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This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and universities.

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

Supplemental Information

Authorized By: 3119.51
Amplifies: 3119.33, 3119.34, 3119.35.
Five Year Review Date: 2/16/2027
Prior Effective Dates: 1/7/1985, 8/1/1986, 12/1/1987, 12/20/1988, 9/1/1989, 8/1/1990, 6/1/1991, 11/1/1991, 7/15/1992, 4/1/1993, 1/1/1998, 10/2/2003, 1/1/2007, 5/1/2012, 1/15/2017, 1/15/2020