Family Support Division
Child Support Enforcement
National Medical
Support Notice
Parts of Notice
The National Medical Support Notice is divided into two parts, with response
sections and instructions for each part:
- Part A - Notice to Withhold for Health Care Coverage -Child
Support Enforcement (CSE) or another state's child support enforcement
agency completes this document and sends it and Part B to the
employer.
Employer Response - This section gives the employer the opportunity
to directly respond to Part A under certain conditions.
- Part B - Medical Support Notice to Plan Administrator -
The employer forwards this part to the employee's health care plan administrator.
Plan Administrator Response -
The plan administrator completes this section and returns it to CSE or
other state's child support agency.