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Health Insurance

CLove's picture

Curious if anyone of you darling people have feedback on this topic.

I just recently started a new job that is awesome. I make great money (almost exactly the same as DH), and the most incredible benefits. I have not only medical, but Dental and Vision and they are known to be good plans in general (Anthem Blue Cross...)

I added DH. He also has employer-paid medical, but not dental or vision.

DH asked me to add Munchkin SD12 because her mother just lost her job that had great benefits (the same as mine) and previously had BOTH children on there with herself.

So obviously, even though she has a new job (we dont know where,how,how much, etc) DH would be wise to insure Munchkin ASAP. Its the law she has to be covered, I know that much.

WELL, bad me - I told him "no, I dont want to do that." So we had a little tete-a-tete and I asked my new boss about "posibilities". He politely said that there is no provision for my stepdaughter at this time (very sweet and diplomatic guy). I know the budget and I know it would add extra cost and I dont want to be responsible for her medical care. Even though I am not well-versed (yet) in this area, I know enough that:

#1. she has 2 parents and I am not one of them. Her PARENTS need to look after her medical care and provide insurance.

#2. Toxic Troll is in love with the ER and getting her kids to doctor for absolutely nothing. Taking them out of school because a medium cold is suddenly strep throat. An earlobe reacting to copper, is now "swollen, and infected" even when removal of said earrring results in immediate loss of swelling and pain. Toxic Feral's "anxiety" caused her to give her non-prescribed xanax, resulting in ER visits. So, knowing this, I dont want any kind of backlash on my insurance plan because BM is hypochondriac and likes to invent illnesses.

Again - I am definitely not going to provide insurance for Munchkin. I am pushing DH to actively seek insurance for her ASAP. She definitely needs dental and vision care too. She has been complaining of needing glasses, is also not good at oral care - her gums are looking swollen and her teeth at 12 are looking a bit yellow. I am all for kids getting the care they need. Just, why is it me pushing for it?

He is just afraid to talk to Toxic Troll and find out where the insurance thing stands with her. I want him to get his own insurance for her anyway.

What do you all do with health insurance for skids? Should we get a child support modification order if he starts paying for insurance? Its California so we might not be able to get our case reviewed for a few more years.

Sorry so long!!!!

Comments

Cover1W's picture

I provided insurance for the SDs for one year....never again.

I have super good insurance and it was cheap to add them ($140 total per month).  The deal was that DH and BM pay me $70 each to keep them on my plan.  WELL I had to ask them each and every month, sometimes more than once for that money - hey guys, once a month send me $70.  YOU both are saving $.  DH eventually paid me back. After that year, at open enrollment I did my investigations. 

Turns out the CA states BM covers them on her insurance.  How about that then?  And her cost is almost several hundred GREATER than mine.  I tell DH they are coming off my plan on x date.  He and BM need to figure it out.  Oh, she tried to say she couldn't add them mid year...oh yes you can, it's called a "qualifying event" (I could read her employer's policy because she's a public employee).  Then she said I had to keep them on because it was my responsibility (around the same time she said I had to help pay for their college...BWAHAHAHAHA!). 

DH knows I will never have them on my plan again.  I will not be taken advantage of twice.

CLove's picture

When she sai that you would be covering skids college? Lucky me, Toxic Troll never graduated 11th grade, so she is one of those that doesnt really consider college important.

Munchkin has stated she wants to go to college. Ive told her to expect to have a parttime job, a car (from us) and to start at community college. That she could live for free but expect to need to take out student loans for college. So she is not going to be shocked to the same thing from poppa.

Yep -the great divider - health insurance.

Cover1W's picture

I have no idea what she was thinking, but it was within the same health insurance discussion.  DH told me what her email said and I just laaaaaaaaghed and laaaaaaaughed.  "Uh, huh, right BM."  DH wrote somthing back like, "No, I don't think she's responsible for anything..."  A couple days later BM wrote back that she 'had checked' and that he was right, I didn't have any legal obligation.  WTF? 

