National Medical Support Notice

Contact: Reyn Norman, Associate Counsel
(334) 241-4116


Under federal (45 CFR 303.32) and state law (Act No. 2002–404, when codified, Code of Alabama 1975, Section 27-21B-10), Alabama employers will receive a form called the National Medical Support Notice (NMSN). The NMSN is a standardized federal form that all state child support enforcement agencies are required to use. It is designed to assist employers, who in the past, received many different types of documents from states to enroll children of noncustodial parents in employer health insurance plans. Use of the NMSN is intended to simplify processing for employers and plan administrators, to improve health care coverage for children, and to save tax dollars for medical assistance programs.

The state child support enforcement agency will issue the NMSN for all child support cases when a noncustodial parent is not providing health insurance coverage and has been ordered to do so. Part A of the notice will inform the employer of the type of coverage required under the order, the terms of coverage, and a response form that allows the employer to notify the issuing agency of any reason it cannot provide coverage according to the terms of the order. If the company can provide coverage, the employer must forward Part B within 20 business days from the date of the NMSN to its insurance plan administrator. The plan administrator has 40 business days to complete Part B and to notify the issuing agency of the follow-up that will be taken in accordance with the order, when coverage will be provided, and a description of the coverage.

You can obtain more information regarding the NMSN by contacting the Alabama Department of Human Resources Child Support Program at 334-242-9300.