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I!! IN THE COURT OF COMMON PLEAS 8
I!! 8
I!! OF CUMBERLAND COUNTY 8
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. STATE OF ~!~,' ',;} t PENNA. 8
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I!! ~dward flichards, 8
_ Plaintiff i\: 0, 9,5~H" 'H,lH~,5?.., II)
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8 Lorenda Richards, 8
8 Defendant 8
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I!! DECREE IN 8
8 DIVORCE 8
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! ANDNOW...,\..,i;e'~..'k?\,.., 19,':\.>',. it is ordered and 8
8 '
~,' decreed that '" ,F;c)\"f1.r,cj, !l~.c,l')<;1r~,s, , , , , , , , , " , , , , , " , , " , . '" " plaintiff. .
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~ and, .. .. ,~~F,~I'!~?..~~C?~~,r:~r;;.. .... .. .. , .. , .. .. .. .. .. , .... .." defendant. Iii
8 are divorced from the bonds of matrimony. ~
.
~ The court retains jurisdiction of the following claims which have
8 been raised of record in this action for which a final order has not yet :
"'.',. been entered; "
.. 8
. , , , , , , , , , , , , , , , , , ~?,~~: , , , , , , , , , , , , , , , , , , ' , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . , . 8
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THERESA BARRETT MALE
COUNSELOR AT LAW
LO South Market Sq.
Suite 500 17101
'larrisburg, PA
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II,
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 95-1659 CIVIL TERM
EDWARD RICHARDS,
Plaintiff
LORENDA RICHARDS,
Defendant
CIVIL ACTION - DIVORCE
MOTION FOR CONTINUANCE
AND NOW, comes EdwlIrd J, Rlchllrds by llIld through his IIltorneys, The LIIW
OffIces of DllITell C. Dothlefs, In support of his MotIon fer Contlnuonce, represents os
follOWS;
I, Defendllnt, Lorendll Rlchords, fned IIn Appllclltlon for Special Relfef on
May 16, 1995,
2, Plaintiff, Edward Rlchllrds, filed an Answer to Defendllnt's Application
for Special Relfef on June 7, 1995,
3, The Honerllble George E Hoffer set a hellr1ng on this mlltter pursuant to
Defendant's, Lorendll RlchllrdS', request to be held on WednesdllY, JlI\e 26, 1995 lit
2:30 p,m, lit Court Room Number 3,
4, A key witness, Harold 0, M1l1er, Jr" Vice Presldence of J & J Burger,
Inc" Mr, Rtchllrds' employment superYlsor, Is unaYIIt1able for the week of June 26,
1995 through ..-.me 30, 1995, This Indtvtdulll will be out of the stllte llJr1ng this
penod of time,
5, Mr, Miller's testimony pertlllns to the notIce Issue In thts mlltter,
6, Wtthout the 1I10rementloned key wltness's presence IInd testimony lit
the hearing for Spectlll Relief, PlaintIff's, Edward Rlchlll'"ds', Cllse would be
substantially hormed,
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JUN 23
Ill~ I'iH '95
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EDWARD J. RICHARDS.
Plaintiff/Respondent
VS
LORENDA RICHARDS,
Defendant/Petitioner
LORENDA RICHARDS, PItf.
VS
EDWARD J. RICHARDS. Deft.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - DIVORCE
95-1659 CIVIL TERM
DR 23.581
95-0148 SUPPORT
IN RE: REQUEST EillLS.PillALREUfE
ORDER OF COURT
AND NOW. June 28, 1995, 3:50 p.m., having considered
the evidence presented, we do direct that Edward J. Richards pay
the sum of $4,720.00 in medical bills incurred by Lorenda
Richards from the period she incurred them on December 22, 1994,
through May 20, 1995.
We find that Edward J. Richards hod medical coverage
on Lorenda, his wife, through his employment and that he paid
extra from his paycheck for this coverage for Lorenda and the
parties child (DOB 1/16/94). Husband canceled this coverage on
or about November 30. 1994, in spite of the offer of Lorenda to
separately pay to the husband the amount of the coverage, so the
coverage could continue. We also note that the husband was
directed to furnish medical coverage to Lorenda and the child
concurrent with an Order of Support entered on March 17, 1995.
4. On or about June 5, 1994, Respondent moved out of the
marital residence and secured a residence independent of his wife
and the parties' daughter Desiree Richards (DOB: 1/16/94).
5. In or around November 1994, Respondent unilaterally and
without advance notice to Petitioner, terminated medical coverage
on petitioner and the parties' child.
6. Thereafter, Petitioner was forced to apply for medical
assistance through the Department of Public Welfare in order to
provide medical coverage for herself and her daughter.
7. After Respondent's termination of Petitioner's medical
coverage, Petitioner was hospitalized with a blocked kidney and
incurred thousands of dollars in medical bills incident to that
hospitalization and treatment.
8. Although medical assistance has paid a portion of
Petitioner's medical bills as set forth in the preceding paragraph,
there still are outstanding medical bills related to her medical
condition.
9. The parties attended a support conference at the
Cumberland County Domestic Relations Office on or about March 17,
1995.
