National Medical Support Notice – Part A – Notice to Withhold for Health Care Coverage e-NMSN record specification layout Electronic system to system (Employer Respondents)

National Medical Support Notice - Part A

2023 02 23 NMSN_Part_A_Sample_Form Clean

National Medical Support Notice – Part A – Notice to Withhold for Health Care Coverage e-NMSN record specification layout Electronic system to system (Employer Respondents)

OMB: 0970-0222

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