The court may order one or both parents to provide health insurance coverage for the children. If the court orders a parent to obtain available health insurance coverage from an employer and the parent fails to do so, the Friend of the Court will send a medical support notice to the parent's employer. The employer then must enroll the employee's children in the employer's plan and deduct the premiums from the employee's wages.

According to the Michigan Child Support Formula, a reasonable cost for providing private health care coverage for the children does not exceed five percent of the providing parent's gross income.

Enforcement
The FOC will help collect the other parent's share of extraordinary medical expenses (the support recipient's out-of-pocket expenses that exceed the children's ordered annual ordinary medical expense amount and any uninsured medical expense paid by the support payer) if the following four conditions are satisfied:

• One parent requested payment from the other parent within 28 days after receiving an insurer's determination that an expense was not covered.
• The amount exceeds the annual ordinary amount in the order, or the requesting parent is the support payer.
• The FOC's assistance is requested within one year after incurring the expense, or within six months after the insurer has denied coverage, or within six months after the other parent failed to pay as required.
• The other parent did not pay within 28 days of the request for payment.

If the FOC receives a parent's request that meets those four requirements, the FOC will notify the other parent that, if no objection is filed within 21 days, the unpaid amount will become a support arrearage and subject to any of the enforcement processes summarized earlier. If an objection is filed, the FOC must schedule a court hearing to decide who is responsible for the amount that the health insurer did not pay.