OCS has proposed to revise the following forms:
| Revised Form | Revised Form Title | Prior Effective Date of Form | Effective Date of Revision |
|---|
| JFS 07719 | Administrative Order for Child Support and Medical Support | 10/2007 | 8/2008 |
The JFS 07719 is the administrative child support order.
Changes from the prior version include: updated to include the required medical support provisions (i.e., when private health insurance is available to a party at the time that the order is issued or modified, the party shall be ordered to provide the coverage; when the coverage lapses or when the coverage is not available to either party at the time that the order is issued or modified, the obligor shall be ordered to pay cash medical support); added that the obligor could pay by personal check or traveler's check; included necessary citations to the ORC; added language regarding the duty of support and reasons for termination; and ensured that terminology is consistent throughout the form.
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| JFS 07724 | Administrative Adjustment Recommendation | 7/2004 | 8/2008 |
This form is used by the CSEA to inform the obligor and obligee of the results of an administrative review.
Changes from the prior form include: added the obligations for child support when private health insurance is provided and when it is not; added the cash medical support obligation; and added the new medical support provisions.
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OCS has proposed to adopt the following forms:
| Adopted Form | Adopted Form Title | Effective Date of Adoption |
|---|
| JFS 04031 | Notice Regarding Cash Medical Support Order | 8/2008 |
This form is only applicable for child support orders that are issued and/or modified in accordance with ORC section 3119.30 as amended by House Bill 119.
The CSEA will issue this form to both parties to notify the parties that the cash medical support obligation shall cease and the health insurance obligor shall provide private health insurance coverage for the child in accordance with the order.
The form describes the obligor's and obligee's mistake of fact rights to contest whether private health insurance is available or whether the private health insurance is accessible and reasonable in cost. The last page of the form is the mistake of fact hearing request.
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| JFS 04032 | Notice to Provide Cash Medical Support | 8/2008 |
This form is only applicable for child support orders that are issued and/or modified in accordance with ORC section 3119.30 as amended by House Bill 119.
The CSEA will issue this form to both parties to notify the parties that: the obligor shall now pay cash medical support because private health insurance coverage for the child is not being provided in accordance with the order; or, when a health insurance obligor has not been identified, that cash medical support shall continue because the CSEA determined that possible coverage available to a party is not reasonable in cost and accessible.
The form describes the obligor's and obligee's mistake of fact rights to contest whether private health insurance is available or whether the private health insurance is accessible and reasonable in cost. The last page of the form is the mistake of fact hearing request.
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| JFS 04033 | Notice to Provide Private Health Insurance | 8/2008 |
This form is only applicable for child support orders that are issued and/or modified in accordance with ORC section 3119.30 as amended by House Bill 119.
The CSEA will issue this form to both parties when a health insurance obligor was not identified when the order was issued/modified, the CSEA has learned that one of the parties has access to private health insurance coverage for the child, and the CSEA has determined that the coverage is accessible and reasonable in cost.
The form identifies who will be the health insurance obligor, requires the health insurance obligor to provide private health insurance coverage for the child who is the subject of the support order, and informs the parties that cash medical support will cease when the child is covered by private health insurance in accordance with the support order. The form describes the obligor's and obligee's mistake of fact rights to contest whether private health insurance is available or whether the private health insurance is accessible and reasonable in cost. The last page of the form is the mistake of fact hearing request.
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| JFS 07053 | Notice of Medical Support Mistake of Fact Hearing | 8/2008 |
This form is only applicable for child support orders that are issued and/or modified in accordance with ORC section 3119.30 as amended by House Bill 119.
The CSEA will issue this form to the obligor and obligee when one of the parties requests a medical support mistake of fact hearing in response to receiving a JFS 04031, "Notice Regarding Cash Medical Support Order," JFS 04032, "Notice to Provide Cash Medical Support," or JFS 04033, "Notice to Provide Private Health Insurance."
This form describes the purpose of the mistake of fact hearing and when private health insurance is considered "reasonable in cost" and "accessible."
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INSTRUCTIONS:
When the CSPMTL is published, the CSPM will be updated as follows:
- A revised form will be replaced with the amended form.
- An adopted form will be inserted.
The rules and forms in the CSPM can be accessed at:
http://emanuals.jfs.ohio.gov.
Forms can also be accessed on the ODJFS Forms Central InnerWeb page at:
http://www.odjfs.state.oh.us/forms/inner.asp
or on the ODJFS Forms Central Internet page at:
http://www.odjfs.state.oh.us/forms/inter.asp
INSTRUCTIONS for CSEA INTERNAL PROCEDURAL HANDBOOK:
Paragraph (I)(1) of OAC rule 5101:12-1-01 states that, whenever a program change requires modification of local procedures, the CSEA is required to revise its internal procedural handbook and submit the revision to OCS within thirty days of the revision. The CSEA should carefully review the adopted and amended rules contained in this CSPMTL to determine whether they require the CSEA to update its internal procedural handbook.