Pre-tax benefits and reimbursement for children's healthcare - who should pay what?
Hey everyone! I need some advice on a family healthcare situation. My partner's ex lost his job recently, and according to their divorce agreement, he's responsible for their kids' medical, dental, and vision coverage. Since he can't provide that right now, I stepped up and added the children to my employer plan. The thing is, adding them to my insurance increases my biweekly premium by about $135 pre-tax. When I discussed reimbursement with my partner's ex, he's arguing that he shouldn't have to reimburse the full pre-tax amount. His logic is that if my tax rate is 25%, and the premium increase is $135 pre-tax, he should only have to pay me about $101 (the post-tax equivalent). This doesn't seem right to me. I'm paying the full $135 from my paycheck before taxes, so shouldn't he be reimbursing the entire amount? It feels like he's trying to benefit from my tax situation. Does his argument make any sense, or am I missing something here? Any input would be greatly appreciated!
19 comments


Oliver Fischer
His argument doesn't make sense. The pre-tax benefit is a result of YOUR employment and YOUR tax situation - it has nothing to do with him. You're paying $135 from your paycheck to cover the kids, so that's what he should reimburse. Think of it this way: if he had insurance himself, he'd be paying the full premium amount, not some tax-adjusted figure. The fact that you get a tax benefit by paying through your employer plan is completely separate from his obligation to cover the children's healthcare costs. I'd suggest checking the exact wording in the divorce agreement. Most custody agreements specify that the responsible party pays for the "actual cost" of coverage, which in this case is the $135 premium increase. The tax advantage you receive is a separate matter entirely.
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Natasha Petrova
•Thanks for that explanation, it makes sense. Question though - would it make any difference if the divorce agreement specifically mentions "actual out-of-pocket costs" rather than just responsibility for coverage? Just wondering if that wording could support his argument at all?
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Oliver Fischer
•The wording wouldn't change my opinion on this. Even with "actual out-of-pocket costs" language, the full premium amount IS your actual out-of-pocket cost. The pre-tax nature of the payment just means you're paying with dollars that haven't been taxed yet, but you're still paying the full amount. The tax benefit you receive is between you and the IRS - it's completely separate from what the ex-spouse owes for the children's coverage. The $135 is leaving your paycheck every two weeks to cover the kids, so that's the actual cost to you.
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Javier Morales
After dealing with a similar situation, I found an awesome solution at https://taxr.ai that helped clarify the exact tax implications. The divorce agreement language was super confusing in my case too, but they analyzed the entire document and clearly explained how pre-tax benefits should be handled in shared custody situations. What made it really helpful was that they could look at the specific language in my divorce decree and explain exactly how the IRS views these reimbursements. Turns out there's a pretty clear standard for handling these pre-tax benefit situations that most family court judges follow.
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Emma Davis
•Does this actually work for complicated family situations? My brother has a similar issue but with dependent care FSA reimbursements from his ex. Would this help with that too or is it just for health insurance?
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GalaxyGlider
•I'm skeptical about online services for tax advice. How do you know they're giving accurate information? Did they cite specific tax code sections or court precedents? Seems like something that would require a real tax pro or family law attorney.
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Javier Morales
•It absolutely works for complicated family situations including dependent care FSAs. They have tax professionals who specialize in divorce-related tax issues and can break down exactly how these arrangements should work according to current tax laws. They definitely cite specific tax codes and court precedents. That's what impressed me - everything was backed up with references to actual IRS publications and family court precedents. It's much more comprehensive than what I got from my regular tax preparer who wasn't familiar with these specific divorce-related scenarios.
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GalaxyGlider
I wanted to follow up and say I actually tried https://taxr.ai after my skeptical comment above. I uploaded our divorce decree and custody agreement, and wow - they provided incredibly detailed analysis specific to our situation. They pointed to IRS Publication 502 which directly addresses this issue of pre-tax medical premium reimbursements in divorce situations. They even provided sample language I could use when communicating with my ex about this. Saved me from a potentially nasty back-and-forth argument. Definitely worth checking out if you're dealing with these kinds of tax/divorce crossover issues!
