National Medical Support Notice

The National Medical Support Notice serves as legal notice that the named employee is obligated by a court order to provide health care coverage for the child (children) listed in the Notice.

The document consists of:

• Part A - Notice to Withhold for Health Care Coverage for the employer to withhold any employee contributions required by the group health plan in which the child is enrolled.
  
• Part B - Medical Support Notice to the Plan Administrator, which must be forwarded to the administrator of each group health plan identified by the employer to enroll the eligible child.

The National Medical Support Notice replaces any Medical Support Notice that the Issuing Agency has previously served on the employer with respect to the employee and the child listed in this Notice. If the employee already has enrolled the child in health care coverage, the employer should contact the Issuing Agency to provide coverage information.

An employer receiving this legal Notice is required to complete and return Part A, if appropriate. If group health coverage is not available to the named employee, or the employee was never or is no longer employed, the employer is still required to complete Part A - Employer Response and return it to the Issuing Agency with the appropriate response checked.

Employers should keep a copy of Part A as it may be used to notify the Issuing Agency at anytime in the future if the employee separates from service for any reason including retirement or termination.

Forwarding Part B

• If the employer provides the health care benefits to the employee, the employer should forward Part B - Plan Administrator Response to the health plan administrator of your organization.
• If the employee's health care benefits are administered through another organization, including a labor union, the employer should forward Part B of the Notice to the labor union or other organization acting as the plan administrator for completion.
• If the employee has already enrolled the child in health care coverage, the employer must forward Part B to the plan administrator for completion and submittal to the Issuing Agency.

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