This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and
universities.
| Rule |
Rule 5101:12-57-01 | Enforcement of medical support provisions.
(A) The rules in Chapter 5101:12-57 of
the Administrative Code describe the responsibility of a child support
enforcement agency (CSEA) to enforce the medical support provisions that are
contained in a child support order. (B) Throughout division 5101:12 of the
Administrative Code, "Consumer Credit Protection Act" means the
federal wage garnishment law in accordance with 15 U.S.C. 1673(b) (11/6/1978)
that limits the amount of an employee's earnings that may be garnished in
any one week. (C) Fully subsidized medicaid satisfies
the requirement to provide health care coverage under a child support
order. (D) Fully subsidized medicaid does not satisfy the
requirement of the health insurance obligor to provide private health insurance
coverage for a child under a child support order. (E) In accordance with section 3119.43 of the Revised Code,
when a health insurance obligor does not obtain the required private health
insurance coverage within thirty days after the child support order or the JFS
04033, "Notice to Provide Private Health Insurance" (effective or
revised effective date as identified in rule 5101:12-57-99 of the
Administrative Code), is issued, the CSEA may notify the court that issued the
child support order or, with respect to an administrative child support order,
the court of common pleas of the county in which the CSEA is located, in
writing of the failure of the health insurance obligor to comply with the child
support order. The court may punish the person for contempt under Chapter 2705.
of the Revised Code for the failure.
Last updated June 1, 2022 at 8:24 AM
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Rule 5101:12-57-01.1 | Enforcement of order to report private health insurance.
Effective:
January 15, 2020
(A) The provisions of this rule only
apply to child support orders issued or modified prior to March 28, 2019, in
accordance with section 3119.30 of the Revised Code as adopted under Amended
Substitute House Bill 119 of the 127th General Assembly. (B) A child support order issued or
modified pursuant to division (B)(4) of section 3119.30 of the Revised Code
requires both parties to the child support order to report available private
health insurance coverage to the child support enforcement agency
(CSEA). (1) When a CSEA becomes
aware that private health insurance coverage for the child may be available to
a party and a health insurance obligor has not been established under the child
support order, the CSEA shall conduct an investigation to determine whether
private health insurance coverage for the child that is reasonable in cost is
available. The CSEA shall use line 7b of the child support
computation worksheet from the most recent child support order to determine
reasonable cost. (2) When the CSEA
determines that private health insurance coverage for the child that is
reasonable in cost is not available, the CSEA shall issue the JFS 04032,
"Notice to Provide Cash Medical Support" (effective or revised
effective date as identified in rule 5101:12-57-99 of the Administrative Code),
to both parties, notifying the parties of the determination and
that: (a) The cash medical support obligation and the child support
obligation when health insurance is not available shall continue;
and (b) Both parties have a right to request a medical support
mistake of fact hearing regarding whether private health insurance coverage for
the child that is accessible and reasonable in cost is available to either
party. (3) When the CSEA
determines that private health insurance coverage for the child that is
reasonable in cost is available, the CSEA shall: (a) Issue the JFS 04033, "Notice to Provide Private Health
Insurance" (effective or revised effective date as identified in rule
5101:12-57-99 of the Administrative Code), to both parties, notifying the
parties that: (i) The party to whom the
coverage is available is now the health insurance obligor and is ordered to
provide the private health insurance coverage for the child; (ii) The current cash
medical support obligation shall cease in accordance with rule 5101:12-47-01.2
of the Administrative Code and the current child support obligation shall be
the amount ordered to be paid when health insurance is available;
and (iii) Both parties have a
right to request a medical support mistake of fact hearing regarding whether
private health insurance coverage for the child that is accessible and
reasonable in cost is available to the health insurance obligor. (b) Issue a copy of the JFS 04033 to the court when the child
support order is a court order; (c) Issue any modified income withholding or deduction notices