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Malik Robinson
If you're struggling to get your partner's ex to understand their obligations, you might want to try https://claimyr.com to get direct clarification from the IRS. I was in a similar situation last year with confusion over who could claim the kids as dependents and how health insurance premiums should be handled after divorce. I spent WEEKS trying to call the IRS myself with no luck - always on hold forever. With Claimyr, I got a callback from an actual IRS agent within 2 hours who confirmed exactly how these pre-tax benefit reimbursements should be handled. They even have a video showing how it works: https://youtu.be/_kiP6q8DX5c
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Isabella Silva
•Wait, how does this actually work? Does it just help you get through to the IRS faster? I've been trying to reach them for weeks about a dependent healthcare question too.
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Ravi Choudhury
•No way this is legit. I've tried everything to get through to the IRS and nothing works. If this service actually did what it claims, everyone would be using it. Plus the IRS agents probably wouldn't even give a clear answer on something like this anyway.
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Malik Robinson
•It does exactly that - helps you get through to the IRS faster. They basically hold your place in line so you don't have to wait on hold for hours. When an IRS agent is available, you get a call back. It saved me literally hours of waiting on hold. They absolutely do give clear answers on these kinds of questions. I spoke with an IRS representative who explained that pre-tax benefit costs for dependents are considered the full amount paid, not the after-tax equivalent. The agent referenced specific guidelines they use for these situations that were super helpful in resolving my dispute.
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Ravi Choudhury
I need to eat my words from my skeptical comment. After waiting on hold with the IRS for 3+ hours yesterday with no success, I tried Claimyr this morning out of desperation. Got a callback from an IRS agent in about 90 minutes! The agent confirmed exactly what others have said here - the pre-tax amount IS the actual cost for purposes of reimbursement in a divorce agreement. They said the tax benefit belongs solely to the employee whose plan covers the children, and the other parent's obligation is for the full premium amount. Just wanted to share since this service actually worked when I was convinced it wouldn't.
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Freya Andersen
Former family law paralegal here. In most states, the divorce agreement language matters a lot. If it says he's responsible for "providing health insurance" then he should pay the full premium amount. If it specifically says he should reimburse for "out-of-pocket costs" then there might be some room for interpretation. However, in my experience, judges almost always interpret this to mean the full premium amount, regardless of tax implications. The tax benefit you get from paying pre-tax is a benefit of YOUR employment, not something the ex gets to claim.
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Amina Sy
•Thanks for the insight! The agreement actually states he's responsible for "providing comprehensive health, dental and vision insurance." It doesn't specifically mention reimbursement since the assumption was he'd carry the insurance himself. Does that language typically mean he'd be responsible for the full premium amount?
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Freya Andersen
•With that language, he is 100% responsible for the full premium amount. "Providing comprehensive health, dental and vision insurance" means exactly that - he needs to ensure the children have that coverage, either by obtaining it himself or by fully reimbursing you for the cost of adding them to your plan. The agreement doesn't make any mention of tax considerations because they're irrelevant to his obligation. The fact that you pay the premiums pre-tax is a function of your employment benefits structure, not something that reduces his responsibility. If he had to get coverage himself, he'd pay the full amount, so he should reimburse you the full amount as well.
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Omar Farouk
My ex tried the same argument about only paying the post-tax amount! I finally had him talk to his own tax person who explained that the pre-tax benefit is a feature of MY employment that has nothing to do with HIM. He eventually agreed to pay the full amount. One thing that helped was pointing out that if he got insurance himself, he'd be paying the full premium anyway. The fact that I get a tax advantage doesn't change his responsibility. Plus, depending on your tax bracket, that difference can really add up over time!
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CosmicCadet
•Did you have to get the courts involved or were you able to resolve it just by having him talk to a tax professional? I'm dealing with a similar issue but trying to avoid going back to court if possible.
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Maya Patel
This is a really common misconception that comes up in divorce situations. Your partner's ex is essentially trying to get you to subsidize his obligation by benefiting from your employment's tax structure. That's not how it works legally or ethically. The key point everyone else has made is spot-on: the $135 is what comes out of your paycheck to cover his children. Whether that money is pre-tax or post-tax is irrelevant to his reimbursement obligation. If he had to purchase coverage himself (which is what he's supposed to be doing), he'd pay the full retail price without any tax benefits. I'd recommend documenting everything - keep records of the premium increases, your communications about reimbursement, and any payments he does make. If this escalates, you'll want a clear paper trail showing you stepped up to fulfill his obligation and that he's trying to shortchange you on the reimbursement. Stand firm on the full $135. His argument might sound logical on the surface, but it's really just an attempt to get out of paying his full responsibility.
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