Health Insurance After Divorce: Your Options

In a perfect world, your soon-to-be-ex will help you pay your healthcare premiums for a while after your divorce, so you’ll still be covered. If that’s not included in the settlement, though, you’ll be out of luck, because the company will drop you from his or her health insurance plan as soon as the divorce is finalized.
So it’s best to research your options and take control of your healthcare coverage ASAP. Below are a few options you may have for health insurance after divorce:

1. COBRA

Divorce can leave you without your spouse’s company health insurance plan. However, you will be eligible for COBRA health insurance coverage for up to 18 or 36 months (depending on the circumstances), just like any employee who loses coverage. Your ex will need to work for a company with 20 or more employees to qualify for COBRA. That said, most states have “mini-COBRA” (state continuation) opportunities for those associated with a small business that has under 20 employees.

Once your current health insurance policy is terminated, you must apply for COBRA coverage within 60 days of the event, which allows you to retain coverage under the same plan you already had, but separately from your ex-spouse. You have to pay the entire cost of the health insurance policy, and will not receive any contributions toward the premiums from your ex’s employer as you likely did in the past. It’s appealing if you’ve already racked up significant medical expenses during the year since you won’t have to start over with a new plan and new out-of-pocket policies. That said, this can be the most expensive healthcare plan option, which is why it’s important to price shop health insurance rather than taking this route without researching.

2. Employer Health Insurance Plan

If you are eligible for health insurance through your own employer, talk to your human resources department about your options. This can be more cost-efficient than COBRA and keeps you out of your ex’s company plan. Although you generally have to wait for certain times of the year to join employer health insurance, losing your previous coverage due to a divorce launches a special enrollment period for you to sign up for your employer’s plan.

3. ACA / Obamacare Health Plan

Even if you have employer health insurance coverage available, you are eligible for Obamacare health insurance on the state exchange (which is either run by your state or the federal government) or outside the exchange. If you have employer coverage available, though, you likely wouldn’t receive a subsidy to offset the cost of an individual market plan. You have 60 days following your divorce to get coverage during what is known as a Special Enrollment Period. After the 60 days pass, you will have to wait until the regular open enrollment period to sign up for a health insurance plan. The regular enrollment period typically runs at the end of the year.

Shopping for a health insurance plan on your own for the first time can feel overwhelming, but if you remember five things to review when researching your health insurance options, you will make a more informed choice.

Metal level – Obamacare health insurance plans are structured by metal level: bronze, silver, gold, or platinum. The levels don’t determine the quality of care, only how you and your plan split the costs of care. Bronze plans are the most affordable, with traditionally a low premium, large deductible, and/or smaller doctor network, but most routine care would be out of pocket. As the plans progress, the benefits – including routine care – become more extensive, deductibles become lower, and the monthly cost for the plans becomes higher. A platinum plan pays approximately 90{46ef70f40fe9c57c59cc2f14f21b7816c850dc7a4b15fa03188a00f244ceee34} of average medical costs, and a bronze plan pays 60{46ef70f40fe9c57c59cc2f14f21b7816c850dc7a4b15fa03188a00f244ceee34} of average medical costs. No matter which level you choose, you might qualify for an income-based premium tax credit, which lowers your premium.

Network – If you are committed to your doctor or a particular facility where you like to receive care, make sure they are in the health insurance company network of the plan you are most interested in. The customer service number of the health insurance company can let you know if your doctor is in their provider network.

Deductible – A health insurance deductible is the dollar amount you must meet before the health insurance company begins paying for your medical care. Take a look at the policy’s deductible and make sure you have the savings to pay for that gap in coverage should unexpected medical bills arise. If not, you also have the option to purchase supplemental health insurance, which pays cash for accidents and illnesses to help cover your deductible.

Price – Monthly budget shouldn’t be the only deciding factor, but you need to make sure you can afford the monthly payments, otherwise, your health insurance plan will be canceled.

Penalty – In some states, you will face a fine if you decide to skip buying health insurance altogether. If health insurance is required by law, not carrying coverage will sting at tax time. You will owe the government a flat fee or a percentage of your income, whichever is greater when you pay your income taxes. This nationwide requirement expired in most states in 2019.

A majority of Americans qualify for some type of premium tax credit, a financial subsidy to help lower the cost of their health insurance plan. When you begin shopping for health insurance, calculate what your Obamacare tax subsidy might be in advance of making a decision on which plan you intend to purchase.

4. Short-Term Health Insurance

If an Obamacare plan doesn’t match your budget or you believe you will obtain health insurance from an employer in the near future, short-term health insurance is an affordable alternative option. There are a few things to know about these temporary health insurance plans:

You cannot have certain pre-existing conditions, and most of these plans have blanket exclusions for all pre-existing conditions. If you have a pre-existing condition, an Obamacare care or employer plan is your best option.

Coverage can start as soon as the day after you apply.

Temporary insurance can typically last for up to six months or up to 12 months, depending on your state of residence. Some states, however, limit them to three months, and others don’t allow such plans at all.

A divorce is a life-changing event, but finding health insurance after divorce shouldn’t be too difficult once you know your options. Make sure your wellness is protected so the next chapter of life is healthy and happy.

