The Addendum Re Compliance with Domestic Relations Law 255(2) is an official record signed by both parties in a divorce. It confirms that each person accepts responsibility for their own health insurance coverage after the settlement. This replaces any prior arrangement where one spouse was covered under the other's employer plan.
The document includes the names of both parties, the date of the settlement, and specific acknowledgments regarding health insurance. Both spouses must sign the addendum in front of a Notary Public. Notarization confirms that each party entered the agreement willingly and understands its terms.
If either party loses coverage due to the divorce, the addendum notes the right to continue coverage temporarily through COBRA. This option typically allows the departing spouse to maintain the same insurance plan for up to 36 months at their own cost.
You need the Addendum Re Compliance whenever a divorce settlement addendum or stipulation of settlement changes existing health insurance arrangements. Courts in New York require compliance with DRL 255(2) to protect both parties after a divorce is finalized.
Related forms that work alongside this addendum include the domestic relations information sheet and standard New York marital divorce settlement agreements. Together, these documents create a complete legal record of the divorce terms.
Signing this addendum is not a formality. It creates a binding legal obligation. If either party fails to secure insurance after signing, the other party can use this document in court to establish a breach of the agreement. Proper notarization and filing protect both sides from future liability.
| Question | Answer |
|---|---|
| Form Name | Addendum Re Compliance |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | stipulation, addendum to stipulation of settlement agreement re compliance with domestic relations law 255 2, divorce, COMPLIANCE |