Medical Coverage

Medical Support Questions and Answers

All child support orders include information about how a child's medical coverage will be paid.  This may come in the form of an order for one or both parents to obtain and provide health insurance (if available) or to enroll in a plan once it becomes available.  The National Medical Support Notice (NMSN) is a federally required notice used to identify available medical coverage and to enforce medical support orders for minor children.  It is used throughout the United States to enroll children in health insurance coverage through a parent's employer.

I don’t agree with what’s in my Divorce/Dissolution Order
The CSEA is unable to assist in resolving matters of a divorce/dissolution, those matter need to be addressed in a court of appropriate jurisdiction.

Am I notified when the NMSN is sent to my Employer?
Yes, a National Medical Support Enforcement Activity Notice is mailed to the MI Obligor the same day the NMSN is sent to the employer.

How do you know if it’s Affordable?
5101:12‐47‐01(K) of the Ohio Administrative Code states "Reasonable cost" and "reasonable in cost" means the cost of health insurance coverage to a parent does not exceed five per cent of the annual income of that parent. In applying the five per cent to the cost, the cost is the total actual out-of-pocket cost of a health insurance premium paid or expected to be paid for the coverage.

My Spouse is Providing Coverage
You may provide the CSEA with a copy of both the front and back of the insurance card. The full name, SSN, and date of birth of the insurance carrier, as well as the date the insurance became effective, the names and dates of birth of the parties covered by the policy and your current address and phone number in case we need to contact you for more information.

I am Carrying other Private Coverage, not through my Employer
You may provide the CSEA with a copy of both the front and back of your insurance card as well as the date the insurance became effective, the names and dates of birth of the parties covered by the policy and your current address and phone number in case we need to contact you for more information.

My Children have Medicaid Coverage already
Medicaid, CareSource, Buckeye Community Health, Molina Healthcare Ohio, Paramount Advantage are forms of public health care coverage and cannot be  considered as private health insurance.

Collection of Unreimbursed Medical Bills
The CSEA is unable to assist in collecting unreimbursed medical expenses. This must be addressed by a court of appropriate jurisdiction.

Medical Insurance Cards
CSEA can facilitate in the exchange of Insurance Cards.

My Premiums have Increased, how do I get Credit for This?
Your support will not automatically be adjusted. You may contact the agency to request an Administrative Review of the Child Support Order or refer to the Administrative Adjustment Review section of our website to access the request form.