10. Following the support co~ference, the court entered an
order directing Respondent to reinstate medical coverage for both
Petitioner and the parties' child.
11. Although Petitioner believes and therefore avers that
Respondent has completed the application for reinstatement of
2
medical coverage, she nevertheless has incurred in excess of $4,000
in unpaid medical expenses as a direct result of Petitioner I s
termination of her coverage last fall.
12. By letter dated May 1, 1995 and directed to Respondent's
counsel, Petitioner's counsel requested Respondent to pay these
expenses.
13. To date, Respondent has ignored this request.
14. The medical providers have been contacting Petitioner to
make immediate payments on the unpaid medical bills.
WHEREFORE, Petitioner requests the court to issue a rule upon
Respondent to show cause, if he has any, why this court should not
order him to pay: a) any and all medical bills incurred by
petitioner as a result of Respondent's termination of her medical
benefits in November, 1994 and b) any and all future medical bills
which Petitioner will incur as a result of the change in coverage.
Respectfully submitted,
a:; ~~ IL-.d J1(Je-
Theresa Barrett Male, Esquire
Suprema Court #46439
10 South Market sq.- suite 500
Harrisburg, Pennsylvania 17101
(717) 233-3220
Attorney for Defendant/Petitioner
Date: ~lft!'l5
3
3. Defendant lacks sufficient funds to meet the costs and
expenses of pursuing this action, including counsel fees and the
costs to retain experts to value the marital assets.
4. Plaintiff has sufficient assets to provide payment of
counsel fees, costs and expenses on behalf of Defendant.
5. Defendant lacks sufficient assets to provide for her
reasonable needs and is unable to support herself fully through
appropriate employment.
6. plaintiff has sufficient assets to provide continuing
support for Defendant.
WHEREFORE, plaintiff requests the Court to enter an order
awarding Defendant alimony pendete lite, and counsel fees and
expenses as the Court deems just and appropriate.
ALIMONY
7. Defendant lacks sufficient assets to provide for her
reasonable needs and is unable to support herself fully through
appropriate employment.
8. Plaintiff has sufficient assets to provide continuing
support for Defendant.
WHEREFORE, Defendant requests the Court to enter an order
granting her alimony.
MEDICAL COVBRAGB
9. On or about June 5, 1994, Plaintiff moved out of the
marital residence and secured a residence independent of his wife
and the parties' daughter Desiree Richards (DOB: 1/16/94).
2
10. In or around November 1994, Plaintiff unilaterally and
without advance notice to Defendant, terminated medical coverage on
Defendant and the parties' child.
11. Thereafter, Defendant was forced to apply for medical
assistance through the Department of Public Welfare in order to
provide medical coverage for herself and her daughter.
12. After Plaintiff's termination of Defendant's medical
coverage, Defendant was hospitalized with a blocked kidney and
incurred thousands of dollars in medical bills incident to that
hospitalization and treatment.
13. Although medical assistance has paid a portion of
Defendant's medical bills as set forth in the preceding paragraph,
Defendant has incurred in excess of $4,000 in unpaid medical
expenses as a direct result of Petitioner's termination of her
medical coverage in 1994.
14. concurrently with filing this petition, Defendant is
filing an application for special relief on this issue with the
court.
WHEREFORE, pursuant to 23 Pa.C.S.A. S 3502(d), Defendant
requests the court to enter an order directing Plaintiff to pay any
and all medical bills incurred by Defendant as a result of
Plaintiff's termination of Defendant's medical benefits in
3
"
. MAY 23 1995 J
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THERESA BARRETT MALE
COUNSELOR AT lAW
10 South Market Sq.
Suite 500
Harrieburg, PA 17101
.
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IN THE COURT OF C0t1t10N PLEAS
CUt1DERLAND COUNTY, PENNSYLVANIA
NO. C;/( /(,')'/ 6eJ-..:.tl.('>I
CIVIL ACTION - LAW
IN DIVORCE
EDW ARD J. RICHARDS,
Pie' ntl ff
LORENDA RICHARDS,
Defllldent
NOTICE
Vou heve been sued In court, If you wish to defend egelnst the clelms set forth
In the following peges, you must tllke ectton withtn twenty (20) deys etter thts
completnt end notice heve been served. To defend egelnst the eforementloned clelms,
e written eppeel"llnce stetlng your defenses end obJecttons must be entered end flied tn
wrl tt ng by you, the Defendent, or by en ettcrney. Vou ere wemed thet I f you fell to
tllke lICtton egelnst these cle1ms, the court mey proceed without you end e JudlJl1ent
for el1,j money clelmed In the complelnt or for enother clelm required by the Plelntlff
mey be entered lIQelnst you by the Court without further nottce. Vou my lose money,
property or other rights Importent to you.
VOU SHOULD TAKE THIS PAPER TO VOUR LAWVER AT ONCE. IF VOU DO NOT
HA....E A LAWVER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OfFICE SET
FORTH ~LOW TO FIND IlJT WHERE VOU CAN GET LEGAL HELP.
