Final Decree On Petition For Divorce Legal Separation Or Civil Union Dissolution Page 3

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Case Name:
Case Number:
FINAL DECREE ON PETITION FOR DIVORCE, LEGAL SEPARATION, OR CIVIL UNION DISSOLUTION
7.
Health Insurance for Spouse
N/A
The continuation of
’s employer-sponsored group medical
health insurance benefits on behalf of
shall be governed by RSA 415:18. VII-b, COBRA, or other applicable law. The following
additional provisions, if any, apply:
shall maintain health insurance for the benefit of
. This obligation shall terminate:
shall maintain dental insurance for the benefit of
. This obligation shall terminate:
shall be responsible for payment of the premiums.
This obligation shall terminate:
.
Each party shall be responsible for his/her own medical and dental insurance and for
paying all of his/her own unreimbursed medical, dental, optical, and other expenses not
otherwise covered by insurance.
8.
Life Insurance
N/A
Each party is awarded any and all life insurance policies owned by that party, free and
clear of any right, title, or interest of the other.
shall maintain a life insurance policy in the minimum
amount of $
designating
as trustee for the
benefit of the child(ren). This obligation shall continue as long as the insured is obligated
to pay support.
Other:
9.
Motor Vehicles
N/A
Each party is awarded the vehicles in his/her name or possession, free of any right, title or
interest of the other.
is awarded the
free
and clear of any interest of
is awarded the
free
and clear of any interest of
Each party shall be responsible for all expenses as to his/her vehicles, including car
payments, maintenance, registration and insurance.
NHJB-2071-FS (08/27/2013)
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