necessary when the cash medical support stops; and (d) Enforce the medical support provision to provide the private
health insurance in accordance with rules 5101:12-57-10 to 5101:12-57-10.6 of
the Administrative Code. (C) A child support order issued or
modified pursuant to division (B)(1), (B)(2), or (B)(3) of section 3119.30 of
the Revised Code requires the health insurance obligor(s) to provide private
health insurance that is reasonable in cost and both parties to report
available coverage to the CSEA when the coverage is not being provided by the
health insurance obligor(s) in accordance with the order. (1) When a CSEA becomes
aware that private health insurance coverage for the child is available to one
of the parties and cash medical support is to be paid because coverage is not
currently being provided by the health insurance obligor(s) in accordance with
the order, the CSEA shall conduct an investigation. During the investigation, the CSEA shall
determine whether private health insurance coverage for the child is available
to the party. The CSEA is not required to determine whether the private health
insurance coverage is reasonable in cost. (2) When the CSEA
determines that private health insurance coverage for the child is available to
the health insurance obligor, the CSEA shall: (a) Issue the JFS 04031, "Notice Regarding Cash Medical
Support Order" (effective or revised effective date as identified in rule
5101:12-57-99 of the Administrative Code), to both parties, notifying the
parties that: (i) The health insurance
obligor is ordered to provide the private health insurance coverage for the
child; (ii) The current cash
medical support obligation shall cease in accordance with rule 5101:12-47-01.2
of the Administrative Code and the current child support obligation shall be
the amount ordered to be paid when health insurance is available;
and (iii) Both parties have a
right to a request a medical support mistake of fact hearing regarding whether
private health insurance coverage for the child that is accessible and
reasonable in cost is available to the health insurance
obligor(s); (b) Issue any modified income withholding notices necessary when
the cash medical support order stops; and (c) Enforce the medical support provision to provide the private
health insurance in accordance with rules 5101:12-57-10 to 5101:12-57-10.6 of
the Administrative Code. (3) When the CSEA
determines that private health insurance coverage for the child is being
provided by the other party, the CSEA shall document the coverage in the case
record. (4) When the CSEA
determines that private health insurance coverage for the child is not
available to either party, the CSEA shall document the findings in the case
record and is not required to take any further action.
Last updated October 12, 2023 at 11:11 AM
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Rule 5101:12-57-01.2 | Enforcement of cash medical support obligation.
Effective:
January 15, 2020
(A) The provisions of this rule only
apply to child support orders issued or modified prior to March 28, 2019, in
accordance with division (B)(1), (B)(2), or (B)(3) of section 3119.30 of the
Revised Code as adopted under Amended Substitute House Bill 119 of the 127th
General Assembly. (B) This rule describes the requirements
of the child support enforcement agency (CSEA) during any period in which an
obligor is ordered to pay cash medical support because private health insurance
coverage for the child as ordered is no longer available to the health
insurance obligor. (C) When a CSEA determines that private
health insurance coverage for the child is no longer being provided by the
health insurance obligor(s) in accordance with the order, the CSEA
shall: (1) Issue the JFS 04032,
"Notice to Provide Cash Medical Support" (effective or revised
effective date as identified in rule 5101:12-57-99 of the Administrative Code),
to both parties of the child support order, notifying the parties
that: (a) The obligor shall pay the current cash medical support
obligation and the current child support obligation ordered to be paid when
health insurance is not available; (b) When private health insurance is available to either party,
the party to whom the coverage is available is required to immediately inform
the CSEA of the coverage; and (c) Both parties have a right to request a medical support
mistake of fact hearing regarding whether private health insurance coverage for
the child that is accessible and reasonable in cost is available to the health
insurance obligor(s); and (2) Issue any modified
income withholding or deduction notices necessary.
Last updated October 12, 2023 at 11:11 AM
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Rule 5101:12-57-08 | Medical support mistake of fact hearing process.