This is when I decided to have nothing to do with her.

And it explained why, for a time, she wasn't buying winter jackets/shoes/more expensive clothing for SDs - because she thought *I* had to do it. 

She's an excellent manipulator.

CLove's picture

You get nailed for buying stuff for skids, and I get blasted for it in official paperwork submitted to the courts. These women just need to get a grip (on a sugar daddy).

lieutenant_dad's picture

The boys are on my insurance, but DH has his own policy through his employer. I can't carry DH without a steep penalty since his employer provides it, and he only keeps it for the HSA and catastrophic coverage. His regular care he can get through the VA for free.

My health insurance is great - like, REALLY excellent. The boys are covered under mine because it's a traditional plan with ZERO OOP for in-network services (minus a small list of things that have co-pays) and costs less than DH's crappy plan. We keep then covered because BM was (is?) committing Medicaid fraud and we wanted to protect ourselves and the boys.

I'm surprised your employer allowed you to add DH but not Munchkin. Any plan I have ever had was more expensive when you added a spouse than just adding kids. I also didn't think plans could discriminate dependents - like, a stepkid is the same as a bio kid is the same as an adopted kid is the same as a differently-abled dependent.

I'm not saying you SHOULD add Munchkin, but I would consider the cost to your household. We chose mine because, in the long run, it would cost us way less OOP. Your DH looking for a non-employer sponsored plan could be pricey, and he's on the hook for his portion of her medical care no matter whose insurance she is on. Even if she is on your insurance, that doesn't make YOU liable for her bill - insurance doesn't bill you, the facility that provided the insurance bills whoever received the service or their guardian.

CLove's picture

And it categorized plan participants by participant/spouse/dependent.

I will check again. DH will need to shop around instead of me doing all the work on it. I just dont want to have him relying on Toxic Troll, giving her more input/power/reasons to ask for things as if they were still together.

ESMOD's picture

a child of your current spouse meets the definition of a dependent for health insurance purposes.

CLove's picture

Perhaps I can add her and pay the difference from my check. It looked like adding her if she was my child (dependent) would cost about $550. Wheras, other coverages were looking like $200-250.

RLZ0073's picture

it is on an employer basis. Many have the stipulation that they primarily live with you and you claim them on your taxes...

ndc's picture

Our insurance is all over the place.  SO's kids are on our state's CHIP plan.  They can qualify for that through either SO or BM, but BM's income is such that there's no premium if she signs them up, and that's what the CO provides.  Both SO and BM are veterans and are insured through the VA.  I don't get insurance through my employer, so I'll be on my father's family policy until I'm 26.  SO and I aren't married yet, but nothing will change insurance-wise in a few months when we are.  

Exjuliemccoy's picture

Is there anything in your DH's divorce paperwork stipulating which parent is to carry insurance?

Oh well, looks like your DH is going to have to contact BM to find out what HER plan is. Good on you for telling your H No. He doesn't even have all the facts, but looked to you for the easy solution (for him).

CLove's picture

States that SHE will provide insurance (back when she was employed with county school system) and HE would provide all medical costs after that. Not a good deal, I think that he should have some kind of modification, but perhaps that would stir the pot and make things worse. I think it would make things better because it would take the pressure of providing insurance off BM.

Yes - they need to hammer this one out themselves.

advice.only2's picture

I had Spawn on my insurance and figured once she aged out, got married, or got a job with insurance I could remove her...nope!! I was required to carry her until she was 26!

I could petition to get her off, but I was advised it would never happen, even with the petitioning. Best option was to cancel my insurance and have DH pick it up minus his Spawn.

ESMOD's picture

WOW.. all I had to do was select a plan without dependents when I took my SD's off (after both were over 18 and had insurance of their own)

ESMOD's picture

I  carried my SD's on my insurance from the time that my DH and I were married.  I'm not sure what you mean by your boss said there weren't "provisions" for it?  With my company there are multiple options.  You can elect Employee, Employee and Spouse or Employee and family (spouse plus kids).  The cost to the employee is fairly cheap with "just" the employee but goes up more if you add a spouse and then more if you add kids. 

