In many families, one spouse/parent covers the health insurance for the children and spouse. One spouse may not have health insurance available or one spouse’s plan may be better than the next. Often, during a separation, the carrying spouse wants to take the other spouse off the policy. This decision can have costly consequences, especially if the other spouse is not aware of being removed. Although open enrollment periods allow a time when a spouse can be removed, and some people think it will save money, unreimbursed medical expenses can be more expensive than the monthly premium and a Court could possibly order the other spouse to pay them. So, if you are the spouse who provides the family health insurance coverage, talk to your attorney before making any major changes to the policy and who is insured.