Enrolling Dependents Due to Court Order
Qualified Medical Child Support Orders (QMCSO)

Dependent child(ren) may be added at other times of the year if you receive a court order stating responsibility for coverage of the dependent child(ren). A qualified medical child support order comes from a court of competent jurisdiction or state child care agency and requires the Plan to provide coverage for a dependent child if the Plan normally provides coverage for dependent children. Application must be made within 60 days of the court order. To apply for court ordered dependent child(ren) coverage,

Submit the following:

• Change/Cancellation (M-2) form.
• Proof of eligibility.
• Copy of the court order.
  

Coverage is effective on the date specified by the court order or on the first of the month following receipt of the form and required documentation. MCHCP also accepts legal documentation directly from a court of law or a third party.