CUMBERLAND COUNTY
CUMBERLAND COUNTV LAWVER REFERRAL SER....ICE
One Courthouse Squere
Fourth Floor
Cerltsle, PA 17013
(717) 697-0371
NOTICIA
Le hlll'l dell'lllndedo e usted en Ie corte, SI usted qutere defenderse de estes
dlllllel'lles elCpuestes en les pllQlnes sl~lentes, usted tlene vlente (20) dies de plezo el
pllrtlr de Ie feche de Ie demel'lle y Ie notUlcecton. Usted debe presentllr' une epllr'lencle
eecrite 0 en persone 0 por ebogedo y erchlver en Ie corte en forme escrtte sus
defenses 0 sus obJeclones e les demel'lles en contre de su persone. See evlsedo que sl
usted no se deftende, Ie corte tomlll'"e medldes y puede entrlll'" une ortle contl"ll usted
sin prevlo evtso 0 nottflcecton y por cuelquler queJe 0 eltvlo que es pedldo en Ie
pettclon de demel'lle. Usted puede pertler d1nero 0 sus proplededes 0 otros derechos
lmportentes pere usted.
LLEVE ESTA DEMANDA A UN ABODAGO IMMEDIATAMENTE. 51 NO TIENNE
ABOGAD 0 51 NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO, VAVA EN
PERSONA 0 LLAME POR TELEFONE A LA OFICINA CUVA PUEDE CONSEGUIR
ASSISTENCIA LEGAL:
Nov Z I 3 11 PH '95
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6. The IIlleQlltlons set forth In perelJ'eph 6 lire neither edmltted nor denied.
All tnformetlon concerning this ellegetlon being within the exclusIve possession end
control of PetitIoner, Strtct proof of the seme Is demended et the time of trlel.
7. The elleQlltlons set forth In perelJ'eph 7lIre neIther edmltted nor denied.
All Informet Ion concerning thIs ellegetlon beIng within the exclusIve possession end
control of Pelltloner. Strict proof of the seme Is demllnded et the time of trlel.
B. The IIlleQlltlons set forth In perelJ'eph B lire neIther edmltted nor dented.
All Informetlon concerning thIs ellegetton being withIn the exclusive possessIon end
control of Pelltloner. strict proof of the seme Is demended lit the time of trllIl,
9. AdmItted.
10. AdmItted.
11. Admitted In PlIrt lIId DenIed In pllrt, It Is edmltted thllt Respondent hIlS
relnstllted medlclll benefits tn eccordlllce to the Domesttc Reletlons Order It Is
speclflcelly denIed thet the ul1leld medlcel expenses set forth In thIs lI11eQlltlon went e
direct result of Respondent's t..mlnetlon of Petllloner'$ medtcel cOYBl'ege In 1994
Strict proof of the sema Is demlllded lit the time of trllll. The remelnder of the
ellegetlon set forth In thIs plll'"elJ'eph with ntspect to the ImOlllt of ul1lllld medlcel
elCPellSes Is neither edmltted nor denIed. All Informetlon concernIng thIs elleglltton
beIng wIthIn the exclusive possessIon end control of Petitioner, Strtct proof of the
slme Is demended lit the lime of trllIl,
12. AdmItted,
13. No response requl red,
14. The lI11egettons set forth In peregreph 14 ere neither IIdmltted nor
denied, All Informetlon concerning this ellegetlon beIng within the exclusive
possession end control of PetItioner, strtct proof of the Sllme Is demended lit the time
of tnel.
JUH 7 2 3G ['M '95
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LAW Offices
of
DArrell C. Detldefs
Wagner DuUdlng.Sulle 205
355 Nortli 21st Street
Camp Hili, Pa, 17011
11
Lew Offices of Derrell C. Dethlefs
Wegner Building - Suite 205
355 North 21 st street
Cemp HtII, PA 17011
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Law Offices
of
Darrell C. Detlllels
Wagner Bulldlng.Sulte 205
355 Nortli 21st Street
Camp Hili, Pa, 17011
I
ThereslI BlIrrett MlIle, Esquire
10 Sourth MlIrket SQulIre, Suite 500
HlIrrlsburg, PA 17101
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6. The elleQlltlons set forth In perelreltl6 ere neither edmttted nordented.
AlIlnformetlon concerning this alleQlltlon beIng wi thtn the exclusive possession end
control of Petttloner. Strtct proof of the seme ts demended et the ttme of trial.
7. TIllI ell eQllttons set forth In peralreltl 7 ere neither edmttted nor denIed.
AlIlnfonnetlon concerning this all(1Q1ltlon bslng wIthin the exclusive possession end
control of Petlttoner. strtct proof of the seme Is demended et the ttme of trial.
B. The ell eQllttons set forth In peralreltl B ere neither edmltted nor denied.
AlIlnfonnatlon concerning this elleQlltlon being wlthln the exclusive possesston end
control of Petlttoner. strtct proof of the seme Is demended at the ttme of trlel.
