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107 STAT. 372 PUBLIC LAW 103-66—AUG. 10, 1993 "ADDITIONAL STANDARDS FOR GROUP HEALTH PLANS 29 use 1169. "SEC. 609. (a) GROUP HEALTH PLAN COVERAGE PURSUANT TO MEDICAL CHILD SUPPORT ORDERS.— "(1) IN GENERAL.—^Each group health plan shall provide benefits in accord£ince with the applicable reqmrements of any qualified medical child support order. "(2) DEFINITIONS.—For purposes of this subsection— "(A) QUALIFIED MEDICAL CHILD SUPPORT ORDER.—The term 'qualified medical child support order* means a medi- cal child support order— "(i) which creates or recognizes the existence of an alternate recipient's right to, or assigns to an alter- nate recipient the right to, receive benefits for which a participant or beneficiary is eligible under a group health plan, and "(ii) with respect to which the requirements of paragraphs (3) and (4) are met. "(B) MEDICAL CHILD SUPPORT ORDER.—The term 'medi- cal child support order' means any judgment, decree, or order (including approval of a settlement agreement) issued by a court of competent jurisdiction which— "(i) provides for child support with respect to a child of a participant under a group health plan or provides for health benefit coverage to such a child, IS made pursuant to a State domestic relations law (including a community property law), and relates to benefits under such plan, or "(ii) enforces a law relating to medical child sup- port described in section 1908 of the Social Security Act (as added by section 13822 of the Omnibus Budget Reconciliation Act of 1993) with respect to a group health plan. "(C) ALTERNATE RECIPIENT.—The term 'alternate recipient' means any child of a participant who is recog- nized under a medical child support order as having a right to enrollment under a group health plan with respect to such participant. "(3) INFORMATION TO BE INCLUDED IN QUALIFIED ORDER.— A medical child support order meets the requirements of this paragraph only if such order clearly specifies— "(A) the name and the last known mailing address (if any) of the participant and the name and mailing address of each alternate recipient covered by the order, "(B) a reasonable description of the type of coverage to be provided by the plan to each such alternate recipient, or the manner in which such type of coverage is to be determined, "(C) the period to which such order applies, and "(D) each plan to which such order applies. "(4) RESTRICTION ON NEW TYPES OR FORMS OF BENEFITS.— A medical child support order meets the requirements of this paragraph only if such order does not require a plan to provide any type or form of benefit, or any option, not otherwise pro- vided under the plan, except to the extent necessary to meet the requirements of a law relating to medical child support described in section 1908 of the Social Security Act (as added