Common use of Health Insurance Clause in Contracts

Health Insurance. The Couple agrees that: (check one) ☐ - Each Spouse is responsible for THEIR OWN health insurance. ☐ - Health insurance IS PROVIDED by ☐ Husband ☐ Wife (“Health Insurance Paying Spouse”) to ☐ Husband ☐ Wife (“Health Insurance Receiving Spouse”). Health insurance shall include: (check all that apply) ☐ - Medical ☐ - Dental ☐ - Vision Care ☐ - Other. . To facilitate the use of such coverage for the Health Insurance Receiving Spouse, the Health Insurance Paying Spouse shall cooperate fully and in a timely manner, including, but not limited to, obtaining and providing all necessary insurance cards and claim forms, completing and submitting all necessary documents, and delivering all insurance payments.

Health Insurance. The Couple agrees that: (check one) ☐ - Each Spouse is responsible for THEIR OWN health insurance. ☐ - Health insurance IS PROVIDED by ☐ Husband ☐ Wife (“Health Insurance Paying Spouse”) to ☐ Husband ☐ Wife (“Health Insurance Receiving Spouse”). Health insurance shall include: (check all that apply) ☐ - Medical ☐ - Dental ☐ - Vision Care ☐ - Other. _________________________________________________. To facilitate the use of such coverage for the Health Insurance Receiving Spouse, the Health Insurance Paying Spouse shall cooperate fully and in a timely manner, including, but not limited to, obtaining and providing all necessary insurance cards and claim forms, completing and submitting all necessary documents, and delivering all insurance payments.

Health Insurance. The Couple agrees that: (check one) ☐ - Each Spouse is responsible for THEIR OWN health insurance. ☐ - Health insurance IS PROVIDED by ☐ Husband ☐ Wife (“Health Insurance Paying Spouse”) to ☐ Husband ☐ Wife (“Health Insurance Receiving Spouse”). Health insurance shall include: (check all that apply) ☐ - Medical ☐ - Dental ☐ - Vision Care ☐ - Other. . [DESCRIBE]. To facilitate the use of such coverage for the Health Insurance Receiving Spouse, the Health Insurance Paying Spouse shall cooperate fully and in a timely manner, including, but not limited to, obtaining and providing all necessary insurance cards and claim forms, completing and submitting all necessary documents, and delivering all insurance payments.

Health Insurance. The Couple agrees that: (check one) ☐ - Each Spouse is responsible for THEIR OWN health insurance. ☐ - Health insurance IS PROVIDED by ☐ Husband ☐ Wife (“Health Insurance Paying Spouse”) to ☐ Husband ☐ Wife (“Health Insurance Receiving Spouse”). Health insurance shall include: (check all that apply) ☐ - Medical ☐ - Dental ☐ - Vision Care ☐ - Other. . [OTHER]. To facilitate the use of such coverage for the Health Insurance Receiving Spouse, the Health Insurance Paying Spouse shall cooperate fully and in a timely manner, including, but not limited to, obtaining and providing all necessary insurance cards and claim forms, completing and submitting all necessary documents, and delivering all insurance payments.

Health Insurance. The Couple agrees that: (check one) ☐ ☐
- Each Spouse is responsible for THEIR OWN health insurance. ☐ ☐
- Health insurance IS PROVIDED by ☐ ☐
Husband ☐ ☐
Wife (“Health Insurance Paying Spouse”) to ☐ ☐
Husband ☐ ☐
Wife (“Health Insurance Receiving Spouse”). Health insurance shall include: (check all that apply) ☐ ☐
- Medical ☐ ☐
- Dental ☐ ☐
- Vision Care ☐ ☐
- Other. . [DESCRIBE]. To facilitate the use of such coverage for the Health Insurance Receiving Spouse, the Health Insurance Paying Spouse shall cooperate fully and in a timely manner, including, but not limited to, obtaining and providing all necessary insurance cards and claim forms, completing and submitting all necessary documents, and delivering all insurance payments.

