IN THE SUPREME COURT OF IOWA
No. 12–1023
Filed March 7, 2014
IN RE THE MARRIAGE OF TRAVIS SISSON AND ALFRONIA SISSON
Upon the Petition of
TRAVIS SISSON,
Appellant,
And Concerning
ALFRONIA SISSON,
Appellee.
On review from the Iowa Court of Appeals.
Appeal and cross-appeal from the Iowa District Court for Polk
County, Glenn E. Pille, Judge.
The parties appeal from an order by the district court that modified
the spousal support provisions of their decree for dissolution of marriage
and denied an application to modify physical custody. DECISION OF
COURT OF APPEALS VACATED; DISTRICT COURT ORDER
AFFIRMED ON APPEAL AND AFFIRMED AS MODIFIED ON CROSS-
APPEAL.
Andrew B. Howie of Hudson, Mallaney, Shindler & Anderson, P.C.,
West Des Moines, for appellant.
Eric G. Borseth of Borseth Law Office, Altoona, for appellee.
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CADY, Chief Justice.
In this appeal and cross-appeal from an order by the district court
that modified the spousal support terms of a decree for dissolution of
marriage, we primarily consider the sufficiency of a request by a former
spouse, who was diagnosed with terminal cancer after the divorce, to
modify the spousal support provisions of the decree to increase the
amount and duration of support. On our review, we vacate the decision
of the court of appeals and affirm the order of the district court as
modified. We conclude a change in circumstances was established to
support a modification of spousal support, and we resolve all other
issues presented for review.
I. Background Facts and Proceedings.
Travis Sisson and Alfronia Sisson dissolved their eleven-year
marriage in 2008. Travis was thirty-six years old and Alfronia was forty-
seven years old. They had one child, who was ten years old at the time of
the divorce.
Travis was a licensed public accountant and was registered to sell
securities. He owned and operated an accounting, tax, and financial
services practice in West Des Moines. At the time of the divorce, his
earnings were around $226,000. Alfronia had enjoyed a career in retail
management, but did not work outside the home after their daughter
was born. Her annual earnings when she left the workforce were around
$40,000. She worked for Younkers as a manager.
A stipulated decree gave Travis and Alfronia joint legal custody and
shared physical care of their daughter. The decree directed Travis to pay
monthly child support to Alfronia of $1020. Travis was also obligated to
pay spousal support of $1500 for eighteen months and then $500 per
month for the next seventy-four months. The alimony was to terminate
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along with the child support around the time their daughter completed
high school.
Alfronia planned to enroll in a cosmetology school after the divorce
and start a career as a cosmetologist. Travis left the marriage with a net
worth of $364,000, and Alfronia had a net worth of $440,000. In short,
the decree contemplated a life after divorce for Travis and Alfronia that
would permit both of them to move forward as active and involved
parents and give Alfronia the opportunity to begin a new career and
become self-supporting.
Shortly after the divorce, Alfronia developed tremors in her hands.
The most immediate outcome of this development was to alter her
employment plans. Alfronia decided not to enroll in cosmetology school
and, instead, returned to her employment with Younkers. However, she
was hired as an assistant sales manager and was paid an hourly wage of
$11.40.
The hand tremors experienced by Alfronia were only a precursor to
the suffocating news that arrived in October 2009. Alfronia was
diagnosed with GK Multiple Myeloma—an incurable blood cancer. Her
medical doctors eventually determined she was in stage 1 of the disease.
The median survival time for a person with her diagnosis is between five
and seven years from the time of diagnosis. This means that fifty percent
of patients will succumb to the disease in five to seven years, while fifty
percent of the patients will survive beyond five to seven years. Alfronia
has pursued recommended treatment to extend her life, and her
physician believes Alfronia may fall within the upper half of this
statistical norm, which means her life expectancy from the date of
diagnosis in late 2009 would be five to seven years or more.
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Despite her medical condition, Alfronia has been able to continue
her employment, with some limitations. Her doctor believes Alfronia will
be able to maintain relatively good health for four or five years and
continue to work until the last year of her life. At that point, the disorder
will not allow her to function well enough to maintain employment.
However, there was no indication of the type or cost of care Alfronia will
require after she is unable to work. The disorder is known to lead to
kidney failure, infections, stroke, and bleeding problems, among other
ailments. Alfronia will also experience fatigue.
The disease has not yet been an overriding impediment in her role
as a primary caregiver, although Alfronia and Travis have had some
problems and disputes as joint caretakers. While their daughter has
struggled in school at times, her difficulties have more likely been related
to the divorce of her parents than her mother’s medical condition. Travis
also remarried on January 1, 2010. This development has contributed to
some of Alfronia’s problems as a joint caretaker.
In April 2011, Travis initiated an action to modify the divorce
decree. He sought sole physical care of their daughter and a reduction of
child support. Alfronia resisted the request and responded with her own
claim for modification. She asked to increase the amount and duration
of alimony and to increase the amount of child support.
At the time of the modification hearing in 2012, the net worth of
each party was approximately $435,000. The majority of Alfronia’s
assets consisted of a home and various financial accounts. Her annual
income continued to be around $18,000. Her net monthly wages were
$1134, and she continued to receive monthly child support of $1020 and
spousal support of $500. Her monthly expenses were around $5100,
which included $785 for health insurance, medicine, and medical-related
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expenses. Under her health insurance plan, the maximum annual
noncovered medical expenses she could be required to pay, considering
deductibles and noncovered expenses under the policy, was $4475.
