Medical Support

Health Insurance Status Changes

Lapsed or Interrupted Coverage

If an employee’s health insurance coverage lapses or is interrupted for some reason, the employer must notify the issuing agency within 15 calendar days by using the Health Insurance Status Change Form (Form 3F012).

No Longer an Employee

If an employee with a medical support order terminates employment, the employer must notify the OAG of the termination within 7 days by using the Health Insurance Status Change Form (Form 3F012) and reporting the employee as terminated. (Reference Termination section)

Currently, the Health Insurance Status Change form is not available for electronic submission. The form must be manually completed and mailed to:

Medical Support Unit
P.O. Box 1328
Austin, TX 78767

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