Effective:
January 15, 2020
(A) This rule describes the medical
support mistake of fact hearing process which is only available to an
individual whose child support order was issued or modified prior to March 28,
2019, in accordance with section 3119.30 of the Revised Code as adopted under
Amended Substitute House Bill 119 of the 127th General Assembly. (B) An obligor or obligee may submit a
request for a medical support mistake of fact hearing to contest the child
support enforcement agency's (CSEA) determination regarding whether
private health insurance coverage that is accessible and reasonable in cost is
available to: (1) The health insurance
obligor(s); or (2) Either party to the
child support order, when a health insurance obligor has not been
identified. (C) The party must file the request for
the medical support mistake of fact hearing with the CSEA within fourteen days
of the date that the CSEA issues either a: (1) JFS 04031,
"Notice Regarding Cash Medical Support Order" (effective or revised
effective date as identified in rule 5101:12-57-99 of the Administrative
Code); (2) JFS 04032,
"Notice to Provide Cash Medical Support" (effective or revised
effective date as identified in rule 5101:12-57-99 of the Administrative Code);
or (3) JFS 04033,
"Notice To Provide Private Health Insurance" (effective or revised
effective date as identified in rule 5101:12-57-99 of the Administrative
Code). (D) Upon scheduling the medical support
mistake of fact hearing the CSEA shall: (1) Ensure the medical
support mistake of fact hearing to be held on a date that is no later than ten
days after the date the request was received; and (2) Issue a JFS 07053,
"Notice of Medical Support Mistake of Fact Hearing" (effective or
revised effective date as identified in rule 5101:12-57-99 of the
Administrative Code), to both parties no later than five days before the date
that the medical support mistake of fact hearing is scheduled to be
conducted. (E) The CSEA shall issue a JFS 07058,
"Medical Support Mistake of Fact Hearing Determination" (effective or
revised effective date as identified in rule 5101:12-57-99 of the
Administrative Code), to the requesting party when denying a medical support
mistake of fact hearing within fourteen days of the date that the request was
filed with the CSEA. A CSEA may deny a request for a medical support
mistake of fact hearing when: (1) The request is not
timely filed. (2) The request is for a
reason other than to contest whether: (a) Private health insurance that is accessible and reasonable in
cost is or is not being provided in accordance with the order, when at least
one of the parties has been identified as the health insurance obligor;
or (b) Private health insurance that is accessible and reasonable in
cost is or is not available to either party, when neither party has been
identified as the health insurance obligor. (3) The request is not
submitted by the obligor, the obligor's representative, or the obligee or
the obligee's representative. (F) No later than the scheduled date of
the medical support mistake of fact hearing, the parties may provide the CSEA
with any evidence or relevant information necessary for the CSEA to properly
review whether private health insurance coverage that is accessible and
reasonable in cost is available to: (1) The health insurance
obligor(s); or (2) Either party, when a
health insurance obligor has not been identified. (G) At the medical support mistake of
fact hearing, the CSEA shall: (1) Review the
information that led to the issuance of the JFS 04031, JFS 04032, or JFS
04033; (2) Consider any
testimony or evidence submitted by either party or received independently from
another source that is relevant to the issues to be addressed; and (3) Determine whether
private health insurance coverage that is accessible and reasonable in cost is
available to: (a) The health insurance obligor(s); or (b) Either party, when a health insurance obligor has not been
identified. (H) No later than fourteen days from the
date of the medical support mistake of fact hearing, the CSEA
shall: (1) Issue a JFS 07058 to
both parties. (2) Record the results of
the medical support mistake of fact hearing in and make any necessary changes
to the support enforcement tracking system based on the results of the
hearing. (I) Each party has the right to file for
a court hearing to object to the determination made by the CSEA within fourteen
days of the date that the CSEA issues the JFS 07058.
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Rule 5101:12-57-10 | National medical support notice.