9. Admitted.
to. Admitted.
t 1. Admitted In pert lIld Denied In pll"t. It Is edmttted thet Respondent hIlS
reInstated medlcel benefits In ecconlence to the Domesttc Relations Order It Is
speclflcallII denied that the ul1lll1d med1cel ellpenses set forth In this ellegetlon were e
direct result of Respondent's termll'llltlon of Petlt1oner's medtcel coverage In 1994
Strict proof of the serne ts demlll'lded lit the time of trlel. The remainder of the
ailegatlon set forth I n t~ls peragraph wIth respect to the Imount of ul1lald medlcel
ellPell8esls nellherlldmlltednor dented. All lnfcrmetton concerning this ellegal10n
beIng WIthin the eKcluslve possessIon and control of Petlttoner. strict proof of the
slmels demendedat the time of trtlll.
12. Admitted.
13. No response required.
14. The allegations set firth In perllQreltl 14 ere neither aanttted nor
denied. All Informetlon concerning this ellegetton being within the exclusive
possession lIld control of Pett tloner. strict proof of the seme Is demlll'lded at the time
of trtal.
6, The all eQlltlons set forth In parelJ"el1l6are neither edmltted nor dented.
All Informetlon concerning this ellegetlon being within the exclusive possessIon end
control of PetlUoner. Strict proof of the seme ts demended et the time of trial.
1. The al1eQlltlons set forth In perelJ"el1l1are neither admitted nor denIed.
Alllnfonnetlon concerning this ellegetlon being within the exclusIve possession end
control of Petitioner, StrIct proof of the seme Is demended at the time of trial.
B. The al1eQlltlons set forth In perelJ"el1l B are neIther admitted nor denied.
All Infonnlltlon concerning this 1I1legetlon being within the exclusive possessIon end
control of Petitioner. strict proof of the SlIme Is demended at the time of trial.
9. Admitted.
10. Aemltted.
11. Admitted In pert end Denied In pert. It Is edmltted thet Respondent hIlS
reinstated medical benefits In eccoroence to the Domestic RelaUons Order It Is
speclflcelly denied thet the ul1leld medtcal expenses set forth In this ellegeUon were a
direct result of Respondent's termlnetton of Petltloner's medlclll coverage In 1994
Strict proof of the serne Is demended at the time of tnal. The remainder of the
ailegatton set forth In this pllregreph with respect to the lIfTlount of ul1lllld medlcel
expenses Is neltheredmttted nor dented. All InfOl1lllltlon concerntng thIs allegation
beIng within the exclusIve possesston end control of Petttloner. Stnct proof of the
sllllle Is demeooed at the time of trial.
12. Admitted.
13. No response required.
14. The ellegattons set forth In perllllreph 14 are neIther admitted nor
denIed. All Infonnetlon concerning thIs ellegetlon being within the exclusive
possession end control of Petitioner. Stnct proof of the sllllle Is demended lit the time
of trlel.
3, Dented, It Is spectflclIlly denIed thet Petitioner 11lCks sufficIent flllds to
meet the costs IInd expenses In pursuing this ectlan, Including counsel fees end the
cost to reteln el<perts to velue the mlll'ttlll essets. Strict proof of the seme Is
demlll'1ded lit time of trte I.
4. Dented, It Is speclflclIlIy denied thet Respondent hIlS sufficient lISsets to
provide pelll1ent of counsel fees, costs end el<penses on behlllf of PetitIoner. Strict
proof of the seme Is demended lit the time of trlel.
5. Denied. It Is speclflcelly denied thet Petitioner lecks sufficient IIssets
to provide for her reesonllble needs IInd Is uneble to support herself fully tlrough
IIpproprlete employment. Strict proof of the seme Is demended et the time of trllll.
6, Dented. It Is speclf1clllly denied thllt Respondent hIlS sufficient lISsets to
provide for the continuing support of Petttloner, Strict 1I"00f of the Slll'lle Is demllnded
lit the time of trtlll.
WHEREFORE, Respondent reqlllsts the Court to dismiss (J'" to deny
Petltloner's request foreltmony pendente 11te, counsel fees end el<Penses.
ALl HOllY
7, Dented, It Is speclflcelly denied thet PetitIoner lecks sufflctent Ilssets
to Il"ovlde for her reesonllble needs IInd Is uneble to support herself fully tlrough
Ilpproprlete employment. Strict Il"oof of the seme Is demended et the time of tHill,
6, Dented, It ts spectflclIlIy dented thet Respondent hIlS sufficient lISsets to
provide cont1nutng support for PetItioner, StHct proof of the seme ts demlll'1ded et the
t tme of trllll.
WHEREFORE, Respondent respectfully requests thet the Court deny
Petit toner's request for el1mony,
"EDI~Al COVf::RAGE
9. Admitted In pert end DenIed In pert, It Is edmltted thet on or ebout June
5, I 994 Respondent Irovedoutof the mcIr1tel restdence. It Is speclflcelly denied thet
the purpose of seld move wes to estebllsh e residence tndependent of Pettttoner end
the perttes' deu!j1ter, DesIree Rlch<<rds, Strict proof of the serna ts demeooed et tIme
of trlel.
10. Admitted In pert end Denied In p<<rt. It Is eltnltted thet Respondent
termtneted setd medtcel coverege, It Is speclftcel1y denIed thet seld termtnetton wes
without edvenced nottce to PetHtoner, Str1ct proof of the seme ts demended et ttme rI
tr1el.
