As part of a married couple, you may have
been covered by your spouse's health plan. If so, you may be
worried that because your marriage is ending, your health
insurance coverage will be ending too. And, if you have
children, how will they be protected? Fortunately, laws
exist that protect your rights and the rights of your
children, so your options may not be as limited as you might
think.
Health insurance coverage options for
you
In general, when your marriage
ends, there are four ways for you to get health insurance
coverage:
Continue your health insurance
temporarily through COBRA
The Consolidated Omnibus Reconciliation Act of 1986 (COBRA)
is a federal law designed to protect employees and their
dependents from losing coverage as a result of job loss or
divorce. If your former spouse maintained family health
coverage through work (and works for a company with at least
20 employees), you may continue this group coverage for up
to 36 months after the divorce or legal separation. You will
have to pay for this coverage, however. COBRA coverage will
terminate sooner than 36 months if you remarry or obtain
coverage under another group health plan.
Because individual policies are often more
expensive than group policies, COBRA coverage is certainly
attractive. If you decide to exercise your COBRA rights,
your cost of continuing coverage cannot exceed 102 percent
of the employer's cost for the insurance. Additionally, you
have the right to pay the premiums in monthly installments.
Ask for health insurance coverage as
part of your divorce settlement
When you are negotiating a divorce settlement, ask that your
spouse be required to maintain health insurance coverage for
you. This may not work if you can easily get health
insurance coverage through your own employer. But if you're
an older homemaker or self employed without access to
employer-sponsored health coverage, you have a better chance
of receiving this as part of your settlement. Otherwise,
when the COBRA coverage terminates after 36 months, you may
be denied health insurance if your health is poor (although
federal law provides protections for certain pre-existing
medical conditions).
Get coverage through your own employer
If you work and your employer offers health insurance
coverage, sign up for it. Unless your spouse is paying for
your health insurance coverage as part of your divorce
settlement, this is probably the least expensive way for you
to get health insurance.
Purchase an individual health insurance
policy
In some cases, this may be your only option, especially
after your right to insurance under COBRA ends. However,
you'll have to pay the premiums for your own health
insurance, try to compensate for this in your divorce
settlement.
Providing health insurance for your
children
When you are divorcing and you have children, you have to
decide whether you or your soon-to-be former spouse will be
responsible for providing health insurance for your
children. This issue should be addressed in the child
support section of your divorce agreement.
If both parents have health insurance
through work, the simplest way to decide is to consider
which plan offers the best coverage and insure the children
under it. However, because this type of insurance can be
expensive and emotions can run high during divorce
negotiations, this point is rarely decided so easily.
Noncustodial parents sometimes assume that
they won't be responsible for insuring the children because
they don't care for them on a daily basis. Under
federal law, a custodial parent can obtain a Qualified
Medical Child Support Order (QMCSO), if necessary, in order
to get health insurance coverage for the children through
the noncustodial parent's group health insurance plan.
The children cannot be denied coverage by
the noncustodial parent, that parent's employer, or that
parent's insurance company based on any of the following
reasons:
- the child does not live with the
noncustodial parent
- the child is not claimed as a dependent
on the noncustodial parent's federal income tax return
- the child lives outside of the plan's
service area
Along with covering an employee's child
under an employer-sponsored health care plan, a QMCSO can
require that:
- the premium be deducted from the
employee's paycheck
- insurance reimbursements be made
directly to the nonemployee parent (if that parent pays
the provider)
- the nonemployee parent be given
information if requested regarding the health care plan
and reimbursements
Learn More...
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Please Note: The
information contained in this Web site is provided solely as a source of
general information and resource. It is a not a statement of
contract and coverage may not apply in all areas or circumstances. For a complete
description of coverages, always read the insurance policy, including
all endorsements.
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