(A) The OMB 0970-0222, "National
Medical Support Notice" (as referenced in rule 5101:12-57-99 of the
Administrative Code), (NMSN) requires the enrollment in health insurance of the
child subject to the child support order and the deduction of premiums for the
cost of the health insurance, when available. (B) The NMSN contains instructions and
two parts (hereinafter referred to as "Part A" and "Part
B"). (1) Part A
includes: (a) The notice to withhold for health care coverage, which is
completed by the child support enforcement agency (CSEA); and (b) The employer's response, which is completed by the
employer. (2) Part B
includes: (a) The medical support notice to the plan administrator, which
is forwarded to the health plan administrator; and (b) The plan administrator's response, which is completed by
the health plan administrator. (C) In accordance with sections 3119.33
and 3119.34 of the Revised Code and except when excluded as described in
paragraph (E) of this rule, the CSEA shall issue the NMSN to the employer of
the health insurance obligor. The CSEA shall issue the NMSN not later than the
business day after receipt of a new hire match from the national directory of
new hires (NDNH) for the health insurance obligor. In addition, the CSEA shall
issue the NMSN as a result of the discovery of new employment for the health
insurance obligor by the CSEA through a source other than the
NDNH. (D) In accordance with section 3119.35 of
the Revised Code, at the same time the CSEA issues the NMSN, the CSEA shall
issue: (1) The JFS 03377,
"Employer/Health Plan Administrator Health Insurance Verification
Request" (effective or revised effective date as identified in rule
5101:12-57-99 of the Administrative Code), to the employer; and (2) The JFS 04036,
"Notice of Medical Support Enforcement Activity" (effective or
revised effective date as identified in rule 5101:12-57-99 of the
Administrative Code), to the health insurance obligor. When the CSEA does not
have a valid address for the health insurance obligor, the CSEA shall mail the
JFS 04036 to the address of the employer. (E) The CSEA is not to issue the NMSN
when: (1) The CSEA has
determined the health insurance obligor is an active member of the
military. (a) The CSEA will verify the child's enrollment status
through the defense enrollment eligibility reporting system and document the
information and the source of the information in the case record. (b) When the eligible child is not enrolled in the health plan,
the CSEA will notify the custodial parent of the need to take the child to a
military rapid center for enrollment in the health plan; or (2) The CSEA has
determined that the underlying medical support provision to obtain health care
coverage for the child authorizes public health care coverage, and such
coverage is in effect, as ordered. (3) The health insurance
obligor is also the child support obligor and the case is an initiating
interstate case.
Last updated June 1, 2022 at 8:24 AM
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Rule 5101:12-57-10.1 | Responsibility of employer.
(A) In accordance with section 3119.36 of
the Revised Code, upon receipt of the OMB 0970-0222, "National Medical
Support Notice" (as referenced in rule 5101:12-57-99 of the Administrative
Code), (NMSN) and the JFS 03377, "Employer/Health Plan Administrator
Health Insurance Verification Request" (effective or revised effective
date as identified in rule 5101:12-57-99 of the Administrative Code), the
employer is required, not later than twenty business days after the date of the
NMSN, to do one of the following: (1) When the person named
in the NMSN is a current employee and the person and the child listed on the
NMSN are already enrolled in health insurance coverage through the employer,
complete and return the JFS 03377 to the CSEA. (2) When the person named
in the NMSN is a current employee and health insurance coverage of the child is
available through the employer, send part B of the NMSN and the JFS 03377 to
the health plan administrator. (3) Complete and return
part A of the NMSN to the CSEA. (B) In accordance with sections 3119.362
and 3119.364 of the Revised Code, an employer who receives an NMSN is required
to: (1) Upon written request
from the other parent, any person subject to the order, or the CSEA, release to
the requestor all information about the employee's health insurance
coverage, which may include the name and address of the health plan
administrator and any policy, contract or plan number; and (2) Notify the CSEA of
any change in or the termination of the health insurance coverage that is
maintained pursuant to the NMSN.
Last updated June 1, 2022 at 8:24 AM
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Rule 5101:12-57-10.2 | Responsibility of health plan administrator.