11. The ellegettons set forth In perllQreph 11 ere neIther edmltted nor
dented. All Infonnetlon concerning thIs ellegetton being wIthIn the exclusive
possessIon end control of Petttloner, Stnct proof of the slime Is demended et the tIme
of trlel.
12. The ellegettons set forth In perllQreph 12 ere netther edmltted nor
denIed. All Infonnetlon concerning this ellegetton betng wlthtn the exclusive
possessIon end control of PetHloner, Stnct proof of the slime Is demended et the ttme
of trlel.
13. DenIed, It Is speclflcel1y denied thet unpeld medlcel elCpences set forth
In thts ellegetlon were e direct result of Respondent.s termlnetton of Pettttoners
medlcel covereAe In 1994 StrIct proof of the sllllle Is demended et the ttme of tr1el.
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3, Defendant lacks sufficient funds to meet the costs and
expenses of pursuing this action, including counsel fees and the
costs to retain experts to value the marital asset~.
4. Plaintiff has sufficient assets to provide payment of
counsel fees, costs and expenses on behalf of Defendant.
5. Defendant lacks sufficient assets to provide for her
reasonable needs and is unable to support herself fully through
appropriate employment.
6, Plaintiff has sufficient assets to provide continuing
support for Defendant,
WHEREFORE, plaintiff requests the Court to enter an order
awarding Defendant alimony pendete lite, and counsel fees and
expenses as the Court deems just and appropriate.
ALIMONY
7, Defendant lacks sufficient assets to provide for her
reasonable needs and is unable to support herself fully through
appropriate employment.
S, Plaintiff has sufficient assets to provide continuing
support for Defendant,
WHEREFORE, Defendant requests the Court to enter an order
granting her alimony,
MEDICAL COVERAGE
9, On or about June 5, 1994, plaintiff moved out of the
marital residence and secured a residence independent of his wife
and the parties' daughter Desiree Richards (DaB: 1/16/94).
2
10, In or around November 1994, Plaintiff unilaterally and
without advance notice to Defendant, terminated medical coverage on
Defendant and the parties' child.
11, Thereafter, Defendant was forced to apply for medical
assistance through the Department of Public Welfare in order to
provide medical coverage for herself and her daughter,
12, After Plaintiff's termination of Defendant's medical
coverage, Defendant was hospitalized with a blocked kidney and
incurred thousands of dollars in medical bills incident to that
hospitalization and treatment.
13, Although medical assistance has paid a portion of
Defendant's medical bills as set forth in the preceding paragraph,
Defendant has incurred in excess of $4,000 in unpaid medical
expenses as a direct result of Petitioner's termination of her
medical coverage in 1994,
14, concurrently with filing this petition, Defendant is
filing an application for special relief on this issue with the
court,
WHEREFORE, pursuant to 23 Pa,c,S,A, S 3502(d), Defendant
requests the court to enter an order directing Plaintiff to pay any
and all medical bills incurred by Defendant as a result of
Plaintiff's termination of Defendant'B medical benefits in
3
I,.) 1" ,\ Ii) , .1 '95
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(ll.( L up .
THERESA BARRETT MALE
COUNSELOR AT LAW
.lU boUcn .1"rcllR.l:IL"ns~.
Suite 500
Harrisburg, PA 17101
f.L<..l
'j~'L
B. Questions Presented:
Should the court order Husband to pay the outstanding
medical bills which wife incurred because Husband
terminated her medical coverage?
Suggested Answer: Yes,
c. Application of Law to Facts:
In enacting the Divorce Code of 1980, Pennsylvania's legisla-
ture sought, inter alia, to
[m]itigate the harm to the spouses and their children caused
by the legal dissolution of the marriage.
,. .
[e] ffectuate economic justice between parties who are divorced
or separated and grant or withhold alimony according to the
actual need and ability to pay of the parties and ensure a
fair and just determination and settlement of their property
rights,
23 Pa,C,S,A, S 3l02(a) (4) and (6).
In addition to its powers to equitably divide, distribute or
assign marital property, the court may direct the continued
maintenance of beneficiary designations of policies insuring the
health of either party which originally were purchased during the
marriage and owned by or within the effective control of either
party. Id, S 3502(d), Moreover, the divorce court also has the
authority "to direct that adequate health and hospitalization
insurance coverage be maintained for the dependent spouse pendente
lite," Id, S 3702.
In the instant case, the evidence will establish that Husband
completed a form in November, 1994 to remove the dependent health
care coverage which he previously had maintained on his wife
2
Lorenda and the parties' then eleven month-old daughter Desire6,
The evidence also will establish that:
a. because Husband works for an employer who has less than
twenty employees, Wife was unable to take advantage of any COBRA
benefits at the time Husband unilaterally terminated her health
care coverage and that of the child,
b, wife could not afford to purchase private health care
insurance because she was not employed at the time the parties
separated, having been the primary caretaker for Desiree,
c, after Husband's unilateral termination of her medical
coverage, Wife became seriously ill and was hospitalized with a
blocked kidney, for which she continues to receive treatment and
ongoing medical care.
d, between December 1994 and April 1995, wife incurred
$4,959,51 in medical bills which otherwise would have been covered
by medical insurance.
e, to minimize the risk of no health insurance, Wife applied
for medical assistance for herself and Desiree,
f, Although most of Desire6' s medical needs between December
1994 and April 1995 were paid by medical assistance, most of Wife's
claims were not, as evidenced by the medical bills which she has
incurred and which are unpaid as of today's date.
consistent with the court's legiSlative mandate to effectuate
economic justice betwean the parties, the divorce court is a court
3
of equity, See Barrington v. Berrington, 534 Pa. 393, 633 A,2d 589
(1993) (divorce code has given courts responsibility for achieving
equitable results).
