Decree Of Divorce (With Children) Page 6

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This amount of child support meets the child(ren)’s financial needs;
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MEDICAL INSURANCE
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14.
That the Court should order the parties to follow the medical and health insurance
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provisions for the children as set forth below. (check all that apply)
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The children presently are not covered by a health insurance policy. The parties
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do not intend to maintain health insurance on the children.
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AND/OR
The children presently are not covered by health insurance. The parties intend
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to obtain coverage for the children. ___________________ will be responsible for obtaining and
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(Husband/Wife/Both)
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maintaining coverage. ___________________ will be responsible for the cost of the premiums.
(Husband/Wife/Both)
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AND/OR
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The children presently are covered by health insurance. ___________________
13
(Husband/Wife/Both)
will maintain the health insurance on the children. The children’s portion of the insurance
14
premium is $___________ per month. Husband pays $__________ of this amount and Wife
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pays $______________ of this amount.
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AND/OR
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The children presently (check one)
are/
are not on Medicaid
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AND/OR
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The children presently (check one)
are/
are not on Nevada Check-up.
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DIVISION OF ASSETS AND DEBTS
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16.
(CHECK ONLY ONE BOX)
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That there is no community property to be adjudicated by the Court;
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OR
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