Medical Support and Health Insurance Orders

Ohio law requires that all child support orders include a Medical Support Provision.

  • The Obligee is presumed to be the appropriate parent to provide health insurance for the child(ren) subject to
    the support order, unless rebutted.

Fully subsidized coverage through Ohio Medicaid does not meet the requirements to provide private health insurance.

Shelby County Ohio Job Family Services Medical Support and Health Insurance Orders

Shelby County Ohio Job Family Services Medical Support and Health Insurance

The child support order must contain a cash medical support obligation. Cash medical support is an amount, in addition to child support, that must be paid.

Support orders must also include a provision that addresses the health insurance needs of the child by including:

  • Cash medical will be a charging support obligation at all times.

  • An order for payment of uninsured medical expenses of the child(ren) will be ordered as well.

Reasonable Cost

When a parent has access to health insurance coverage for the child, the court or the CSEA cannot order the parent to obtain the insurance coverage unless it is reasonable in cost. The coverage is determined to be reasonable in cost if the cost of insurance to the employee is not greater than 5% of the parent’s annual income. A parent can agree to provide the coverage if it exceeds reasonable cost if they choose to do so.

The CSEA is required to enforce health insurance orders. The CSEA will issue a National Medical Support Notice (NMSN) to any employer of a person who is ordered to provide health insurance coverage for their child. The NMSN orders the employer to enroll the child in the health insurance plan available to the parent ordered to provide the coverage. The employer is required to comply with the NMSN and must enroll the child, if the insurance coverage is determined to be reasonable in cost, and does not need the consent of the parent to enroll the child in the coverage even if the employer's open enrollment period is not active.

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OhioMeansJobs Shelby County
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seeking skills to aid in finding a
new job or to brush up on skills
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Workshops are taught by instructors
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To register for a workshop, call
OhioMeansJobs Shelby County at
937-498-4981 Extension 2816

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HIRING EVENTS & JOB LEADS

Shelby County Ohio Job Family Services Local Job Postings

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March 4, 2020
8:00 AM - 5:00 PM

Plastipak Packaging
will be conducting open
interviews at The Family
Life Center, 310 Jackson
Street, Jackson Center, Ohio
45334.

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ADDRESS 227 South Ohio Avenue
Sidney, Ohio 45365
PHONE 937-498-4981
FAX 937-498-7396
HOURS M, W, TH, F - 7:30 am - 4 pm
Tuesdays - 7:30 am - 6 pm