So, it should cost YOU more money..but my understanding is that Skids can be covered by our plans, even if they DON'T live with us.  It used to be they needed to be dependents that lived with you.. but no longer.

Honestly, there wasn't really the problem of BM using it because just because it was my plan, did NOT mean that I had any financial obligation for the visits.  DH was obligated to 50% of the bills for care.. so that would have been W"ORSE if they weren't on a plan anyway.  The upside is that when there were a few expensive situations... I met my deductible faster and more of MY stuff was at the copay rate...lol.

While I can understand not wanting to do something to benefit the EX... this literally shouldn't be a problem if your DH is willing to reimburse you for the difference between the cost of your "single person plan" and the family version.  I think that BM losing the child's insurance may be a qualifying event too.

 

CLove's picture

I pay nothing for coverage. I think that may be the difference. Its not that I am doing this so as not to benefit Ex, its more protecting myself. DH really needs to look into this so that he has things covered and so that BM cannot take advantage of the provision in CA stating that he must cover ALL medical costs. She did that once with visit to ER, and he still needs to pay that off. Toxix Feral Eldest had "polyps", supposedly, then anxiety and Xanax for the last ER. Ill need to investigate further to see what the options are and repercussions.

ESMOD's picture

Do you work for a very small company that may be exempt from certain insurance requirements?  If they offer coverage for dependents.. your stepchild IS a dependent according to the law.  Honestly if your DH could be responsible for 100% of costs.. it would be a lot better for it to be 100% of the after insurance portion than the no insurance full amount. 

I understand that it may cost money to get dependents EXTRA.. on your policy.. but that should be cheaper than getting that child a plan on their own... unless the state offers a lower income insurance for kids.  VA does.

Dontfeedthetrolls's picture

Assuming you have a custody order what does it say?

 Avoiding insurance completely for fear BM will use it is stupid since almost every order requires parents split medical expenses.

Our state orders both parents to provide health insurance unless what is offered is deemed unreasonable. SO actually had the court decide what his employer provided was not acceptable and now the kids are on state insurance because BM’s pay is below the poverty rate since she doesn’t have to get a better job and SO subsidizes her expenses with child support.

Before the state insurance BM was providing it through her work. SO was order to pay half of the children’s premiums. So if the total plan was 150 but BM alone was 100 he was to pay half of the 50 which would be 25. They did consider that when they calculated his child support but it only lowered his payments by 4 dollars every two weeks while he was required to pay BM directly 25.

If BD was still paying for his own insurance I’m sure he would add the children to his but since you are covering him now he would have to find a separate plan for them which will most likely cost more than if you just added them to yours.

In the end NO you don’t have to add them but you didn’t have to add him either. Clearly you’re ok supporting him to some degree. Either you’re refusing to spite BM which hurts the child and your partner or you’re refusing to spite the child which in turn still hurts your partner and I wonder why you are with him if you care so little for the kid you’re not willing to help him by including her on your plan.

Then again I don’t know the ends and outs of your finical situation and if you truly can’t add the child (which is unusual) then the point is null and void.

CLove's picture

Between them states that SHE provides insurance and HE pays for all medical expenses.

Its 100% fear that I will get screwed somehow. I love Munchkin and want the very best for her, but again, she has 2 parents that should provide this. I also love my husband. We split expenses, and he is 100% responsible for his child. Thats how we do things right now. I buy her things here and there, but health insurance is a whole different animal, I feel. Since I am new to having this kind of situation, am still trying to strategize.

From what I understand, in the organization (a non-profit) that I work for, the health is all employer paid, and with each addition its more expensive, so it affects the budget. When I quickly looked at the paperwork, it looks like adding another person is more expensive for my employer, therefore it affects the budget.

