When the non-custodial parent (NCP) is ordered to pay Cash Medical until insurance is available (obligation medical codes A, D, E or T), and the NCP acquires insurance, the parties must be notified that the children are now covered and cash medical will be terminated.
When proof of coverage is received, it should be updated on the system. The Notice of Proposed Termination of Cash Medical Support will automatically generate if the Policy Verification on the POLA screen is Y (insurance verified), and the policyholder relationship is coded AP (NPC), AS (NCP Spouse) or AG (NCP Parent). If the policyholder is coded as anyone else the system will not automatically generate the documents. The Employer Service Center (ESC) will send a FYI to the office in these instances so that the cash medical termination process can be started manually.
Those cases where the analyzer determines that cash medical should be terminated on will populate on the TRMLS screen. The system will automatically generate the Notice of Proposed Termination of Cash Medical document to both the CP and the NCP.
After the Notice of Proposed Termination of Cash Medical has been generated, the parties have 10 days to object to terminating the cash medical. If neither party objects, then the Notice of Termination of Cash Medical Support will be sent. If either party objects then the worker will need to update the TRMCM screen. Next, an Administrative Review must be done within 10 days. After the review is completed a Notice of Administrative Review Decision informing the parties of the review decision will be sent. The parties then have 15 days to request a hearing in writing if they do not agree with the Review Decision. If any party requests a hearing, one must be set within 10 days. After the hearing, an Order Regarding Termination of Cash Medical will be done. If no one requests a review then the Notice of Termination of Cash Medical Support will be generated.