Uncovered Health Care Expenses. ☐ Husband ☐ Wife shall be responsible for medical, dental, orthodontic, optical, psychiatric, psychological, and other health care expenses of the Minor Children, to the extent not covered by insurance. The Spouse incurring the expense shall present to the other Spouse an itemized statement of costs accrued or paid, proof of payment of any costs paid by the Spouse, and any necessary information about how to make payment to the provider within a reasonable time, but not more than days after accruing the costs. The reimbursing Spouse shall make the required payment or reimbursement within a reasonable time, but not more than days after notification of the amount due. For purposes of duration and modification, this provision shall be deemed part of the Child Support orders made by the court in the Couples’ dissolution action. ☐ - Other. ☐ Husband the ☐ Wife agrees to make payment to the other Spouse for the following:
Appears in 79 contracts
Samples: Settlement Agreement, Settlement Agreement, Marital Separation Agreement
Uncovered Health Care Expenses. ☐ Husband ☐ Wife shall be responsible for medical, dental, orthodontic, optical, psychiatric, psychological, and other health care expenses of the Minor Children, to the extent not covered by insurance. The Spouse incurring the expense shall present to the other Spouse an itemized statement of costs accrued or paid, proof of payment of any costs paid by the Spouse, and any necessary information about how to make payment to the provider within a reasonable time, but not more than days after accruing the costs. The reimbursing Spouse shall make the required payment or reimbursement within a reasonable time, but not more than days after notification of the amount due. For purposes of duration and modification, this provision shall be deemed part of the Child Support orders made by the court in the Couples’ dissolution action. ☐ - Other. ☐ Husband the ☐ Wife agrees to make payment to the other Spouse for the following:: .
Appears in 27 contracts
Samples: Georgia Separation Agreement, Oklahoma Separation Agreement, South Carolina Separation Agreement
Uncovered Health Care Expenses. ☐ Husband ☐ Wife shall be responsible for medical, dental, orthodontic, optical, psychiatric, psychological, and other health care expenses of the Minor Children, to the extent not covered by insurance. The Spouse incurring the expense shall present to the other Spouse an itemized statement of costs accrued or paid, proof of payment of any costs paid by the Spouse, and any necessary information about how to make payment to the provider within a reasonable time, but not more than [#] days after accruing the costs. The reimbursing Spouse shall make the required payment or reimbursement within a reasonable time, but not more than [#] days after notification of the amount due. For purposes of duration and modification, this provision shall be deemed part of the Child Support orders made by the court in the Couples’ dissolution action. ☐ - Other. ☐ Husband the ☐ Wife agrees to make payment to the other Spouse for the following:: [STATE].
Appears in 9 contracts
Samples: Washington Separation Agreement, North Dakota Separation Agreement, Arkansas Separation Agreement
Uncovered Health Care Expenses. ☐ ☐ Husband ☐ ☐ Wife shall be responsible for medical, dental, orthodontic, optical, psychiatric, psychological, and other health care expenses of the Minor Children, to the extent not covered by insurance. The Spouse incurring the expense shall present to the other Spouse an itemized statement of costs accrued or paid, proof of payment of any costs paid by the Spouse, and any necessary information about how to make payment to the provider within a reasonable time, but not more than [#] days after accruing the costs. The reimbursing Spouse shall make the required payment or reimbursement within a reasonable time, but not more than [#] days after notification of the amount due. For purposes of duration and modification, this provision shall be deemed part of the Child Support orders made by the court in the Couples’ dissolution action. ☐ ☐ - Other. ☐ ☐ Husband the ☐ ☐ Wife agrees to make payment to the other Spouse for the following:: [STATE].
Appears in 5 contracts
Samples: Maryland Separation Agreement, Oklahoma Separation Agreement, Delaware Separation Agreement
Uncovered Health Care Expenses. ☐ ☐ Husband ☐ ☐ Wife shall be responsible for medical, dental, orthodontic, optical, psychiatric, psychological, and other health care expenses of the Minor Children, to the extent not covered by insurance. The Spouse incurring the expense shall present to the other Spouse an itemized statement of costs accrued or paid, proof of payment of any costs paid by the Spouse, and any necessary information about how to make payment to the provider within a reasonable time, but not more than [NUMBER] days after accruing the costs. The reimbursing Spouse shall make the required payment or reimbursement within a reasonable time, but not more than [NUMBER] days after notification of the amount due. For purposes of duration and modification, this provision shall be deemed part of the Child Support orders made by the court in the Couples’ dissolution action. ☐ ☐ - Other. ☐ ☐ Husband the ☐ ☐ Wife agrees to make payment to the other Spouse for the following:: [OTHER]
Appears in 1 contract
Samples: Settlement Agreement
