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May the employer charge a fee to the employee or the child support enforcement agency for processing the National Medical Support Notice (NMSN) and withholding the income?

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May the employer charge a fee to the employee or the child support enforcement agency for processing the National Medical Support Notice (NMSN) and withholding the income?

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No. Charging a fee is not permitted for processing the NMSN and/or sending a health care plan premium payment to the plan administrator. • Group health care plans as defined in the Employee Retirement Income Security Act of 1974 (ERISA), Section 607(1), are required to provide benefits in accordance with the applicable requirements of any Qualified Medical Child Support Order (QMCSO). Is the National Medical Support Notice (NMSN) a QMCSO? Yes, the NMSM meets the requirements for a QMCSO if the child support agency correctly completes it and if coverage for the children is or will become available. The plan administrator of a group health care plan must treat the NMSN as a QMCSO under section 609(a)(5)(c) of ERISA.

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