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A health insurance coverage assignment is an administrative order that requires the noncustodial parent’s employer (or other person providing health insurance to the noncustodial parent) to enroll the child(ren) in the parent’s health insurance plan. The order also authorizes the employer to deduct the cost of the health care premiums from the noncustodial parent's earnings.
The employer must deliver a copy of the National Medical Support Notice (NMSN), along with a written statement of the noncustodial parent’s rights and relevant procedures under the law to move to quash the order to the noncustodial parent within 10 days of receipt.
Employers must determine the earliest possible coverage commencement date by considering the following guidelines.
The employer must do the following:
Disclosure of protected health information by a health plan is permitted under Health Insurance Portability and Accountability Act (HIPPA) in response to a request for information by a IV-D agency pursuant to a National Medical Support Notice (NMSN). Please see OCSE PIQ-2004-03 for more information.
If the noncustodial parent has not enrolled in an available health plan, there is a choice of coverage and the court has not ordered coverage by a specific plan, the employer shall enroll the child in a plan that will provide reasonable benefits or coverage where the child resides. If that coverage is not available, the employer will return the National Medical Support Notice (NMSN) to our office within 20 days.
If the noncustodial parent has selected a health insurance plan prior to the issuance of a court order, the noncustodial parent’s selection will not be superseded unless the child will not be provided benefits or coverage where the child resides or the court order specifically directs other health coverage.
When coverage is not available, the employer will return the NMSN to our office within 20 days of receipt.
The employer must notify our office if:
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Make payments payable to: Department of Child Support Services
Mail to: State Disbursement Unit P.O. Box 989067 West Sacramento, CA 95798