In the instant case, Husband's unilateral
termination of medical coverage for Wife and child, which was
occasioned by nothing other than the parties' separation, has
worked an injustice to Wife. Husband has mitigated his damages
only because the support court ordered him to reinstate medical
coverage for Wife and child incident to the support complaint which
Wife filed. The support court did not address, however, t~~ issue
of the medical bills which remain unpaid and which Wife incurred
only as a result of Husband's termination of her medical coverage,
Thsrefore, Wife's only remedy for the $4,959.51 in outstanding
medical bills and expenses is the court's power to fashion an
equitable resolution to this matter,
D, Conclusion:
For all of the foregoing reasons, Defendant requests the court
to grant her special relief in the nature of an order directing
Plaintiff to pay those medical expenses which Wife incurred between
December 1994 and April 30, 1995.
Dated: 6/27/95
Respectfully sUbmitted,
jt:,J~ ~~
Theresa Barrett Male, Esquire
Supreme Court # 46439
10 South Market Sq. - Suite 500
Harrisburg, Pennsylvania 17101
(717) 233-3220
Attorney For Defendant/Petitioner
4
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~J]~I:?-;:'
THERESA BARRETT MAlE
COI.taELOR AT LAW
10 South Market Sq.
Suite 500
Harrieburg, PA 17101
JU~ 28'95 10158 FR USHC LAW-PROPOSAL
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HHllhAmeric. 01 C.nlr.1 Pennsvlyanla
2llO1 M..klt PI... SlrOll
HlIrllburg. PA 17111).9339
(71n 540-42llO (800) 781H1<<5
HealthAmerica@
A COVENTRY HcalthPlan
January 11, 1995
Edward Richards
1752 Sheep ford Road
Mechanicsburg, PA 17055
RE: Lorenda and Desiree Richards
10#: 048223-01 and 048223-02
Dear Mr. Richards:
This letter is in responso to your request for verification of coverage under your
HealthAmerica policy through your employer, J & J Borger. According to our
records, Lorenda and Desiree were covered under your policy effective May 1,
1994 and were terminated Novembor 30, 1994.
If any additional information is needed, please contact our Member Services
Department at 1-800-788-8445.
Sincerely,
Becky Clair
Member Services Representative
RC/mlj
IPAN'III ' '
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Do you or your cllpenclentl hive alhlr coverage? Yea_
No
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I RIlPllESt:NT THAT ALL INt'(IHMATlIIN SUI'I'LlElJ IIN THIS FORM IS TRUE ANDCOMPUiTF.. J. THE IiMN.VEto:,
IIERElV AGREE TO TH" CONllmoss OP ENROLLMIlNT ON THE BEl'.IlBSE SIDF. IIF TillS APPI.ICATION.
Cmplo)'ft'.lllflll"".
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Sl1ft I 0 .
DATIl RIiClJVl\ll
1M',' - U ~ Il:l;,. D".u~rny U^""
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SEE REVERSE SIDE fOR CONDmONB OF ENROLLMENT.
"MTE 111010 rl~l( ,Compa,,>", BLUE, loI,mho<
....,to
('o4J.-
October 01, 1992
EDWARD RICHARDS
1752 SHEEPFORD ROAD
MECHANIcSBURG, PA 17055
Dear Mr. RICHARDS:
--""',
/
We have been notif~ed by your employer th your group coverage
with HealthAmerica~rminates on 09719/9 You now have the option to
convert to our Direct -Pay--p=gr;
-
To be eligible to participate in this program, you must meet the
following guidelines:
o You must continue to reside in our designat~d service area.
o You cannot be eligible for COBRA benefits (you can verify this
with your previous employer).
o You cannot be eligible for group health benefits through your
current employer.
o If you are married, you cannot have group insurance through
your spouse.
These are the rates for our Direct Pay program which are billed on
A QUARTERLY BASIS:
TYPE OF COVERAGE
Individual
Parent/Child
Parent/Children
Husband/Wife
Family
1992 OUARTERLY RATE
$383.94
526.02
787.08
898.44
1,082.76
Our direct pay program does not include coverage for additional
rider benefits, such as prescription and vision care benefits,
that may have been available through group coverage.
If you elect this coverage, you must apply for this program within
thirty (30) days from receiving this letter. If you want to
continue your HealthAmerica coverage, please call Consumer Affairs at
540-6337 or BOO'788-6445.
