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All agreements
Pre-Divorce Agreement
Health Insurance & Uninsured Medical Expenses Agreement
Records which parent maintains health coverage and how out-of-pocket and uninsured medical expenses are divided and reimbursed.
$9
What this agreement covers
- Effective date of this agreement
- Party responsible for maintaining health insurance for the child(ren)
- Insurance provider / plan, if known
- Monthly premium attributable to the child(ren), if relevant
- Uninsured medical expenses — Party A (%)
- Uninsured medical expenses — Party B (%)
- Dental expenses — Party A (%)
- Dental expenses — Party B (%)
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Important disclosures
- • Divorce Liaison, Inc. is not a law firm and does not provide legal advice or representation.
- • Divorce Liaison does not represent either spouse. These are self-help document preparation products.
- • Enforceability of an agreement between spouses varies by state and by circumstances.
- • Child support may be controlled by your state's guidelines and may be reviewed by the court.
- • Custody and parenting terms may require court approval before they take effect.
- • An agreement between spouses does not automatically release either spouse from obligations to third-party creditors.
- • A home buyout provision does not by itself remove a spouse from a mortgage or from title.
- • Tax consequences may require advice from a qualified tax professional.