What are requirements of health insurance coverage?

A parent who is required to provide health insurance coverage (DCS calls this parent the "obligated parent") must notify both DCS and the other parent when coverage terminates.

If an obligated parent fails to enroll the child or children in privately accessible health insurance coverage or coverage available through the parent's employer or union, or if the parent's circumstances change, DCS may enforce the obligated parent's medical support obligations as provided in RCW 26.18.170. DCS may do one of the following, listed in order of priority:

  • Send a National Medical Support Notice pursuant to 42 U.S.C. 666(a)(19) to the employer or union requiring the employer or union to enroll the child or children in a health insurance plan as described in RCW 26.18.170(8).
  • Serve a Notice of Support Owed on the obligated parent requiring the parent to pay his or her proportionate share of a monthly premium being paid by the other parent for the child or children, not to exceed 25 percent of the obligated parent's basic child support obligation.
  • Serve a Notice of Support Owed on the obligated parent requiring the parent to contribute to his or her proportionate share of a monthly premium paid by the state, not to exceed 25 percent of the obligated parent's basic child support obligation, if the child or children receive state-financed medical coverage through the Department of Social and Health Services under Chapter 74.09 RCW for which there is an assignment.

If you still have questions, contact your support enforcement officer at the phone number listed on the last page of the notice you received. If you are not sure which office handles your case, call the KIDS line at 1-800-442-KIDS (5437).