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Office of Child Support Services

Cash Medical and Health Insurance

Laws Regarding Health Insurance and Medical Support Changed in 2008 and 2019



What OCSS is Required To Do:

OCSS must, by federal law:

  • Identify who is ordered to carry insurance and/or pay cash medical support.
  • Verify health insurance enrollment by the party ordered to carry coverage.
  • Enforce medical support orders.

 

    Orders Established or Modified Since September 2008

    All new or modified orders must include:

    • The name of the party or parties responsible for carrying health insurance.
    • A cash medical support amount to be paid in addition to the child support amount ordered.

    Orders Established or Last Modified Before March 28, 2019

    • Cash medical support is only charged when insurance coverage is not being provided.
    • If neither parent has access to reasonable cost insurance coverage, both parties are required to notify OCSS if it becomes available to them.

    Orders Established or Modified On or After March 28, 2019

    Cash Medical Support

    • Cash medical support will always be charged

    Who Must Provide Health Insurance?

    The custodial parent will be ordered to provide coverage unless:

    • The non-custodial parent already has reasonable cost coverage or has access to it
    • The non-custodial parent has coverage in place, even if not reasonable in cost, and elects to provide coverage
    • The custodial parent is a caretaker or agency

    If No One Has Access to Affordable Coverage

    • The custodial parent must obtain coverage within 30 days of it becoming available to them

    Contact Us

    Address

    Office of Child Support Services
    1640 Superior Ave E
    Cleveland, OH 44114

    Email

    cuycsea@jfs.ohio.gov

    Phone

    216-443-5100

     


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