National Medical Support Notice FAQs

We completed and mailed a NMSN response. The post office returned it. What do we do now?
Are medical support premiums deducted by the employer from the employee’s pay subject to the Consumer Credit Protection Act (CCPA) limits?
We enforced a National Medical Support Notice (NMSN) for one of our employees to cover his children. He is now terminated and only elected the Consolidated Omnibus Budget Reconciliation Act (COBRA) coverage for himself. Should we require him to elect COBRA for the children as well?
I received a National Medical Support Notice (NMSN) for one of my employees, requesting enrollment in medical care and release of private medical information. Does the release of this information violate the Health Insurance Portability and Accountability Act (HIPAA)? What should I do?
Does the National Medical Support Notice (NMSN) apply to unions which provide insurance coverage to members, either as a benefit upon payment of union dues or available at a group rate to members who choose to enroll?
If the employer has multiple coverage options, and the employee refuses to change his current coverage to provide medical support for a child(ren), can the plan administrator change the employee’s coverage to a different option where family coverage is available or where the premiums are lower and can be deducted within the Consumer Credit Protection Act (CCPA) limits even if it compromises the employee’s coverage?
What is the National Medical Support Notice (NMSN) and what does it include?
What should I do if an employee is no longer eligible for employer-sponsored medical insurance coverage?
What should I do if an employee no longer makes enough money to continue employer-sponsored medical insurance coverage?
When is the National Medical Support Notice (NMSN) sent to the employer?
Who can I contact in my state with questions about a National Medical Support Notice (NMSN)?