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Requirements For NMSN Approval

For a National Medical Support Notice (NMSN) to be qualified, it must contain the following information:

  • The employee's name, last-known mailing address, and Social Security Number
  • The name(s) and last known mailing address of the child(ren) covered in the NMSN or the name and address of the child(ren)'s representative
  • The child(ren)'s full Social Security Number or last 4 digits of the Social Security Number
  • A description of the type of coverage to be provided to the child(ren)
  • The case number
  • The employer's name
  • The child(ren)'s date(s) of birth