(a) In the event of the granting of a judgment absolute of divorce or of separate
support to which a subscriber of a group nonprofit medical service plan is a party,
the person who was the spouse of said subscriber prior to the issuance of such judgment
shall be and remain eligible for benefits under said plan, whether or not said judgment
was entered prior to the effective date of said plan, without additional premium or
examination therefor, as if said judgment had not been entered; provided, however,
that such eligibility shall not be required if said judgment so provides. Such eligibility shall continue through the subscriber's participation in the plan
until the remarriage of either the subscriber or such spouse, or until such time as
provided by said judgment, whichever is earlier.
(b) In the event of the remarriage of the group plan subscriber referred to in paragraph
(a), the former spouse thereafter shall have the right, if so provided in said judgment,
to continue to receive benefits as are available to the subscriber, by means of the
addition of a rider to the family plan or the issuance of an individual plan, either
of which may be at additional premium rates determined by the commissioner of insurance
to be just and reasonable in accordance with the additional insuring risks involved.
(c) The name, address, and policy number of a person eligible for health insurance
coverage pursuant to paragraph (a) or (b), if available, shall be forwarded by such
nonprofit medical service corporation to the department of public welfare within thirty
days of the date when coverage of said person under said paragraph (a) or (b) is commenced.
(d) Notice of cancellation of coverage of the divorced or separated spouse of a member
shall be mailed to such divorced or separated spouse at such person's last known address,
together with notice of the right to reinstate coverage retroactively to the date
(e) Claims paid on behalf of a divorced or separated spouse or on behalf of a dependent
who is not residing with the member shall be paid to the physician, hospital or other
provider of covered services or to the person on whose behalf such services were performed,
unless the person is a minor child. In the event the person on whose behalf such services were performed is a minor,
payment shall be made to the physician, hospital or other provider of such services
or to the parent or custodian with whom the child resides.
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