PUBLIC LAW 105-200—JULY 16, 1998 112 STAT. 665 (A) CHURCH GROUP HEALTH PLAN.— The term "church group health plan" means a group health plan which is a church plan. (B) QUALIFIED MEDICAL CHILD SUPPORT ORDER. —The term "qualified medical child support order" means a medical child support order— (i) which creates or recognizes the existence of an alternate recipient's right to, or assigns to an alternate recipient the right to, receive benefits for which a participant or beneficiary is eligible under a church group health plan; and (ii) with respect to which the requirements of paragraphs (3) and (4) are met. (C) MEDICAL CHILD SUPPORT ORDER.— The term "medic£d child support order" means any judgment, decree, or order (including approval of a settlement agreement) which— (i) provides for child support with respect to a child of a participant under a church group health plan or provides for heedth 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) is made pursuant to a law relating to medical child support 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 church group health plan, if such judgment, decree, or order: (I) is issued by a court of competent jurisdiction; or (II) is issued through an administrative process established under State law and has the force and effect of law under applicable State law. For purposes of this paragraph, an administrative notice which is issued pursuant to an administrative process referred to in subclause (II) of the preceding sentence and which has the effect of an order described in clause (i) or (ii) of the preceding sentence shall be treated as such an order. (D) ALTERNATE RECIPIENT. —-The term "alternate recipient" means any child of a participant who is recognized under a medical child support order as having a right to enrollment under a church group health plan with respect to such participant. (E) GROUP HEALTH PLAN.— The term "group health plan" has the meaning provided in section 607(1) of the Employee Retirement Income Security Act of 1974. (F) STATE.—The term "State" includes the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, Guam, and American Samoa. (G) OTHER TERMS.— The terms "participant", "beneficiary", "administrator", and "church plan" shall have the meanings provided such terms, respectively, by paragraphs (7), (8), (16), and (33) of section 3 of the Employee Retirement Income Security Act of 1974. (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—
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