Who completes Part B of the NMSN?
• The plan administrator completes Part B. Once the dependent(s) enrollment is complete, the plan administrator notifies the issuing local child support agency and the employer, so health care coverage premium deductions, if required, can begin. The plan administrator is the person or entity responsible for enrolling participants in a health care coverage plan.
The Health Plan Administrator (HPA) completes Part B. If the HPA determines the employee is not qualified to participate, the HPA will return the completed Part B to the employer who in turn returns the form to the child support agency. If the employee is qualified, the HPA will enroll the children, return the completed Part B to the employer and the child support agency, and sends forms and health care coverage information to the custodial parent.
Part B Medical Support Notice to Plan Administrator applies if the dependent is eligible for coverage. The NMSN is forwarded to the insurance Plan Administrator who has 40 days from the date of the Notice to complete and return to the NMSN Processing Center at PO Box 4655 , Trenton, NJ 08650. The Plan Administrator must also notify the employer’s payroll department o f enrollment so that premiums are deducted, and forward insurance cards and plan information to the custodial parent identified on Part B of the NMSN.
