Agency Information Collection Activities; Submission for OMB Review; Comment Request; National Medical Support Notice-Part B
Published Date: 11/25/2025
Notice
Summary
The Department of Labor is asking for public feedback on a form called the National Medical Support Notice-Part B, which helps employers and health plans work together to provide kids with the health coverage they deserve. This update keeps the process smooth and clear for everyone involved, especially employers and health plan administrators. Comments are open until December 26, 2025, so don’t miss your chance to weigh in!
Analyzed Economic Effects
3 provisions identified: 1 benefits, 2 costs, 0 mixed.
Helps Ensure Children Get Coverage
The National Medical Support Notice process standardizes communication among State agencies, employers, and plan administrators to simplify medical child support orders and help make sure eligible children receive group health coverage. The rule is intended to streamline enforcement so children entitled to health care coverage get that coverage.
Plan Administrators Must Complete Part B
Plan Administrators must fill out Part B of the National Medical Support Notice to verify whether a child is or will receive group health plan coverage. If enrollment can start immediately, Part B serves as notice to the State agency, the participant (parent), the child, the non‑participant parent or guardian, and the employer. When a child is eligible for more than one coverage option, the Administrator must first send Part B to the State agency so the agency may choose, and must notify those parties of any waiting period before enrollment.
Estimated Annual Private‑Sector Burden
DOL estimates 399,269 private‑sector respondents will produce 10,753,708 responses for Part B, totaling 896,142 annual hours and $5,927,982 in annualized other costs under OMB Control Number 1210-0113. These totals are the Department's estimate of the paperwork and cost burden on the private sector for this information collection.
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