Oklahoma Code § 43-118.2

Title 43. Marriage And Family: Employer sponsored health care coverage
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A.  When a parent is required by a court or administrative order
to provide health coverage which is available through an employer
doing business in this state, the employer is required:
1.  To permit the parent to enroll under family coverage any
child who is otherwise eligible for coverage without regard to any
enrollment season restrictions;
2.  To enroll the child under family coverage and to deduct the
employee’s cost of the coverage from the employee's wages.  The
enrollment shall be made upon application to the employer by the
child's custodial person, by the state agency administering the
Medicaid program or the state agency administering the child support
program under Title IV-D of the Social Security Act;
3.  Not to disenroll or eliminate coverage of a child unless the
employer is provided satisfactory written evidence that:
a. the court order is no longer in effect,
b. the child is or will be enrolled in comparable
coverage which will take effect no later than the
effective date of disenrollment, or
c. the employer has eliminated family health coverage for
all of its employees;
4.  Upon request, to provide complete information to the
custodial person, the state agency administering the Medicaid
program or the state agency administering the child support program
under Title IV-D of the Social Security Act regarding any insurance

benefits to which the child is entitled, and any forms,
publications, or documents necessary to apply for or to utilize the
benefits;
5.  Permit the custodial person, the designated agency
administering the State Medicaid Program, or the provider with
approval, to submit claims for covered services without the approval
of the noncustodial parent; and
6.  Make payments on claims submitted in accordance with
paragraph 5 of this subsection directly to the custodial person, the
designated agency administering the State Medicaid Program, or the
provider.
B.  If child support services are being provided under the state
child support plan as provided under Section 237 of Title 56 of the
Oklahoma Statutes, the Child Support Enforcement Division shall
notify the parent’s employer to enroll the child in health care
coverage available under the employer’s plan by sending the employer
a National Medical Support Notice issued pursuant to Section
466(a)(19) of the Social Security Act, and Section 609(a)(5)(C) of
the Employee Retirement Income Security Act of 1974.  The employer
shall comply with the National Medical Support Notice.  The employer
may be fined up to Two Hundred Dollars ($200.00) per month per child
for each failure to comply with the requirements of the National
Medical Support Notice.  Fines collected shall be remitted to the
Child Support Revenue Enhancement Fund created pursuant to Section
225 of Title 56 of the Oklahoma Statutes.
C.  An employer may not be fined under this section where an
employee fails to contribute his or her portion of a health
insurance premium.
D.  The Department of Human Services shall promulgate rules as
necessary to implement the provisions of this section.
Added by Laws 1994, c. 356, § 15, eff. Sept. 1, 1994.  Amended by
Laws 1998, c. 323, § 9, eff. Oct. 1, 1998; Laws 2001, c. 407, § 6,
eff. July 1, 2001; Laws 2003, c. 19, § 2, eff. Nov. 1, 2003; Laws
2004, c. 393, § 4, emerg. eff. June 3, 2004.

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