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Thank you, just want to make sure I understand correctly.  My medical is pre-tax.  Lets say I pay her $1,000 a month for spousal support and I provide medical insurance.  If I only had insurance for myself, it would cost me $250 a month, but since I also cover her, there is an additional $150 charge.  Since my insurance is done pre-tax, I cannot include the additional monies for her portion of the cost for insurance as spousal support because it is calculated pre-tax.  Correct?  Thank you for your help, I truly appreciate it!