Ohio > County (Court Of Common Pleas) > Clermont > Domestic Relations
Child Support With Private Medical Insurance DR-407 - Ohio
| Child Support With Private Medical Insurance Form. This is a Ohio form and can be used in Domestic Relations Clermont County (Court Of Common Pleas) . |
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CHILD SUPPORT WITH PRIVATE MEDICAL INSURANCE 1. Private insurance is accessible and reasonable in cost. Effective (date), _______________(Mother or Father) shall pay current child support in the amount of $ per month ($ per month, per child) plus a two percent processing fee, for a total of $ per month ($ per week). (Mother or Father) shall continue to pay $ in current support, per month, for all months during which private health insurance is provided. If, and when private health insurance is no longer provided by the party ordered to provide insurance, (Mother=s or Father=s) current child support shall change, as set forth below. Check this box if the child support order is a deviation from the actual annual obligation on the support worksheet: G The above child support deviates from the actual annual obligation on the child support worksheet because, pursuant to RC 3119.22, the actual annual obligation is unjust, inappropriate and not in the best interest of the child/ren for the following reason(s): 2. Any credit or arrearage which may be reflected on the CSEA records as of (date) shall be preserved. OR Due to the effective date, there will be an arrearage. (Mother or Father) shall pay the arrearage at the rate of $ per month, plus a two percent processing fee, for a total monthly payment of $ ($ per week). No Federal or State Aid is involved and, if there is Federal or State Aid involved, this entry shall not operate as a bar to any government agency collecting funds due. In the event that private health insurance is no longer provided by the party ord ered to provide insurance, (Mother=s or Father=s) current child support shall change to $ per month ($ per month, per child) plus a two percent processing fee, for a total of $ per month ($ per week), and (Mother or Father) shall pay cash medical support in the amount of $ per month, plus a two percent processing fee, for a total of $ per month ($ per week). Cash medical support shall be paid in addition to any current child support and arrearage. The AObligor@ is the person paying child support and/or cash medical support, and the AObligee@ is the person receiving child support and/or cash medical support. Page 1 of 5 3. 4. American LegalNet, Inc. www.FormsWorkFlow.com 5. The Obligor=s obligation to pay cash medical support shall commence the first day of the month immediately following the month in which private insurance is unavailable or terminates. The Obligor=s obligation to pay cash medical support shall cease on the last day of the month immediately preceding the month in which private health insurance is resumed for the minor child/ren by the party obligated to provide insurance herein. Any cash medical support paid, as set forth above, shall be paid by the Obligor to the Obligee if the child is not a Medicaid/CareSource recipient, or to CSE to defray the cost of Medicaid/CareSource expenditures if the child is a Medicaid/CareSource recipient. 6. The Obligor=s monthly order shall be as follows: When health insurance is provided by the party ordered herein: Current support including 2% processing fee . Cash Medical Support plus 2% processing fee -0.00 Support Arrearage plus 2% processing fee . Total Monthly Order . When health insurance is NOT provided by the party ordered herein: Current support including 2% processing fee . Cash Medical Support plus 2% processing fee . Support Arrearage plus 2% processing fee . Total Monthly Order . 7. Child support and cash medical support shall be paid by means of a wage withholding order through Ohio Child Support Payment Central (ACSPC@). Until the withholding order goes into effect, the Obligor shall pay said support directly to CSPC, as set forth below. Any payments made directly to the Obligee shall be deemed a gift and not in satisfaction of said support. A child support worksheet is attached hereto and incorporated herein. Support shall terminate when the child reaches the age of 18 if the child no longer attends an accredited high school on a full-time basis; the child ceases to attend an accredited high school on a full-time basis after attaining the age of majority; or the child=s death, marriage, emancipation, or enlistment in the armed services. The support shall continue after the child reaches the age of 18 years as long as the child continuously attends on a full-time basis any recognized and accredited high school, but shall not continue past the date the child reaches the age of 19 years. RC 3119.86 Payments to Ohio CSPC should be sent to the following address: Ohio CSPC, P. O. Box 182372, Columbus, Ohio 43218-2372. Payment may be made by personal check, certified check, cashier=s check or money order only. Payments must include the court case number and the SETS number; if the SETS number is not available, then the Payor's Social Security Page 2 of 5 American LegalNet, Inc. www.FormsWorkFlow.com number must be on the payment. 8. Regardless of the frequency or amount of the support payments to be made under this order, the CSEA shall administer the order on a monthly basis. Payments under the order are to be made in the manner ordered by the Court and, if the payments are to be made other than on a monthly basis, the required monthly administration by the agency does not affect the frequency or the amount of the support payments to be made under the order. All child support, cash medical support and spousal support ordered by this order shall be withheld or deducted from the wages or assets of the obligor under the order in accordance with RC 3121.02 and shall be forwarded to the obligee under the order. The specific withholding or deduction requirements or other appropriate requirements to be used to collect the support shall be set forth in and determined by reference to the notices that are mailed by the court or child support enforcement agency or the court orders that are issued and mailed, and shall be determined without the need for any amendment to the support order. Those notices and court orders, plus the notices provided by the court or agency that require the person who is required to pay the support to notify the child support enforcement agency of any change in his employment status or of any other change in the status of his assets, are final and are enforceable by the court. RC Chapter 3121. The obligee immediately shall notify, and the obligor may notify, the child support enforcement agency of any reason for which the support order should term
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