Health Insurance. The Couple agrees that: (check one) ☐ ☐- Each Spouse is responsible for THEIR OWN health insurance. ☐ ☐- Health insurance IS PROVIDED by ☐ ☐Husband ☐ ☐Wife (“Health Insurance Paying Spouse”) to ☐ ☐Husband ☐ ☐Wife (“Health Insurance Receiving Spouse”). Health insurance shall include: (check all that apply) ☐ ☐- Medical ☐ ☐- Dental ☐ ☐- Vision Care ☐ ☐- Other. . [OTHER]. To facilitate the use of such coverage for the Health Insurance Receiving Spouse, the Health Insurance Paying Spouse shall cooperate fully and in a timely manner, including, but not limited to, obtaining and providing all necessary insurance cards and claim forms, completing and submitting all necessary documents, and delivering all insurance payments.

Health Insurance. The Couple agrees that: (check one) ☐ ☐- Each Spouse is responsible for THEIR OWN health insurance. ☐ ☐- Health insurance IS PROVIDED by ☐ ☐Husband ☐ ☐Wife (“Health Insurance Paying Spouse”) to ☐ Husband ☐ Wife (“Health Insurance Receiving Spouse”). Health insurance shall include: (check all that apply) ☐ ☐- Medical ☐ ☐- Dental ☐ ☐- Vision Care ☐ ☐- Other. . [OTHER]. To facilitate the use of such coverage for the Health Insurance Receiving Spouse, the Health Insurance Paying Spouse shall cooperate fully and in a timely manner, including, but not limited to, obtaining and providing all necessary insurance cards and claim forms, completing and submitting all necessary documents, and delivering all insurance payments.

Health Insurance. The Couple agrees that: (check one) ☐ ☒ - Each Spouse is responsible for THEIR OWN health insurance. ☐ - Health insurance IS PROVIDED by ☐ Husband ☐ Wife (“Health Insurance Paying Spouse”) to ☐ Husband ☐ Wife (“Health Insurance Receiving Spouse”). Health insurance shall include: (check all that apply) ☐ - Medical ☐ - Dental ☐ - Vision Care ☐ - Other. _________________________________________________. To facilitate the use of such coverage for the Health Insurance Receiving Spouse, the Health Insurance Paying Spouse shall cooperate fully and in a timely manner, including, but not limited to, obtaining and providing all necessary insurance cards and claim forms, completing and submitting all necessary documents, and delivering all insurance payments.

Health Insurance. The Couple agrees that: (check one) ☐ ☒ - Each Spouse is responsible for THEIR OWN health insurance. ☐ - Health insurance IS PROVIDED by ☐ Husband ☐ Wife (“Health Insurance Paying Spouse”) to ☐ Husband ☐ Wife (“Health Insurance Receiving Spouse”). Health insurance shall include: (check all that apply) ☐ - Medical ☐ - Dental ☐ - Vision Care ☐ - Other. . To facilitate the use of such coverage for the Health Insurance Receiving Spouse, the Health Insurance Paying Spouse shall cooperate fully and in a timely manner, including, but not limited to, obtaining and providing all necessary insurance cards and claim forms, completing and submitting all necessary documents, and delivering all insurance payments.

Health Insurance. The Couple agrees that: (check one) ☐ ☐
- Each Spouse is responsible for THEIR OWN health insurance. ☐ ☐
- Health insurance IS PROVIDED by ☐ ☐
Husband ☐ ☐
Wife (“Health Insurance Paying Spouse”) to ☐ ☐
Husband ☐ ☐
Wife (“Health Insurance Receiving Spouse”). Health insurance shall include: (check all that apply) ☐ ☐
- Medical ☐ ☐
- Dental ☐ ☐
- Vision Care ☐ ☐
- Other. . [OTHER]. To facilitate the use of such coverage for the Health Insurance Receiving Spouse, the Health Insurance Paying Spouse shall cooperate fully and in a timely manner, including, but not limited to, obtaining and providing all necessary insurance cards and claim forms, completing and submitting all necessary documents, and delivering all insurance payments.