A qualified medical child support order, also known as a QMCSO, is any judgment, decree or order, including a court-approved settlement agreement, issued by a domestic relations court or other court of competent jurisdiction, or through an administrative process established under state law which has the force and effect of law in that state, and which assigns to a child the right to receive health benefits for which a participant or beneficiary is eligible, and that the plan administrator determines is qualified under the terms of ERISA and applicable state law. Children who may be covered under a QMCSO include children born out of wedlock, those not claimed as dependents on your federal income tax return and children who don't reside with you. Keep in mind that a medical child support order cannot require the plan to provide coverage it doesn't otherwise offer—for example, children who are no longer eligible due to their age can't be added under a QMCSO.

If a QMCSO affects you, you should notify Mercer Marketplace so that the order can be handled properly. You and your dependents may obtain a copy of the procedures governing the QMCSO without charge by calling Mercer Marketplace at 888-264-9180. If IQVIA receives a QMCSO affecting you, you'll be notified. The plan will comply with all valid QMCSOs.