(A) In accordance with section 3119.37 of
the Revised Code, upon receipt of the OMB 0970-0222, "National Medical
Support Notice" (as referenced in rule 5101:12-57-99 of the Administrative
Code), (NMSN) and the JFS 03377, "Employer/Health Plan Administrator
Health Insurance Verification Request" (effective or revised effective
date as identified in rule 5101:12-57-99 of the Administrative Code), the
health plan administrator is required to: (1) Complete and return
part B of the NMSN to the child support enforcement agency (CSEA) within forty
business days of the date of the NMSN; and (2) Comply with the
enrollment requirements in accordance with the instructions contained in the
NMSN. (B) When there is more than one health
coverage option available under the plan and the health insurance obligor is
not enrolled in any of the options: (1) The health plan
administrator is required to attach to part B copies of applicable summary plan
descriptions or other documents that describe available coverage, including the
additional participant contribution necessary to obtain coverage for the child
under each option and whether there is a limited service area for any
option. (2) When the health plan
has a default option and the CSEA fails to notify the health plan administrator
of the health coverage selection within twenty business days, the health plan
administrator is required to enroll the child in the health plan's default
option. (C) After the child has been enrolled in
a health plan option, the health plan administrator is required to complete and
return the JFS 03377 to the CSEA. (D) In accordance with section 3119.422
of the Revised Code, nothing in rule 5101:12-47-01, 5101:12-57-01, or
5101:12-57-10 to 5101:12-57-10.6 of the Administrative Code shall be construed
to require the health plan administrator to accept for enrollment any child who
does not meet the underwriting standards of the health insurance or health care
policy, contract, or plan for which application is made.
Last updated June 1, 2022 at 8:24 AM
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Rule 5101:12-57-10.3 | Selecting a health plan option.
(A) When the child support enforcement
agency (CSEA) receives from the health plan administrator part B of the OMB
0970-0222, "National Medical Support Notice" (as referenced in rule
5101:12-57-99 of the Administrative Code), (NMSN) and information on health
plan options, the CSEA shall: (1) Issue the JFS 04035,
"Notice of Available Health Plan Options" (effective or revised
effective date as identified in rule 5101:12-57-99 of the Administrative Code),
to the custodial parent or caretaker of the child; and (2) Attach to the JFS
04035 all information regarding health plan options received from the health
plan administrator. (B) Within five days from the issuance
date on the JFS 04035, the custodial parent or caretaker of the child is
required to return to the CSEA the portion of the JFS 04035 documenting the
health plan option selected by the custodial parent or caretaker of the
child. (C) Within twenty business days from the
date the health plan administrator sends part B of the NMSN to the CSEA, the
CSEA shall issue the JFS 04034, "Notice of Selection of Health Plan
Option" (effective or revised effective date as identified in rule
5101:12-57-99 of the Administrative Code), to the health plan administrator and
issue a copy to the custodial parent or caretaker of the child. (D) When the health plan does not have a
default option and the CSEA fails to notify the health plan administrator of
the health care selection within twenty business days, the CSEA retains
responsibility for selecting a health plan option for the child.
Last updated June 1, 2022 at 8:24 AM
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Rule 5101:12-57-10.4 | Administrative mistake of fact hearing regarding the national medical support notice.
