
(14) The delegate child support enforcement unit shall comply with the provisions of
section 14-14-112 (9), C.R.S., when the order for medical support is modified or terminated.
(15) Deductions for health insurance shall also be ordered by a delegate child support
enforcement unit under the provisions of the "Colorado Administrative Procedure Act for the
Establishment and Enforcement of Child Support", created in article 13.5 of this title.

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