Dontfeedthetrolls's picture

Check the order for any information about what happens if BM fails to provide insurance.

In our order there is a clause that states that if expense occurs that would have been mitigated by insurance the parent failing to provided /use insure is responsible for all cost. This is really meant to prevent a parent from refusing to use an in network doctor just to run up the bill but could assist you.

For example with your order but that clause if BM fails to provide insurance and insure would cover X she would be responsible for ALL of X. Your partner could still be on the hook for standard deductibles and whatever percentage the old insurance didn’t cover.

You’re options are for BD to find out if she has provided insurance and to seek court assistance if she hasn’t but till they step in the child is uninsured. Your DH could go ahead and get coverage for the kid or try to get the kid on your plan and him cover the additional cost.

Yes it would cost the employer more for your step child to be on BUT that doesn’t mean that you CAN’T add the child. They normal have a rate for employee, employee + family. It seems like yours also offers employee + just spouse. My work also offers employee + just children. If you are willingly covering your partner you could look at what the difference is between you and him alone and the “family” plan. Have him pay you back for that difference. In my case it was only about $20 more for family (vs. employee -+ spouse) which covers ALL children.

I honestly don’t see how the kids being on your insurance would screw you any worse than him getting them on their own insurance. She can abuse either insurance, she can abuse the insurance she gets them, and she can abuse the lack of insurance. You guys have to decide what protects him the most.

Yes you might get the child support change if he provides insurance but he could also be told to no and the cost of fighting it in court might be higher than any benefits you would get if you win. Like I said in our case its $4 every pay check.

CLove's picture

This is more comple than I thought.

Survivingstephell's picture

BMs can and have run up copays.  Our tried to do it.  In our state, a percentage is assigned to each party responsible for co-pays and Dh's was included in his CS each month,  After a state set amount is reached, CP can then petition FOC for reimbursement.  Knowing this exists, BM can run up that medical with stupid visits.  Just to stick it to her ex.  Don't even get me started on braces for teeth.  That's a whole other issue.  

Clove, knowing the type of BM you have, I wouldn't add her.  It just opens another door for BM to use to mess with you.  Not worth it in your case.  Keep those steel walls in place to keep her out as much as possible.  You are right, she has two parents and you are not one of them.  Now, if for some reason DH was able to get sole custody of SD, and complete control over her, that might change my opinion. The way it stands now, don't do it.  

 

CLove's picture

Keeping my walls high!

Believe me, I DO in fact love munchkin. But BM is so high conflict, and so into doctors for nothing, its leaving an open door, like you state. And maybe its different in my situation. I need to investigate more, I believe, and truly understand all the different ramifications. DH needs to shop around. BM might qualify as low income for something.

The point is, I guess, that as far as health is concerned, Im covered, DH is covered by BOTH employers, now we need to figure out the best thing for little one

Survivingstephell's picture

Also check into which insurance gets used first.  In my state it goes by birthdate of policy carrier.  

Gucci's picture

I have 4 kids on mine (my 2, DH’s 2), and it has been ok so far- about 4 years now. It is in his CO that he provides insurance for them. She tried to backtrack on that when she realized we get a CS credit for it, but DH didn’t bite. 

iamlosingit's picture

I have better insurance than DH but my employer will not cover Skids unless I can claim them as dependants on my taxes...which I can't.  Judge said since DH can't prove that the child tax credit is a "windfall" for BM that there was no reason for them to alternate...yet DH has to cover SS on his insurance.  It's twisted how judges treat the other parent sometimes.  Makes me mad.  Nothing is fair. 

CLove's picture

According to the recent Child Support Moification order, DH lost the right to claim munchkin on his taxes as a dependant, as he has for many years now. So we will not get any credit there at all. Toxic Troll gets to claim her as dependant. To give her head of household status.

Yep. Its not fair that the courts treat the fathers like they are simply sperm donors that must pay and pay.