(A) In accordance with section 3119.39 of
the Revised Code, when a JFS 04036, "Notice of Medical Support Enforcement
Activity" (effective or revised effective date as identified in rule
5101:12-57-99 of the Administrative Code), is issued and the health insurance
obligor fails to make a timely request for an administrative hearing, the JFS
04036 becomes a final and enforceable determination of the child support
enforcement agency (CSEA) that issued the JFS 04036. (B) A health insurance obligor who
receives an OMB 0970-0222, "National Medical Support Notice" (as
referenced in rule 5101:12-57-99 of the Administrative Code) (NMSN), or a JFS
04036 may request an administrative mistake of fact hearing for any of the
following reasons: (1) Error in the identity
of the parties to the support order listed on the NMSN; (2) Error in the identity
of one or more of the children listed on the NMSN; (3) The child support
order authorizes the provision of health insurance coverage through an
alternative group policy, contract, or plan and alternative coverage is in
effect; (4) The coverage
identified in the NMSN is not consistent with the medical support provision in
the child support order, this includes assertions that the insurance is not
reasonable in cost or that primary care services are not accessible;
or (5) The child support
order authorizes the provision of health care coverage through public health
care and such coverage is in effect, as ordered. (C) In accordance with section 3119.38 of
the Revised Code, the health insurance obligor must file a written request for
an administrative mistake of fact hearing with the CSEA that issued the notice
not later than fourteen days after the date on which the JFS 04036 is
issued. (D) In accordance with section 3119.38 of
the Revised Code, when the health insurance obligor makes a timely request for
an administrative mistake of fact hearing, the CSEA shall: (1) Conduct an
administrative mistake of fact hearing not later than ten days after the date
on which the health insurance obligor files the request for the administrative
mistake of fact hearing; and (2) Issue the JFS 03399,
"Notice of Administrative Mistake of Fact Hearing" (effective or
revised effective date as identified in rule 5101:12-57-99 of the
Administrative Code), to the health insurance obligor and any other individual
the CSEA determines appropriate not later than five days before the date on
which the administrative mistake of fact hearing is to be
conducted. (E) In accordance with section 3119.41 of
the Revised Code, when an administrative mistake of fact process is pending,
the employer is required to continue the withholding of amounts for health
insurance pursuant to the NMSN. (F) In accordance with section 3119.38 of
the Revised Code, at the administrative hearing, the CSEA shall determine
whether there is a mistake of fact in the NMSN. (G) After the hearing has been held, the
CSEA shall issue the JFS 04037, "Medical Support Enforcement
Administrative Mistake of Fact Hearing Decision" (effective or revised
effective date as identified in rule 5101:12-57-99 of the Administrative Code),
to the health insurance obligor. When the health insurance obligor is the
non-custodial parent, the CSEA shall send a copy of the JFS 04037 to the
custodial parent. (H) In accordance with section 3119.41 of
the Revised Code: (1) When the CSEA
determines that no mistake of fact exists, the NMSN shall remain in
effect. (2) When the CSEA
determines that a mistake of fact does exist, the CSEA shall take whatever
action is necessary regarding the NMSN which may include issuing a corrected
NMSN or terminating the NMSN in accordance with rule 5101:12-57-10.6 of the
Administrative Code. (I) When an administrative mistake of
fact hearing determines that the person named as the health insurance obligor
was named in error and premiums have been deducted, the CSEA shall not address
the matter of reimbursement in the decision. (J) In accordance with section 3119.38 of
the Revised Code, the administrative mistake of fact hearing determination is
final unless, within fourteen days after the CSEA issues the JFS 04037, the
health insurance obligor files a written motion with the court of jurisdiction
in the county in which the support order is administered for a hearing to
determine whether there is still a mistake of fact in the NMSN.
Last updated June 1, 2022 at 8:25 AM
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Rule 5101:12-57-10.5 | Court mistake of fact hearing regarding the national medical support notice.
Effective:
January 15, 2017
(A) When the health insurance obligor files a timely, written motion for a court hearing, the court is required by section 3119.40 of the Revised Code to: (1) Send to the health insurance obligor and to any other individual the child support enforcement agency (CSEA) determines appropriate written notice by regular mail of the date, time, place, and purpose of the hearing not later than five days before the date the court hearing is to be held; (2) Hold the hearing as soon as possible, but not later than ten days after the motion is filed; and (3) Limit the hearing to determining whether there is a mistake of fact in the OMB 0970-0222, "National Medical Support Notice" (as referenced in rule 5101:12-57-99 of the Administrative Code) (NMSN). (B) In accordance with section 3119.41 of the Revised Code, when a court mistake of fact process is pending, the employer is required to continue the withholding of amounts for health insurance pursuant to the NMSN. (C) In accordance with section 3119.40 of the Revised Code, the court is required to determine on conclusion of the hearing whether there is a mistake of fact in the NMSN. The court's determination is final. (D) In accordance with section 3119.41 of the Revised Code: (1) When the court determines that no mistake of fact exists in the NMSN, the NMSN shall remain in effect. (2) When the court determines that a mistake of fact does exist in the NMSN, the court is required to take whatever action is necessary regarding the NMSN, which may include correcting or terminating the NMSN. (E) When the court mistake of fact hearing determines that the person named as the health insurance obligor was named in error, premiums have been deducted, and the court does not address the decision for reimbursement, the decision for reimbursement is the responsibility of the employer and the insurance company health plan administrator.
