A health insurance coverage assignment (HICA) or Notice of HICA is an enforcement tool for medical support that requires the non­custodial parent`s employer (or other person providing health insurance to the non­custodial parent) to enroll the child(ren) in the parent`s health insurance plan. The HICA also authorizes the employer to deduct the cost of the health care premiums from the non­custodial parent`s earnings. The employer is instructed to notify the FSD or local child support agency of any lapse or change in the health insurance coverage. Changes can be made to the HICA administratively without going back to court. If the employer notifies the FSD or local child support agency of a change of health plan or lapse in coverage, the FSD or local child support agency will then determine if the non­custodial parent has a new employer/health plan. If so, the FSD or local child support agency will serve that employer/health plan with the Notice of HICA that has the same force and effect as the court ordered HICA.