Who is obligated to pay employee contributions or premiums that the plan requires for coverage of a child named in a NMSN?
The participant in the group health plan is responsible for the payment of any costs associated with the provision of coverage. The NMSN provides that the named employee is liable for any employee contributions required under the plan for enrollment of each child named in the order. However, if Federal or State withholding limitations prevent withholding of the required employee contributions from the employee’s paycheck, the plan is not required to provide coverage to the child. The employer is required to use Part A–Notice to Withhold For Health Care Coverage to notify the Issuing Agency if such limitations prevent withholding of the required employee contributions. The employer may return the Notice to Withhold For Health Care Coverage and the Employer Response pages of Part A (first two pages) without the Instructions to Employer to the Issuing Agency.
Related Questions
- What actions may a plan administrator take if the employee does not elect or pay for continuing coverage in a timely manner?
- Who is obligated to pay employee contributions or premiums that the plan requires for coverage of a child named in a NMSN?
- How much must the employee pay in order to continue health plan coverage?