Legal Situations That May Affect Your Health Insurance After Divorce

 

What if You’re Separated but Not Divorced? You can stay on your spouse’s insurance if you’re not living together. There’s no rule against this. Keep in mind that your spouse may receive your health records in the mail.

One spouse generally can’t remove their partner from their shared health insurance plan until after the divorce is final. The primary spouse on your health insurance plan may be able to enter health insurance coverage on their own once the plan expires, however.

If you and your spouse undergo a legal separation (or a “limited divorce”), the laws will differ based on your state and insurance company. Your plan may or may not view this as the same thing as a divorce. It’s best to talk to your insurance company or attorney for more information.

Health Insurance In A Divorce Settlement: You can absolutely discuss health insurance in a divorce settlement. As part of the settlement, a spouse may cover premiums for you and your children, through COBRA, their employer’s plan, or an individual market plan.

If You’re Divorced But Don’t Lose Your Health Insurance: If you don’t lose your health insurance when legal separation occurs – perhaps because you were the primary insured – then you may not have guaranteed rights to choose a new ACA plan. However, you might qualify to choose a new plan simply because someone else left your existing plan, or because your household income changed.

Can a Judge Order Changes to Your Health Coverage? It’s possible, but not required, for a court to order one spouse to pay the other’s premiums.

This article appeared in HealthCareInsider and has been published here with permission.

Violation of the N.J. Stalking Statute

VIOLATION OF THE N.J. STALKING STATUTE CAN LEAD TO THE ISSUANCE OF A DOMESTIC VIOLENCE RESTRAINING ORDER

In L.G v. T.G., decided March 12, 2019 by the Appellate Division of the New Jersey Superior Court that a New Jersey court has the power to issue a domestic violence restraining order whenever there is such behavior by one party towards the other that constitutes extremely annoying behavior or repetitively annoying behavior without physical violence having occurred.

In this case, the trial judge, after hearing that a husband had engaged his father to hire a private detective to place a GPS tracking device on his wife’s car, so he could follow her whereabouts continuously while she was using the car, found the husband had violated the stalking statute which is included as one of the reasons a domestic violence restraining order can be issued. The investigating officer of the Howell Township police department testified that L.G. appeared “concerned, nervous and scared,” and that T.G. refused to answer questions about the GPS. After further investigation, the police officer testified there were eighty-eight successful logins after the device was installed, which had “real time GPS tracking” via a wireless network. L.G. also testified that her husband questioned her about where she had been and told her he was going to find out more about where she went. There had been one prior incident of domestic violence between the parties but on that prior occasion, L.G. chose to dismiss the temporary restraining order she had obtained to see if the marriage could be reconciled.

The stalking statute, N.J.S.A. 2C:12-10(b), was implemented “to intervene in repetitive harassing or threatening behavior before the victim has actually been physically attacked.” H.E.S. v. J.C.S., 175 N.J. 309, 329 (2003) (quoting State v. Saunders, 302 N.J. Super. 509, 520 (App. Div. 1997)). Therefore, “acts of actual violence are not required to support a finding of domestic violence.” Granting a final restraining order to a victim of stalking furthers the domestic violence law’s goal of assuring the victims of domestic violence the maximum protection from abuse the law can provide.

The Appellate Court said “T.G.’s actions were clearly directed at L.G. We are not persuaded by his argument that he didn’t place the device on L.G.’s vehicle, but authorized his father to employ a private investigator to do so. Indirectly and through a third-party, T.G. had L.G. followed, monitored, observed, and surveilled, by using a device in violation of N.J.S.A. 2C:12-10(a). The evidence amply supports the judge’s finding that L.G. was monitored over a sufficient period of time, establishing a repeated course of conduct within the meaning of the statute. We see no basis to disturb the judge’s findings as to stalking.”

The court pointed out that the trial judge found the information obtained through the GPS led to T.G. intentionally harassing L.G., and, “to intimidate her, to try to trap her.” Thus, they had “no difficulty in affirming the judge’s finding that T.G. committed the predicate act of harassment by using information gathered by the GPS.”

The court also found that the trial judge reviewed the factors needed to determine if L.G. required the protection of a final restraining order to remove her from immediate danger and to prevent further abuse. These factors are:1) The previous history of domestic violence between the plaintiff and defendant, including threats, harassment and physical abuse;2) The existence of immediate danger to person or property;3) The financial circumstances of the plaintiff and defendant;4) The best interests of the victim and any child;5) In determining custody and parenting time the protection of the victim’s safety; and6) The existence of a verifiable order of protection from another jurisdiction.[N.J.S.A. 2C:25-29(a)(1)-(a)(6).] The court found the trial judge properly considered the evidence presented to him and that he had relied upon sufficient credible evidence in the record to find “regular serious abuse” between the parties and appropriately considered L.G. to be a victim of past domestic abuse. Therefore, the Appellate court upheld the issuance of the final restraining order against T.G.

While unpublished, and therefore not considered to be binding on other courts, this decision establishes an important concept in the use of technology to spy on one’s spouse or significant other, that is, that such spying can be considered in violation of the criminal statute barring stalking and can support issuance of a restraining order with serious consequences to the perpetrator.