Findings Of Fact And Conclusions Of Law - Supreme Court Of The State Of New York Page 8
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There are no unemancipated children of the marriage.
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OR
There are no health plans available to the parties through their employment. OR
The parties are covered by the following group health plans through their employment:
Plaintiff
Defendant
Group Health Plan:
Group Health Plan:
Address:
Address:
Identification Number:
Identification Number:
Plan Administrator:
Plan Administrator:
Type of Coverage:
Type of Coverage:
The parties have agreed or stipulated OR the court has determined that the
Plaintiff
Defendant shall be the legally responsible relative and that the
OR
unemancipated child(ren) shall be enrolled in his / her group health plan as specified above until
the age of 21 years OR until the child(ren) is / are sooner emancipated.
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FIFTEENTH:
The
Court entered the following order(s) under Index
No(s). / Docket No(s).:
Not Applicable
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SIXTEENTH:
Plaintiff
OR
Defendant
may resume use of the prior
surname:
.
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SEVENTEENTH: Compliance with DRL § 255 (1) and (2) has been satisfied as follows:
A)
The parties entered into a Stipulation of Settlement/Agreement dated _______________________
AND:
1.
the stipulation of settlement complies with the requirements of DRL § 255 (2).
or
2.
the parties entered into an addendum to the stipulation of settlement/agreement which
complies with the requirements of DRL § 255 (2).
B)
There is no stipulation of settlement/agreement
===================================================================
each party has been provided notice as required by DRL § 255(1)
1.
or
2.
the plaintiff has been notified pursuant to DRL § 255(1). Notice to the defendant
cannot be effectuated due to the defendant’s whereabouts being unknown. Since the cost of
publication would present an undue burden, notice to the defendant is hereby dispensed with.
(UD-10 Rev. 1/31/14)
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