Last updated October 12, 2023 at 11:12 AM
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Rule 5101:12-57-10.6 | Terminating the national medical support notice.
Effective:
January 15, 2020
(A) A child support enforcement agency
(CSEA) shall issue the JFS 04098, "Notice Regarding National Medical
Support Notice Withholding Requirements" (effective or revised effective
date as identified in rule 5101:12-57-99 of the Administrative Code),
when: (1) The health insurance
obligor is no longer responsible for the medical support provision to provide
health insurance coverage for the child or there is no longer a current order
with medical support provisions in effect; (2) The person identified
on the OMB 0970-0222, "National Medical Support Notice" (as
referenced in rule 5101:12-57-99 of the Administrative Code), as the health
insurance obligor has provided verification to the CSEA that the person is not
subject to the medical support provision to provide health insurance coverage
for the child; (3) As the result of a
medical support mistake of fact hearing, the CSEA has determined that the
health insurance is not accessible or reasonable in cost; (4) Health insurance
coverage is provided through a source other than the health insurance
obligor's employer and: (a) The underlying medical support provision to provide
health insurance coverage for the child authorizes alternative health care
coverage; and (b) The health insurance obligor provides verification to
the CSEA that the alternative coverage is currently in effect; or (5) The underlying
medical support provision to obtain health care coverage for the child
authorizes public health care coverage, and such coverage is in
effect. (B) The CSEA may issue the JFS 04098 when
the OMB 0970-0222 is sent to the employer within sixty days of issuance of a
court or administrative order and the insurance identified at the hearing was
available to the health insurance obligor through a group plan or policy and
was determined at that time to be not reasonable in cost.
Last updated October 12, 2023 at 11:12 AM
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Rule 5101:12-57-99 | Chapter 5101:12-57 forms - enforcement of medical support provisions.
The forms identified in this rule are referenced
within various rules contained within division 5101:12 of the Administrative
Code. The effective or revised effective dates of the forms are as
follows: (A) JFS 03377, "Employer/Health Plan
Administrator Health Insurance Verification Request" (rev.
1/2015); (B) JFS 03399, "Notice of
Administrative Mistake of Fact Hearing" (rev. 10/2019); (C) JFS 04031, "Notice Regarding
Cash Medical Support Order"(rev. 10/2019); (D) JFS 04032, "Notice to Provide
Cash Medical Support"(rev. 10/2019); (E) JFS 04033, "Notice to Provide
Private Health Insurance"(rev. 10/2019); (F) JFS 04034, "Notice of Selection
of Health Plan Option" (rev. 1/2015); (G) JFS 04035, "Notice of Available
Health Plan Options" (rev. 4/2022); (H) JFS 04036, "Notice of Medical
Support Enforcement Activity" (rev. 10/2019); (I) JFS 04037, "Medical Support
Enforcement Administrative Mistake of Fact Hearing Decision" (rev.
10/2019); (J) JFS 04098, "Notice Regarding
National Medical Support Notice Withholding Requirements" (rev.
1/2015); (K) JFS 07053, "Notice of Medical
Support Mistake of Fact Hearing" (rev. 3/2019); (L) JFS 07058, "Medical Support
Mistake of Fact Hearing Determination" (rev. 2/2019); and (M) OMB 0970-0222, "National Medical
Support Notice" (NMSN) (www.acf.hhs.gov/css).
Last updated June 1, 2022 at 8:25 AM
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