TN Guidelines: Health Insurance, Medical Expenses & Child Care

Tennessee Child Support Guidelines: Health Insurance, Medical Expenses & Child Care

The Tennessee Child Support Guidelines sets the support amount owed.  The children’s health insurance premiums, uninsured medical expenses, and work-related child care costs (which should include after-school care) are added as separate components within the calculation and the amounts are individual to each family. This makes sense because there is no way to average these costs among families in Tennessee.  Plus, child care costs vary greatly among facilities, as any parent may attest.

If the alernative residential parent (ARP) is paying the health insurance premium, don’t forget to exclude that from the wage assignment to prevent double payment. But, any amounts paid by a step-parent are excluded from the calculation.

Tennessee Child Support Guidelines

Tennessee Child Support Guidelines – Health Insurance, Uncovered Medical Expenses, and Child Care Costs

Here is the provision from the Tennessee Child Support Guidelines:

 (8) Adjustments for Additional Expenses.

(a)  The CS Schedule does not include the cost of the child’s health insurance premium, uninsured medical expenses, or work-related childcare costs.

  1. The additional expenses for the child’s health/dental insurance premium, recurring uninsured medical expenses, and work-related childcare shall be included in the calculations to determine child support.
  2. The amount of the cost for the child’s health insurance premium, recurring uninsured medical expenses, and work-related childcare shall be determined as indicated below in subparagraphs (b), (c), and (d) and added to the BCSO as “Additional Expenses” or “add-ons.”
  3. The total amount of the cost for the child’s health insurance premium, recurring uninsured medical expenses, and work-related childcare shall be divided between the parents pro rata based upon the PI of each parent to determine the total Presumptive Child Support Order and shall be included in the written order of the tribunal together with the amount of the BCSO.
  4. If the health insurance premium and/or the work-related child care is/are being paid by the ARP, the payment shall be reflected in the child support order to identify the amount and nature of the obligation, but shall not be included in the ARP’s income assignment. The order shall require that these expenses continue to be paid by the ARP in the same manner as they were being paid prior to the instant action.
  5. Amounts paid by a non-parent caretaker for either child care or health care expenses shall be included in the calculation for payment by the parents.
  6. Amounts paid by a step-parent shall not be considered in the calculation.

Tennessee Child Support Guidelines, August 2008.

Memphis divorce attorney, Miles Mason, Sr., JD, CPA, practices family law exclusively with the Miles Mason Family Law Group, PLC in Memphis, Tennessee serving clients in Germantown, Collierville and the west Tennessee area.  To learn more about Tennessee child support laws, read and view:

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