H. B. 3140
(By Delegates Brown, Frazier, Moore, Miley,
Poore and Fleischauer)
[Introduced February 15, 2011; referred to the
Committee on the Judiciary.]
A Bill to amend the Code of West Virginia, 1931, as amended, by adding thereto a new article, designated §33-4A-1, §33-4A-2, §33-4A-3 and §33-4A-4, all relating to data matches with insurance providers for the purpose of establishing, modifying and enforcing child support, spousal support and medical support.
Be it enacted by the Legislature of West Virginia:
That the Code of West Virginia, 1931, as amended, be amended by adding thereto a new article, designated §33-4A-1, §33-4A-2, §33-4A-3 and §33-4A-4, all to read as follows:
ARTICLE 4A. CHILD SUPPORT INSURANCE MATCH.
§33-4A-1. Applicability and definitions.
(a) The provisions of this section applies to every insurance company authorized to issue policies in this state for liability insurance coverage, life insurance coverage or workers’ compensation coverage.
(b) As used in this article:
(1) "Claimant" means a beneficiary under a liability insurance policy, a life insurance policy or covered by workers’ compensation who resides in the State of West Virginia or whose accident or loss occurred in the State of West Virginia;
(2) "Bureau" means the Bureau for Child Support Enforcement created by article eighteen, chapter forty-eight of the Code of West Virginia; and
(3) "Past-due support" or "arrearages" have the meaning as ascribed to them in section two hundred four, article one, chapter forty-eight of this code.
(c) This article takes effect on July 1, 2011.
§33-4A-2. General provisions.
(a) Every insurance company licensed to do business in the State of West Virginia that is authorized to issue liability insurance coverage, life insurance coverage or workers' compensation coverage is required to participate in an information data match with the Bureau for Child Support Enforcement.
(b) Any insurance company that participates in the Federal Office of Child Support Enforcement Case Registry Insurance Match Program or the Child Support Lien Network operated by the State of Rhode Island is deemed to have met the reporting requirements of this section.
(c) Any insurance company required by subsection (a) to participate in the information data match and is not participating in either option set forth in subsection (b) shall participate in the following manner: At least thirty days, or as soon as the payment is authorized, whichever is sooner, prior to making any nonrecurring payment equal to or in excess of $500 dollars to a claimant, the insurance company shall notify the bureau in a manner prescribed by the bureau of the claimant's name, address, social security number and date of birth in a manner and format specified by the bureau.
(d) The bureau shall notify the insurance company if the payment is subject to withholding pursuant to Part 4, article fourteen, chapter forty-eight of the Code of West Virginia, for unpaid child support or spousal support.
(e) Upon notice from the bureau, the insurance company shall remit to the bureau the funds otherwise payable to the claimant up to the amount of the past-due support.
(f) The income withholding notice for past-due support has priority over all other liens or levies upon the payment with the exception of:
(1) Legal services and medical services guaranteed pursuant to such representation provided by a third party in relation to the claim; and
(2) Security interests in lost or damaged property covered by the claim to the extent that such security interest would otherwise have precedence over the income withholding.
(g) If an income withholding notice is not received from the bureau within thirty days of the insurance company notification of intent to disburse funds, the insurance company shall disburse the payment to the claimant in accordance with the contract of insurance.
§33-4A-3. Medical insurance reporting.
(a) (1) In order to fulfill the state's obligations imposed
by state and federal legislation in regard to the establishment and enforcement of medical support, it is necessary that health insurance policy information be released to the Bureau for Child Support Enforcement.
(2) As a condition of conducting business in the state, health insurers, defined as any insurance company or other entity who is authorized to transact and is currently transacting health insurance business in this state, including self-insured plans, group health plans as defined in Section 607(1) of the Employee Retirement Income Security Act of 1974, service benefit plans, managed care organizations, pharmacy benefit managers, third-party administrators and any other parties that are, by statute, contract, or agreement, legally responsible for payment of a claim for a health care item or service, shall permit and participate in data matching with the Bureau for Child Support Enforcement to assist in determining the availability of sources of health care insurance or coverage for beneficiaries of the child support program.
(3) All health insurers shall provide to the bureau or its designee an electronic listing of all individuals who may be covered by a health insurer and the nature of coverage provided, their social security numbers, addresses, dates of birth, policy holder, policy identification number, group number and effective dates for purposes of identifying coverage for establishing, modifying, and enforcing medical child support orders administered by the bureau. The information shall be provided in a format suitable for electronic data matches, conducted under the direction of the bureau, no less than monthly or as prescribed by the Commissioner of the Bureau. The health insurer must respond within thirty working days after receipt of a written request for enrollment data from the bureau or its designee.
(4) The provisions of paragraphs (1) and (2) of this subsection do not apply to the following types of insurance: Limited benefit health and accident, fixed indemnity, long-term care, Medicare supplement and Medicare Advantage.
(b) The Bureau for Child Support Enforcement, after obtaining information from a health insurer, may disclose such health insurance policy information only for the purpose of, and to the extent necessary, to establish, modify or enforce a medical support
obligation for a minor child.
(a) Notwithstanding any other provision of this code, an insurance company is not liable under the law of this state to a claimant or other interested party for:
(1) Disclosing any insurance record of an individual, as required by this section, to the Bureau for Child Support Enforcement, the Federal Office of Child Support Enforcement Case Registry Insurance Match or the Child Support Lien Network operated by the State of Rhode Island;
(2) Disclosing health insurance policy information to the Bureau for Child Support Enforcement or its designee;
(3) Encumbering or surrendering assets held by such insurance company as required by this section; or
(4) Any other action taken in good faith to comply with the requirements of this section.
(b) An insurance company which fails or refuses to provide information as required by this section may have a civil penalty assessed of $500 per violation by the Bureau for Child Support Enforcement. The Bureau for Child Support Enforcement may invoke the aid of any circuit court in the State of West Virginia in enforcing the civil penalty.
(c) An insurance company which, having received notice of an
income withholding from the bureau, fails or refuses to surrender property subject to the income withholding is liable to the bureau or the support obliged in the amount noticed.
(d) Information provided by the bureau to an insurance company under this section may only be used for the purpose of assisting the bureau in collecting past-due support and in establishing, modifying or enforcing a medical support order. Any individual or company who uses such information for any other purpose is subject to a penalty of up to $1,000 per violation.
NOTE: The purpose of this bill is to provide for the interception of insurance settlement claims by the Bureau for Child Support Enforcement for past-due support owed by an obligor and for establishing, modifying or enforcing medical support orders.
This article is new; therefore, it has been completely underscored.