I recently took over doing the QMCSO (qualified medical child support orders) for our company. I have a checklist that determines whether or not the order is "qualified." It has been my understanding that if my employee is not enrolled in our medical plan, and I received a QMCSO to enroll a dependent, I am not required to provide health coverage since my employee is not enrolled - the employee would be responsible for providing coverage him or herself. But I have heard recently that this could be considered a qualifying event and that the employee must enroll? It seems that a QMCSO is ordering the employee to add a dependent if the employee is already enrolled, but can it force me to enroll my employee?