The National Medical Support Notice (Notice) serves as legal notice that the employee identified on the Notice is obligated by a court or administrative child support order to provide health care coverage for the children identified on the Notice. Federal law requires all child support enforcement agencies to enforce medical support orders through the use of this standardized form. DOR sends the Notice to employers of an employee who has been ordered to provide health insurance for his or her child. The Notice is comprised of two parts: Part A, the Employer Withholding Notice and Part B, the Medical Support Notice to the Plan Administrator. Part A informs the employer of the type of coverage required under the order. In addition, Part A includes a response form that allows the employer to notify DOR of any reason it cannot comply with the order. The employer must review and act on the notice within 20 business days from the date of the Notice.
If the employer can provide coverage, the employer forwards Part B to its insurance plan administrator. The plan administrator has 40 days from the date of the Notice to complete Part B and return it to DOR. Part B also has a response form to allow the plan administrator to provide information about when coverage will be provided, and a description of the coverage.
NOTE: THE INFORMATION ON THE NATIONAL MEDICAL SUPPORT NOTICE IS CONFIDENTIAL AND EMPLOYERS ARE PROHIBITED FROM SHARING PERSONAL DATA ON THE OTHER PARENT AND CHILD WITH THE EMPLOYEE OR TO ANY OTHER PERSON NOT AUTHORIZED TO RECEIVE SUCH INFORMATION.
You can obtain more information regarding the Notice on the Federal Child Support Enforcement website by clicking on the bullet titled, "FPLS/Employer Services."