Additional Health Insurance (Financial Affidavit) {DV-HI 136.2}

DV-HI 136.2 - ADDITIONAL HEALTH INSURANCE (FINANCIAL AFFIDAVIT). This form is used in Illinois Circuit Courts for documenting additional health insurance information in financial affidavits. It is used by parties involved in a legal case, either pre-judgment or post-judgment, to provide detailed information about their health insurance coverage. The form requires information about the type of insurance, the provider, policy details, monthly costs, and who is covered under the policy. It is meant to provide a comprehensive overview of a party's health insurance situation as part of a financial affidavit. If there is more than one health insurance policy, multiple forms may be attached. www.FormsWorkflow.com