Frequently Asked Questions About NMSNs

What happens if the NMSN doesn't specify the health plan to which it applies?

If the employee is enrolled in a plan, the child(ren) will be enrolled in the same plan. If the employee isn't enrolled in a plan but is eligible for coverage under the employer's plan that's designated as default coverage for NMSN purposes, the employee and child(ren)will be enrolled in the default coverage.

What happens if a NMSN is approved and the child already has health coverage?

If the NMSN is approved, your plan coverage will be updated to state there's a NMSN on file. When there's a NMSN on file during the annual enrollment-in-benefits period, the employee can't drop the child from coverage.

Who can submit a NMSN?

Only IV-D child support enforcement state agencies can submit an NMSN for review. Generally, any state child support enforcement agency has this status.

A NMSN has been approved. How do I get a health insurance card?

Contact the employer's benefits center about health insurance cards.

I've received a NMSN approval letter. It states there's a 20-business-day waiting period for the state agency to choose the child's coverage. Can I make the choice?

No, only the state agency can make the coverage choice.

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How will I know what health coverage the state agency chose?

After the 20 business days, you can call the employee's benefit center to find out the coverage.

How do I know what state agency submitted the NMSN?

Refer to the approval or denial notice you received to find out which state agency submitted the NMSN.

I was notified a child has been added to my coverage due to a NMSN, but this is an error. What should I do?

Any state agency can submit a NMSN requesting a child be added to coverage. If the NMSN meets requirements, the child will be added to coverage. If you feel that a child was added to your coverage in error, contact the state agency listed in your approval letter for assistance with a termination of a NMSN.

How do I have the NMSN status removed from my account?

Contact the state agency listed in your approval letter for assistance with a termination of a NMSN.

My child has been declared an adult by the courts and I have a NMSN. Can I remove this child from coverage?

The child may or may not be eligible for coverage depending on the employer's specific plan rules. Contact your benefits center to determine if the child is still eligible for coverage and your next steps. If your child is still eligible for coverage, you may need to contact the state agency listed in your approval letter for assistance with a termination of a NMSN.

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