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National Medical Support Notice
- Employer receives the NMSN,a statement of employee's
rights, and the instructions of how the employee can seek to quash the
order.
- Employer delivers copies to employee,within 10 days,
of the NMSN, a statement of the employee's rights, and procedures to
move to quash the order.
- If no coverage is available, employer must advise
the child support agency within 20 days of receipt of the NMSN.
- If no coverage is available, but it will become available,
the employer should keep the NMSN and activate coverage when available.
- NMSN is effective 20 days after the employer receives
it unless employee files motion to quash - in such case, it is effective
when resolved by the court and the employer receives notice of the court
decision.
- Employer must begin steps to start coveragewithin
10 days after the effective date of the NMSN.
- Employer selects coverage - Unless the court has
directed a specific plan or the employee has already enrolled in a plan
that will cover the child, the employer shall enroll the child in a
plan that will provide reasonable benefits and coverage where the child
resides.
NOTE: If the children are already enrolled in a plan through the employer
or the employee has chosen a plan and the NMSN specifies a different
plan, contact the child support agency for direction.
- Employer pays the premium directly to the provider
after withholding it from the employee's earnings.
- Employer must:
- Notify child support agency of date coverage begins.
- Provide evidence of coverage and any information, literature,
and documents necessary to begin and maintain benefits to both parents
or to the custodial person and the child support agency.
- If requested by the custodial person, provide all forms and other
documentation necessary to submit claims to the insurance carrier.
- Notify the child support agency if there is a lapse in coverage,
the reason for the lapse, and the date coverage is expected to resume.
If no coverage is available, complete and return the NMSN to the child
support agency within 20 days of receipt.
If no coverage is available but it will become available, the employer
should keep the NMSN, enroll the child when insurance becomes available,
and then proceed with the required notifications listed above.
The employer must notify the child support agency if there is a lapse
in coverage, the reason for the lapse, and the date coverage is expected
to resume.
If the employer willfully fails to comply with the NMSN, it is liable
for any costs incurred for health care services that would otherwise have
been covered under the insurance policy. The employer may also be found
in contempt of court and punished by fine and/or imprisonment.
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