Medical Coverage

Medical Support Overview

When a child support order is established, it is determined if one, both or neither party is responsible for providing medical coverage.  Any time the system is updated with a new employer, or a change has been made that would warrant it, the system will generate a National Medical Support Notice (NMSN) to the party who is ordered to provide medical coverage (MI obligor) employer. The employer in turn must respond in an acceptable time frame advising the CSEA whether the MI obligor is able or unable to carry medical coverage as ordered.

I don’t agree with what’s in my Divorce/Dissolution Order
Any divorce actions, including but not limited to child support, medical support, custody, visitation, property settlements, must be handled/filed in court.

Am I notified when the NMSN is sent to my Employer?
Yes, a National Medical Support Enforcement Activity Notice is mailed to you the same day the NMSN is sent to your employer.  It lets you know that the NMSN has been sent to your employer and provides you an opportunity to request a hearing (if objected to in a timely manner) or provide us with more information (third party coverage information, etc.).

How do you know if it’s Affordable?
Your employer can determine this easily, if your employer cannot determine this, they can contact the CSEA for more information.  Add the monthly child support obligation plus the monthly insurance premium, if it’s higher than the percentage they are allowed to withhold under the Consumer Credit Protection Act then they shouldn’t enroll your child(ren) in the medical insurance plan.

My Spouse is Providing Coverage
Provide us with a copy of the front and back of the medical insurance card as well as the insurance effective date for the child(ren) to be covered.  We may request further information/verification. We also require the name, date of birth and social security number of the alternate insurance provider.

I am Carrying other Private Coverage, not through my Employer
Provide us with a copy of the front and back of the medical insurance card as well as the insurance effective date for the child(ren) to be covered.  We may request further information/verification.

My Children have Medicaid Coverage already
This is not private insurance coverage; this is public coverage.  You are ordered to provide PRIVATE health care coverage for your child(ren).  Medicaid (CareSource, Buckeye Community Health, Molina Healthcare Ohio, Paramount Advantage, etc.) is not private coverage.

Collection of Unreimbursed Medical Bills
The CSEA does not help with the collection of unreimbursed medical.  This must be handled by Medina County Domestic Relations Court.  You have the right to file a motion in court to collect these fees and can be found at Medina County Domestic Relations Court.  You can also find the Legal Resource Center at the same site.

Medical Insurance Cards
While it is not a requirement of the CSEA to have a physical copy of the medical insurance cards and the MI obligor is not required to give them to us, we can facilitate the exchange of the cards.  We cannot, however, go any further than this. Any further action will need to be handled in court.

My Premiums have Increased, how do I get Credit for This?
The only way you can get credit for this is when a modification/adjustment review is completed on your case.  Credit is not given automatically; your support will not be adjusted just because your premiums have increased or decreased.