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  • Dental Benefits

    My questions today is...............Benefits are only on the side of my X. The children are under his benefits, as I have none. The dental only pays a certain amount and there is some residual. Do we split the residual amount or am I responsible for 50% of the total cost of the dental?
    To me that would be double dipping, but I could be wrong.
    Thanks in advance for all your opinions.

  • #2
    You are obligated to pay your proportional share AFTER deducting the amount benefits cover. If braces are $5000, the ex's benefits cover $4000 of it, you should have to pay on the remaining $1000.

    Now, unless for some reason the ex's in somehow suggesting you should get your own benefits for the children, they use yours, then use his and then pay the difference.

    Sounds like your ex doesn't want to allow you to use the benefits they are maintaining for the kids. So they probably want you to pay 50% and then they will take their half and have it covered by their benefits.

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    • #3
      Thanks Hammer,
      The dispute we are having is that dental paid all but 300 bucks. I paid 150 and now my ex claims he wants half of the full amount of dental bill..........example dental bill was 900 benefits paid 600 leaving 300 I paid 150 he now claims I must pay him 50% of the 900................Is that fraud against the insurance company..........???

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      • #4
        No it's just a cash grab. Tell him to f*** himself.

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        • #5
          He wants you to pay $450 on a $300 expense?? That's nervey. What's his reasoning for that?

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          • #6
            I think his reasoning is............hatred. I went to legal council last week and I forgot to ask that important question, and darn it didnt he try it this week...........lol

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            • #7
              That sucks, sorry you're dealing with that nonsense. You did the right thing and paid the share you're responsible for. If he thinks he's entitled to more than that let him file for it and see how far he gets.

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              • #8
                Special expenses are usually paid proportional to income AFTER things like benefits are applied.

                Do the both of you make the same amount of money?

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                • #9
                  Originally posted by Momymonkey View Post
                  I think his reasoning is............hatred. I went to legal council last week and I forgot to ask that important question, and darn it didnt he try it this week...........lol

                  Only reason I can see him saying that is to recoup some of the premium costs paid by him. He probably believes that you are gaining the benefit of the reduced cost at his expense.

                  If he is court ordered or have an agreement which provides that he will maintain benefits for the children, he is up the creek and has no logical or legal leg to stand on.

                  If there is no order or agreement, and he is allowing you the children to be on his benefits and not allowing you access to use those benefits as well, I would ask him if he is planning on claiming 1/2 or 100% of the benefits. Because if he is claiming 100% from the insurance company, after you have already paid 1/2, you may have to call his insurer and advise them of the situation that he is only entitled to claim 1/2 of the costs.

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                  • #10
                    Thanks Hammer,

                    It is I that pay the CS and I that pay the extra/essential needs expenses, as he has primary custody of 1 of our 3 children. 2 of our children are out of school and not in PS institute. The dental bill he just sent me was due to an arguement over registering our son into an activity that fell on my time. I didnt agree with it and he proceeded anyway. My access was then reduced to half the amount I am used to. When I wouldnt agree to pay for 50% of this activity this is when the battle ensued............

                    He thinks that I should pay 50% of the full dental bill.........approx 2k before his benefits, after benefits there was an amount owing of $300. I have already paid him my 50%..........now he wants 1k minus what I paid him............Im pretty sure I dont pay that.

                    Our agreement has no provisions for extra/essential expenses..........thats why I went to speak with legal council last week. I needed to clarify what Ive been doing was in line with our agreement. Seems I have been doing above and beyond what Im supposed to do and my lawyer said she wished she had more clients like that............lol.

                    I have never missed a CS payment, I have voluntarily increased my CS every year according to line 150 and have submitted to him the paperwork from CCRA. I have paid for 50% of all school supplies and trips and any medical/dental needs...............seems that, that isnt enough for my X...........It wont be much longer so I will just buck up and stick to what IVe been doing..........lawyer says Im good, Im running with it...........

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                    • #11
                      Originally posted by Momymonkey View Post
                      ...
                      He thinks that I should pay 50% of the full dental bill...


                      ...I have never missed a CS payment, I have voluntarily increased my CS every year according to line 150 and have submitted to him the paperwork from CCRA. I have paid for 50% of all school supplies and trips and any medical/dental needs...............seems that, that isnt enough for my X...........It wont be much longer so I will just buck up and stick to what IVe been doing..........lawyer says Im good, Im running with it...........
                      Him wanting you to pay 50% of the total dental bill is a laugh. You should share in paying for the out of pocket expense, in proportion to your two incomes (not necessarily half as this is a special expense).

                      BUT you are benefiting from the insurance that he is buying for your kids, so you should pay to him, again in proportion to income, your portion of the increase in the direct cost of this benefit over just him (and not the kids too) being insured.

                      Simple!

                      As for not paying the cost for an activity that he signed the child up for against your wishes, that is not so simple, but the way you described it, I think its reasonable not to pay - though I don't know all the details. However you paying it may save you a lot of aggravation!

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                      • #12
                        It sounds like his insurance is free thru his work....

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                        • #13
                          Hi Bill,
                          I have been reading into the premium costs as well, just incase it comes up I want to be prepared. These are company benefits and from personal, past, experience, it has cost less than 40 bucks a month(works for a company with excellent benefits). So out of that 40 bucks I would have to pay 50%.............I hope not, cause I dont want to pay for his portion.
                          How would it work 50% of 50%? I dont think he would disclose a paystub to me, for actual #'s, he is very secretive of his salary.

                          Originally posted by billm View Post
                          As for not paying the cost for an activity that he signed the child up for against your wishes, that is not so simple, but the way you described it, I think its reasonable not to pay - though I don't know all the details. However you paying it may save you a lot of aggravation!
                          He signed him up to an activitiy that takes away 2 of my 4 days a month..............sorry Im not approving something that interfers with my time when it clearly states in our agreement that he is not to sign the kids up for any activity that falls on the other parents time................Im not paying to give my time away. He can take me to court if he wants to............

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                          • #14
                            Hi Dinkyface,

                            He does get benefits through work, but I am unsure how much he pays for them if at all. He is very secretive of his salary, so I very much doubt he would give me the information willingly.

                            My work does not supply benefits, but my current husband has them. We did try to put the kids on his, but because they do not live with us full time we cannot put them on............

                            Comment

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