DPW's picture

My lawyer told me to never add exSS to my benefits plan as it would've put me in a parental position with the child and should something happen to exSO, exBM could use this against me and potentially obtain more from me than I'd want to voluntarily give. 

CLove's picture

I could afford to speak to a lawyer. So man yquestions. And a benefit specialist that knows about this stuff. I will be needing to do my own research.

DPW's picture

I have 20 years in Corporate Benefits, but in Canada, if that helps any. 

And, consults are often free. 

RLZ0073's picture

So the H provides medical, dental and vision for SD14 and SD13. BM takes them to Dr. for anything and everything. Because he pays out of pocket amounts (they get no cheap copays, his company gives them a wad of cash to pay for the OOP and god forbid something catastrophic happens), the BM (his ex) decided to get insurance and he pays the premiums and all copays as what she could get is much cheaper. Did I mention this was her first job in like 12-15 years? Plus she gets $2k in CS and we have them every Thursday and every other weekend... which is overkill compared to when I got divorced. Plus she has a guy living in her house with the kids that she moved in after 2 months of knowing him, 

So right before Christmas, she decides to up and QUIT her job because 'she didn't like it'. SERIOUSLY? Oh, but she still took her freshly purchased Ford Expedition and go on a 1.5 week road trip without the girls for Christmas. So her insurance was cancelled... leaving his crappy plan. (she's only had 2 interviews in the past month. And she wants a travelling job? My H and her BF both travel for work and I leave for work before the sun comes up so it won't work)

They were talking on speakerphone (without me) and SHE tells him to get THEIR children on MY insurance! WTF?!? Yes, he will pay me back, but that puts MY NAME as fiscally responsible for 2 kids that barely say 2 words to me. Would they agree to cosign my daughter's college loan with the promises that her dad will pay for it all? I highly doubt it!

It's the principle of not talking to me about it... then I send her an email asking for certain documents (with him cc'd) and she only responds to him? F that??! Why should I do either of them the favor?

So I tell him my feelings about not wanting to be involved in this and he flips out on me! 'It saves me money he says'... I don't care. I am really feeling like the third wheel and the past is the past and it needs to be that way. He's only seen my ex once because we bumped into him at a store.

Now I'm sort of brow beaten into something I don't want to do. If his insurance sucks, maybe he needs another job with better insurance. 

 

 

 

Survivingstephell's picture

You don't have to do it.  Don't let them brow beat you into doing it.  I will tell you that it was impossible to get 3 skids off DH's insurance when they PAS'd out.  HR wanted paperwork saying that had other insurance before dropping them.  So for years they were getting insurance thru their father without any recognition for it.  Thanks BM for teaching them that.  

Once you get them on, you might not be allowed to get them off.  It really sucks to provide benefits like that and have them taken for granted by cretins.  

DH retired recently and finally got them off.  Good riddance I say.  

RLZ0073's picture

It’s ridiculous that I’m helping these 2. He’s cheap and she is a former housewife who just quit her first job in 12-15 years because she ‘just didn’t like it’. 

I swear I’m the only one with a brain out of these two. I wish I wasn’t so old (mid 40s) that dating didn’t guarantee a mentally deranged old man who never married before or someone who had a money hungry ex who wants us to hang out or a guy has little kids and it’s like starting to be a parent all over again. Was I the only one who had kids in their early to mid 20’s? 

I miss being alone and divorced... my house was mine and I didn’t have other people running my life.

oh yeah, she sent me a text the other day, ‘they’re your stepkids now. You’re stuck with em.’  Actually not really. They’re not mine biologically and they do not treat me with respect. I treat them nice because they’re his kids. 

CLove's picture

DH was a bit upset, but he got over it quickly.

He is not doing anything about it - because he doesnt really want to talk to Toxic Troll more than needed. It would open a can of worms, is his thinking.

We are still struggling, him more than I with all his debts and obligations. I will def not put step child on my insurance, especially when my new boss explicitly said "no".