Sincerely,
ELIGIBILITY DEPARTMENT
" ~merlca
o Five Gelewey Cenler
,>'} Plltaburgh. PA 15222
~ 1412) 553.7300
0.1. ~""/9.l.
GE DELE TION FOIlM
SUBSCRIBERS CANNOT BE ADDED USING THIS FORM,
~
2601 Merkel Piece 51reel
lie"labu,g. PA 17110,9339
17111 540,4260
uenON A (ALWAYS COMPlETE THIS SECTION)
LAIr fl1l51 ~ ""( 'If' \
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N.... 01 Employe, &.:i'bc/t /.iv('
UenON . (I'I!IIIONAL CHANGES)
o cttANOI ADOlIEII NEW
PURPOSE: 0
a::6 </2 - OCO
G,oup No
Un.l No
(numbo' And I"eull
lapt'l
ICllvl
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OLD
(Circlo one) Subscriber
HEAL THAMERICA
10 NUMBER
NEW
Spouse Dependent
l\ 'i d.d~-Du
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111''''1
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o CHANGE HOME PHONE NEW
SECTlON C (AODlnONS/DELETlONS NEEDING EMPLOYER APPROVAL)
EFFECTIVE DATE,
:;how name, sex end bi,lh dalo lor person(s) 10 bo Added ('A', " Eligible) For delellons ('0'), Ihe membor's name and dalo 0' blrlh
Information Is sulliclon!.
L.IIN.me
ADOINf'i D[PENDENT
rj'~l N.lllw Ml
Sac Soe No
Sea Ultlh Dalo I'IlIM41l1 c~nt:. Ij.lY~ilr:l"r4
Site
Code
AD OISpOuW
11I1'h,\,(O." N.,t...uu Chuu'nl
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010"*,,,",,
040~1
O$O~diIfll
IIGNATURE OF SUIICRIIER
ECT/ON 0 (CHANGES NEEDING EMPLOYER APPROVAL)
I CHANGE (ElIectlve Dale: ) DO NOT USE FOR CHANGING FACILITIES (CONTACT CONSUMER AFFAIRS)
IENEFIT PLAN
OLD: Medical _ ModlcaliD.nlal _ Donlal, TYPE _ ModlcalGroup _ PhyslcianNolwork
AVAILAILE ONLY
DURING OPEN
ENROLLMENT
PERIODS.
NEW,
Medical - Medical/DenIal _ Donlal. TYPE _ Modlcal Group _ Physlclao Network
If adding MedIcal. Intllcal!! thu ChUSHfI Modlcal Group'
" adding Dunlal, Irldlcultl Iho ChOSUfl Dontal Group,
No
No.
INTER.COMPANY (Ellective Dale
TRANSFER
FROM
GRP No
R!INITATEMENl': Elleclive Dale
TO GRP. No
~ERMINATE HEALTHAMERlcA COVERAGE: Ellecllvo Dale 9/r/?Z-
) Elloclivo Dolo
) Ellocllve Dalo
MEDICARE: Spouse
o N 0 Y (No
Subscriber 0 N 0 Y INo
EMPLOYER APPROVAL (Ou ~1'f1,JIr\ Ihill Ihl' [mpluYI'l! lllll? ~itJh,.Clltlt'rJ 15 4LJillllmd 10 sl!lncl ani! (lllh!!!'I! Lt\,lIl1JL'!' The (mploVHH'S slgnilluru 15
NOT ff'<IUlII'illor fll'ln,>I,111'1lI1' I', or Itl' Il'II11IIl.IIHlllS hom l!n1rJlllYflll?t111
,IQNATURE Of EMPLOYER
__ OATE
1/ '7
u,_/..!.~+ _.~__+_"
LOCAl. OffICE
94!jiL--
E_-L'J.;;,~ :=r-":~~-II 1~:lO
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TITLE
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/
_CTION A TO BE COMPLETED BY EMPLOYER
""'-...
" '''" qt,
~
......, NO
H.ve you eyer been I Member of HoaUhAmoflC:a h~'o'c? _ Yes ..?(NO
SOCIAL S(eu'"'' HO
Il..,," _ -S-c.. _'" 3-,"
O'I'Z.c...
