45 CFR § 303.32 - National Medical Support Notice.
(a) Mandatory State laws. States must have laws, in accordance with section 466(a)(19) of the Act, requiring procedures specified under paragraph (c) of this section for the use, where appropriate, of the National Medical Support Notice (NMSN), to enforce the provision of health care coverage for children of noncustodial parents and, at State option, custodial parents who are required to provide health care coverage through an employment-related group health plan pursuant to a child support order and for whom the employer is known to the State agency.
(b) Exception. States are not required to use the NMSN in cases with court or administrative orders that stipulate alternative health care coverage to employer-based coverage.
(1) The State agency must use the NMSN to transfer notice of the provision for health care coverage of the child(ren) to employers.
(3) Employers must transfer the NMSN to the appropriate group health plan providing any such health care coverage for which the child(ren) is eligible (excluding the severable Notice to Withhold for Health Care Coverage directing the employer to withhold any mandatory employee contributions to the plan) within twenty business days after the date of the NMSN.
(4) Employers must withhold any obligation of the employee for employee contributions necessary for coverage of the child(ren) and send any amount withheld directly to the plan.
(5) Employees may contest the withholding based on a mistake of fact. If the employee contests such withholding, the employer must initiate withholding until such time as the employer receives notice that the contest is resolved.
(6) Employers must notify the State agency promptly whenever the noncustodial parent's and, at State option, custodial parent's employment is terminated in the same manner as required for income withholding cases in accordance with § 303.100(e)(1)(x) of this part.
(8) The State agency, in consultation with the custodial parent, must promptly select from available plan options when the plan administrator reports that there is more than one option available under the plan.
(d) Effective date. This section is effective October 1, 2001, or, if later, the effective date of State laws described in paragraph (a) of this section. Such State laws must be effective no later than the close of the first day of the first calendar quarter that begins after the close of the first regular session of the State legislature that begins after October 1, 2001. For States with 2-year legislative sessions, each year of such session would be regarded as a separate regular session.
The following state regulations pages link to this page.
- Ala. Admin. Code r. 660-3-18-.04 - 660-3-18-.04 - Procedure For Contesting Medical Support Enforcement
- Alaska Admin. Code Title 15 § 125.540 - 15 AAC 125.540 - Calculation of monthly income withholding amount
- La. Admin. Code tit. 67, Part III, §2527 - §2527 - Securing and Enforcing Medical Support Obligation
- Wash. Admin. Code § 388-14A-1020 - 388-14A-1020 - What definitions apply to the rules regarding child support enforcement?
- Wash. Admin. Code § 388-14A-4040 - 388-14A-4040 - DCS can serve some collection actions by electronic service.
- Wash. Admin. Code § 388-14A-4100 - 388-14A-4100 - How does the division of child support enforce my obligation to provide health care coverage for my children?
- Wash. Admin. Code § 388-14A-4110 - 388-14A-4110 - If my support order requires me to provide medical support for my children, what do I have to do?
- Wash. Admin. Code § 388-14A-4119 - 388-14A-4119 - How soon after a noncustodial parent is listed in the state directory of new hires must the division of child support send a national medical support notice to the employer?
- Wash. Admin. Code § 388-14A-4120 - 388-14A-4120 - DCS uses the National Medical Support Notice to enforce an obligation to provide health insurance coverage.
- Wash. Admin. Code § 388-14A-4121 - 388-14A-4121 - Can a Washington employer assume that every National Medical Support Notice that the employer receives is from the division of child support?
- Wash. Admin. Code § 388-14A-4122 - 388-14A-4122 - What kind of information is included in the National Medical Support Notice?
- Wash. Admin. Code § 388-14A-4123 - 388-14A-4123 - What can happen if the employer fails to comply with the terms of the National Medical Support Notice?
- Wash. Admin. Code § 388-14A-4124 - 388-14A-4124 - Who are the parties involved with the National Medical Support Notice?
- Wash. Admin. Code § 388-14A-4125 - 388-14A-4125 - What must an employer do after receiving a National Medical Support Notice?
- Wash. Admin. Code § 388-14A-4126 - 388-14A-4126 - What kind of help is available for an employer or plan administrator who has questions about the National Medical Support Notice?
- Wash. Admin. Code § 388-14A-4130 - 388-14A-4130 - What must a plan administrator do after receiving a National Medical Support Notice from the division of child support?
- Wash. Admin. Code § 388-14A-4135 - 388-14A-4135 - What must the plan administrator do when the obligated parent has health insurance but the children are not included in the coverage?
- Wash. Admin. Code § 388-14A-4140 - 388-14A-4140 - What must the plan administrator do when the obligated parent is eligible for health insurance but is not yet enrolled?
- Wash. Admin. Code § 388-14A-4143 - 388-14A-4143 - What must the plan administrator do when the employer provides health insurance but the obligated parent is not yet eligible for coverage?
- Wash. Admin. Code § 388-14A-4145 - 388-14A-4145 - What must the plan administrator do when the insurance plan in which the obligated parent is enrolled does not provide coverage which is accessible to the children?
- Wash. Admin. Code § 388-14A-4150 - 388-14A-4150 - What must the plan administrator do when the obligated parent has more than one family?
- Wash. Admin. Code § 388-14A-4160 - 388-14A-4160 - Are there any limits on the amount an obligated parent may be required to pay for health insurance premiums?
- Wash. Admin. Code § 388-14A-4165 - 388-14A-4165 - What happens when a noncustodial parent does not earn enough to pay child support plus the health insurance premium?
- Wash. Admin. Code § 388-14A-4170 - 388-14A-4170 - How long does a National Medical Support Notice or other notice of enrollment remain in effect?
- Wash. Admin. Code § 388-14A-4175 - 388-14A-4175 - Who is required to notify the division of child support when health care coverage for the children ends?