When must a plan administrator begin to provide health care coverage to a child in accordance with a NMSN?

Following a determination that a NMSN is qualified, the child (and the participant, if necessary) must be enrolled as of the earliest possible date following such determination. For example, if an insurer only adds new participants or beneficiaries as of the first day of each month, the insurer would be required to provide coverage to the child as of the first day of the first month following the determination that the NMSN is qualified. The state laws described in section 1908 of the Social Security Act require that a child who is enrolled into a plan pursuant to a court or administrative order, must be enrolled without regard to open seasonal enrollment restrictions.

§1908 of the Social Security Act The plan administrator must notify the parents and child(ren) that coverage is or will become available and must furnish the custodial parent with a description and the effective date of the coverage along with information and documents to achieve the coverage and file claims. The ... more.

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