llPCOUf:
170,,>
II )'U5, glvo MOdlcal AocOld Numbe,
N.m. 01 Pr..en' Employer "'\ 1") A.",,,r O'",.on O.'e Hored // /27/9/
Employe, Work Add,ess 3.<;;</ ,.(f."rUad-s~~--/?4 / 7/.12'1_ Employelll 0 Numher
SECTION C Pleaso list below all person/silO tin COvI"ed hy IIllS IHuulhnnnl
CHOOSE A PHYSfclAN NETWORK lPN, OR HEAL TH CENTER Illc, and onOocale on "'.'P""f"o,,,",o You m"choo,.ao'''.,enl Pllma"CI,e PhYSlcoln ""llom floe
P"V'i~.n Nelwork or HUl1h Center lor each "lUmbor 01 ~ou, family We WIll l1t"(td your ChOICO of physICians In order 10 procoss Iho anrollmenl lorm
Employeols) Heallh Care Slle U~l\C~ COl'f""C~,..J r...._,'j ?I....~:"-"
lA5'~"'Ml
02 O.pendenl
S'loCode I S~ I
flll~.' '4Al.4 [
nAil u
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un OA'I' VII I
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tlfAtlltCAI1[ SUt
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It you aro bemg offered Ihe DenIal nlder. pt(!asl~ mdH:llh~ 1110 n;HOU 01 thn Omllal Faclllly Ihal you and your family WIll be uSing
Denial FaCIlity Addrl'Ss F.1Clllly Numbor I
SECTION E OTHER INSURANCE INFOfl~MTlON
LISI all ModlCal Healllo Insu,ance Imcluo'"!l MEDICAflEI yo". y'''o spou,",. or y~~.d'cP'~'~"'"S_W'1I ".", IN ADDITION 10 you, HoallhAII10llc.,co,e,.,go
FAUll 't MEM6tR NAMIISI P<jA~.1 'JI "I',lJIlMKI f.ll"lI'Alj~ 1'llLIC'f Nll II" r.T'V( OAT'
-.-----
I AMll 't ""MarUI!.' C:O'llll[() II\' Mrnwu11
1.'1111I 11.1.1 C( All,' ,,,,
Illl'il'I''''l ""',lJIIANC( UIlt.fIVI OAI( Ml/IICAL lP~~;IHlANr.( ."lCTlvl OAT{
iECTION F I APPLY FOil HEAl TIf.\Mrll,C.\ MfMIHII';'iIf' '''" 1111 I'LIl';OIWiI L";TLlJ. AND A(1IlH THAT I AND MY FAMILY ME MOERS
HALL AOIOE OY THE PROVISIONS OF COVER^(1E IN TilE SLiIVICL AliIlLLMLNI UNDEfl WHICH W' AIlE ENflOLLEO
------- -,.._~. __b_u.. u._
I WlthH51ilnd thai f1l1!HI'Pfl!5p.Il1alIUI1 In .lll!lWI'flll!lltll' qllt'!ilrll~I' ,Hl
liS .1pphcallon Of non-p.lynH>nl 01 P'CrTlIlJfll Of CfJ.p,IYflwnllll,l, "!"'tlll
Cilllcnllilllull olmomhc1slup Alllwrwllls Jflill'lClilc"If)ll', ,H" !,I'I '!Hft!
lhn ~iNY'C" Anr.'t>nwnl All ",OOll'S WIlt hi' lphl"I4'11 III )'0(1 11 .lppllr:.t
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I ,ltlltlO1t/fl .111". ptlY!;It:lilll 1)1 hev'lId.ll II! ,ll~rl\)'it' bl Ilt"lll','\'l't'f'l I
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IlfllllltllS i1pphc.llton IS ilpprolJCd by HCilllhAmorlC.l
J I tli'Why .1111110(11.' t1+>cllu:lIons from my t!ilfll1ngs ollho rl~qUllcfl con-
1IIIlIIIIIJI1 II '''')1 loward Iht! lost of HoallhArnl'lIL.l (111lpphcabh'j
.1 IllNnrllSl ANClltl.lIltl'i IIlv f"'>IHln".hillly Itl rl'llllllltl tl.'illltlAIl1"/II:,l
.1'1, ! h,UH1" III !tll' t'llfIIIHI,I, lIt 1l1'r tjl'I\l'f1IIt'111!.
_{l,lll' .__~'.~ ,.;;( .2J
19~
I
PAIA If'.jlllr ~T^MI'
MAR 211992
READ THE BACK OF THE FORM TO SEE HOW HEAL THAMERICA WORKS FOR YOU.
W"IH HMO CA""MIY liMO I'IIIJI< CllIIII""I\, flotll M"IlIlmr
I'A !n.eli
I
-
~
. .
.
".'.'.:.U 'ilt.....'-.'.'. ~.-.....J!...;--- ---------- _ --- --- Sl~t;l:;.'~' ~ V/.~
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By
June 22, 1995
Theresa Barrett Male, Esq
10 S. Market Square, Suite 500
Harrisburg, PA 17101
RE: Civil Tenn 95-1659
In an effort to comply with your subpoena to J&J Burger, Inc., please note the following
attachments and comments.
I. Copy of HealthAmerica change fonn dropping Lorenda and Desiree from Edward's
coverage effective 12/ I /94.
2. Copy of the HealthAmerica invoice showing the coverage change effective 12/1/94.
3. As you can see by the HealthAmerica invoice for February 1995, we have fewer than
20 employees on the plan and so should be exempt from COBRA. Perhaps we are in
error. In any event, no COBRA notice was mailed or otherwise sent to Lorenda
Richards. We did prepare a letter for Edward to give to Lorenda in November of 1994,
although I do not have a copy of that letter.
4. Copy of the US Healthcare enrollment fonn, adding Lorenda and Desiree to Edward's
coverage effective 4/1/95. Also attached is a copy of the US Healthcare invoice showing
that the dependents were added effective that dale.
I hope these documents will be of assistance. I can be reached at 717-652-2842.
Regards,
~~
Vice President
J&J Burger, Inc. A Franchisee of Burger King Corporation P,Q. Box 6330 Harrisburg, PA 17112 (717) 652.4144