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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:

  1. 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.

  2. 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.

06/21/02

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Missouri Department of Social Services
221 West High Street  •  P.O. Box 1527  •   Jefferson City, MO 65102-1527