Child Health Insurance in Divorce Cases in Texas

By Beverly Bird

Texas takes the welfare of its children seriously. If you're facing divorce in this state and you have children, the proceedings will involve more than determining custody and child support. State law, such as the Texas Family Code, includes provisions for your children's medical care, including health insurance, in addition to a child support order. If you fail to provide health insurance for your child in violation of a court order, the court can fine you up to $500 and send you to jail for six months.

Texas takes the welfare of its children seriously. If you're facing divorce in this state and you have children, the proceedings will involve more than determining custody and child support. State law, such as the Texas Family Code, includes provisions for your children's medical care, including health insurance, in addition to a child support order. If you fail to provide health insurance for your child in violation of a court order, the court can fine you up to $500 and send you to jail for six months.

Employer-Sponsored Plans

Texas courts first look to the parent who is paying child support to provide health insurance for the children. If you are currently providing health insurance for your child through an employer-sponsored plan, the court will likely order you to continue doing so, so long as the cost is reasonable, which the statutes set at 9 percent or less of your yearly income. Under Texas law, a parent's contributions to employer-sponsored health plans are made with pre-tax dollars. Child support is then calculated using his net pay after the deduction for health coverage and taxes. If the parent paying child support does not have access to reasonable employer-sponsored health insurance, the court will look to the other parent's employer-sponsored plan. If a reasonable plan is available, the court will order the parents to acquire this coverage and add this expense to the amount of the child support order.

Divorce is never easy, but we can help. Learn More

Other Coverage

If neither parent has access to employer-sponsored coverage nor can cover the children at reasonable cost, Texas law allows judges to order parents to purchase private coverage. A judge won't do so, however, if the cost is more than reasonable and the parents clearly can't afford it. A judge can also obligate a stepparent to cover the children on an employer's plan if either spouse remarries after the divorce.

CHIP and Medicaid

If affording private health insurance is out of the question, the court can order either you or your spouse to apply for government-sponsored health insurance coverage for your children, such as Medicaid or the Children's Health Insurance Program. This generally only occurs if your incomes are low enough to qualify for these programs. If you're ordered to cover your children on your employer's plan, you can't opt out and cover them on Medicaid or CHIP instead, even if you meet the income requirements for coverage. The costs for these plans will be considered in the child support order.

Cash Medical Support

Even if you have health insurance coverage for your children, co-pays and unreimbursed medical expenses are usually unavoidable. Texas courts include these costs in medical support orders as well. Depending on your respective incomes, you and your spouse may be expected to share these expenses 50-50. If you earn considerably more than your spouse does, however, you might have to pay the bulk of these costs. A medical support order obligates you to pay a set figure toward these expenses in advance so the funds are available if your children need them – it's similar to having a second child support order. The same applies if you simply cannot cover your children with insurance by any means – you don't qualify for government programs, you can't afford private coverage and your employers don't offer plans. In this case, the medical support order covers the cost of all anticipated medical care your children might need, not just co-pays.

Divorce is never easy, but we can help. Learn More
Texas Family Code Child Support Guidelines

References

Related articles

Who Gets the Responsibility of Medical Insurance After a Divorce in New Hampshire?

If you receive health insurance through your spouse’s plan, provided by his employer, you may lose your eligibility for that insurance plan when you divorce. Though state laws vary on this issue, New Hampshire law enables a spouse who is covered under her spouse’s plan to continue coverage under certain circumstances. Additionally, federal law provides some continuation rights, and courts can order one spouse to pay for the other spouse’s insurance coverage.

How to Keep Health Insurance After a Divorce in Alaska

Life can change radically after a divorce and Alaska spouses may lose benefits that were based on their marital status, including health insurance. If one spouse receives health insurance through the other spouse’s employer-provided plan, she cannot continue on that plan in the same manner once the divorce is final.

Georgia Health Insurance Laws Concerning Divorce

Many spouses have health insurance coverage through their spouse’s group plan, but that eligibility changes when they divorce. If one spouse is receiving health insurance benefits through the other spouse’s plan, the receiving spouse must elect coverage under COBRA if she wants to remain on that plan once the divorce is finalized.

Get Divorced Online

Related articles

Divorce Laws on Court-Ordered Health Insurance

Divorce changes your legal status, and you may lose health insurance benefits because you are no longer married. Your ...

Connecticut Law on Medical Coverage After a Divorce

In Connecticut, medical coverage ends for a spouse who is covered under the other spouse’s plan once the divorce ...

Ohio Health Insurance to a Spouse Post-Divorce

Families often receive health insurance as part of a group plan through one spouse’s employer, but when the ...

Health Insurance Laws During Divorce in Texas

Families often obtain health insurance through one spouse’s employer-sponsored group plan; however, you likely ...

Browse by category