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A QMCSO is a medical child support order that: ❍ Creates or recognizes the right of an alternate recipient to receive. benefits for which a participant or beneficiary is eligible under a. group health plan or assigns to an alternate recipient the right of a. 4.
Qualified Medical Child Support Order (QMCSO)
A qualified medical child support order allows a non-employee, custodial parent (the parent who has the child or children the majority of the time) to obtain health insurance under the plan the non-custodial parent has with his or her employment.
Key Differences: A QMCSO places a direct obligation on the employer to provide health insurance coverage for a specific dependent child. Conversely, an NMSN serves as an informational notice, alerting employers to their potential obligation to provide coverage if the child is eligible, based on existing court orders.
A medical child support order that can become a QMCSO, in turn, is required to establish or recognize an alternate beneficiarys right to receive the participants benefits under the group health plan or to assign this right to receive group health plan benefits to an alternate beneficiary.
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(1) Cash medical support means an amount ordered to be paid toward the cost of health insurance provided by a public entity or by another parent through employment or otherwise, or for other medical costs not covered by insurance.
Typically, QMCSOs are issued in the course of a divorce. When a QMCSO requires a non-custodial parent to provide health insurance for a dependent child, the non-custodial parent must provide this coverage even if he or she has not elected coverage for himself or herself.

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