Form 4158-EC "National Medical Support Notice (Nmsn) Recall Letter - Child Support Enforcement Program" - Nevada

What Is Form 4158-EC?

This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2007;
  • The latest edition provided by the Nevada Department of Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 4158-EC by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.

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Download Form 4158-EC "National Medical Support Notice (Nmsn) Recall Letter - Child Support Enforcement Program" - Nevada

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STATE OF NEVADA
DEPARTMENT OF HEALTH AND HUMAN SERVICES
DIVISION OF WELFARE AND SUPPORTIVE SERVICES
Child Support Enforcement Program
Date:
NCP Employer Name and Address
RE:
CST v NCP
NEVADA CASE NUMBER:
Child Name:
Child SSN:
/
/
Child Name:
Child SSN:
/
/
This letter recalls the National Medical Support Notice (NMSN) previously sent to your company requiring
health insurance coverage for the child(ren) listed above.
Effective immediately, the Child Support Enforcement Program is no longer responsible for enforcing medical
support for the child(ren) listed above. As a result, your company is no longer required to provide health
insurance coverage pursuant to the NMSN.
Continuing health insurance coverage is now at the option of your employee. Please discuss with your
employee before discontinuing or changing existing coverage.
Sincerely,
Caseworker Name
Caseworker Title
4158-EC (5/07)
STATE OF NEVADA
DEPARTMENT OF HEALTH AND HUMAN SERVICES
DIVISION OF WELFARE AND SUPPORTIVE SERVICES
Child Support Enforcement Program
Date:
NCP Employer Name and Address
RE:
CST v NCP
NEVADA CASE NUMBER:
Child Name:
Child SSN:
/
/
Child Name:
Child SSN:
/
/
This letter recalls the National Medical Support Notice (NMSN) previously sent to your company requiring
health insurance coverage for the child(ren) listed above.
Effective immediately, the Child Support Enforcement Program is no longer responsible for enforcing medical
support for the child(ren) listed above. As a result, your company is no longer required to provide health
insurance coverage pursuant to the NMSN.
Continuing health insurance coverage is now at the option of your employee. Please discuss with your
employee before discontinuing or changing existing coverage.
Sincerely,
Caseworker Name
Caseworker Title
4158-EC (5/07)