The purpose of this chapter is to:

1. A. Establish the procedures of the Child Support Administration for issuing a national medical support notice (NMSN) to an employer of a parent who is obligated under a child support order to provide medical support for the child;
2. B. Establish specific responsibilities, procedures, and time frames for employers, insurers, and health insurance plan administrators with respect to enrolling children in health insurance plans; and
3. C. Create an administrative appeal process for the parent to contest the enforcement of the NMSN.

Authority: Family Law Article, §§10-114, 12-102—12-102.3; Health-General Article, §19-706; Insurance Article, §15-405; Annotated Code of Maryland
(Agency Note: Federal Regulatory References: 29 CFR Part 2590 and 45 CFR §303.32); 42 U.S.C. §652(f)

Effective date: August 4, 2003 (30:15 Md. R. 991)

Regulation .01A amended effective October 6, 2008 (35:20 Md. R. 1773)

Regulation .02B amended effective October 6, 2008 (35:20 Md. R. 1773)

Regulation .03 amended effective October 6, 2008 (35:20 Md. R. 1773)

Regulation .03A, C amended effective October 11, 2004 (31:20 Md. R. 1484)

Regulation .04 amended effective October 6, 2008 (35:20 Md. R. 1773)

Regulation .04A amended effective October 11, 2004 (31:20 Md. R. 1484)

Regulation .05 amended effective October 6, 2008 (35:20 Md. R. 1773)

Regulation .07A amended effective October 6, 2008 (35:20 Md. R. 1773)

Regulation .07A, B amended effective October 11, 2004 (31:20 Md. R. 1484)

Regulation .07B amended effective August 9, 2010 (37:16 Md. R. 1060)

Regulation .09 amended effective October 6, 2008 (35:20 Md. R. 1773)

Regulation .10 amended effective October 6, 2008 (35:20 Md. R. 1773)