Additionally, she incurs a $45 copay requirement for every doctor visit.
Under her current treatment regimen, this requirement adds $1080 to
her annual medical expenses. Alfronia must see her doctor twice each
week. Some of her monthly expenses set out in her financial affidavit
were for the care of their daughter and included items such as clothing,
school activities, allowances, and orthodontic treatment.
The home owned by Alfronia is valued at $345,000. It is
encumbered by a note and mortgage of $205,000. She has no lien on
her automobile, but expects to replace the vehicle with a new car in the
near future. Her other major assets are an Individual Retirement
Account (IRA) valued at $150,000 and a savings account of $80,000.
Travis continues to operate his business. His wife works for him
as an administrative assistant. Travis has total annual income of
$246,000, and his wife earns $42,000. His net monthly income is
around $13,000. Travis pays most of the extra expenses incurred by
their daughter.
On March 15, 2012, the district court entered an order and
judgment denying the request by Travis to modify the custody
arrangement. It modified alimony by increasing the monthly amount to
$2100, retroactive to May 1, 2011, which was the date Alfronia filed her
application to modify. The court also extended the spousal support
payments for the remainder of Alfronia’s life. It further ordered Travis to
pay one-half of the medical expenses incurred by Alfronia not covered by
her insurance plan. The district court additionally ordered Alfronia to
maintain a health insurance policy and limited the obligation of Travis to
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share in her noncovered medical expenses to only those expenses
incurred in the United States and related to her cancer treatment. It
further directed that all payments by Travis for noncovered medical
expenses be considered to be supplemental spousal support.
Both parties appealed the decision of the district court. Travis
challenged the decision by the district court to deny a change in physical
care. He also claimed the trial court erred in modifying spousal support.
Alfronia claimed the amount of the monthly spousal support should have
been increased to $3800 during the time Travis is obligated to pay child
support and increased to $4800 after the child support terminates. The
case was transferred to the court of appeals. The court affirmed the
decision of the district court to deny the application to modify physical
care. It also affirmed the retroactive increase in spousal support of
$2100, as well as the order for Travis to pay one-half of the noncovered
medical expenses. Finally, the court of appeals awarded Alfronia $3000
in appellate attorney fees. Travis sought, and we granted, further review.
On further review, Travis argues the modified decree is inequitable
for five reasons: (1) It improperly converted an award of alimony for a
finite period of time into an indefinite duration, (2) it failed to terminate
the spousal support obligation in the event Alfronia would remarry, (3) it
increased the amount of spousal support to a level that was inequitable,
(4) it made the spousal support retroactive to the date of the modification
application, and (5) it required Travis to pay one-half of the medical
expenses incurred by Alfronia not covered by insurance.
II. Scope of Review.
We review an order modifying a decree for dissolution of marriage
de novo. See In re Marriage of Feustel, 467 N.W.2d 261, 263 (Iowa 1991);
see also Iowa R. App. P. 6.907 (“Review in equity cases shall be
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de novo.”); cf. Iowa Code § 598.3 (2011) (“An action for dissolution of
marriage shall be by equitable proceedings . . . .”). “We give weight to the
findings of the district court, particularly concerning the credibility of
witnesses; however, those findings are not binding upon us.” In re
Marriage of McDermott, 827 N.W.2d 671, 676 (Iowa 2013). “ ‘[W]e . . . will
disturb the ruling only when there has been a failure to do equity.’ ” In
re Marriage of Schriner, 695 N.W.2d 493, 496 (Iowa 2005) (quoting In re
Marriage of Romanelli, 570 N.W.2d 761, 763 (Iowa 1997)).
III. Modification of Spousal Support.
Provisions for the payment of support in a decree of dissolution of
marriage are normally final as to the circumstances existing at the time.
Mears v. Mears, 213 N.W.2d 511, 515 (Iowa 1973). Yet, courts are
permitted to “modify child, spousal, or medical support orders when
there is a substantial change in circumstances.” Iowa Code
§ 598.21C(1). All relevant factors are considered in determining a
substantial change in the circumstances, including changes in
employment, income, earning capacity, health, and medical expenses of
a party. See id. Of course, the changed circumstances must be material
and substantial, essentially permanent, and not within the
contemplation of the court at the time of the decree. Mears, 213 N.W.2d
at 515.
The authority of courts to modify spousal support also includes the
power to change the duration of the support from a finite period to an
indefinite period. See In re Marriage of Wessels, 542 N.W.2d 486, 489
(Iowa 1995). However, the circumstances to support a modification of
spousal support from a finite period to an indefinite period must be
“extraordinary” and render the original award grossly unfair. Id. The
unique circumstances previously found to have supported this type of
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modification have included the unexpected onset of a medical condition
by a party that rendered the expectation of self-support unrealistic. See
id. at 488–89. In In re Marriage of Marshall, we suggested the onset of
cancer was the type of circumstance that could support a modification of
a finite award of spousal support. 394 N.W.2d 392, 396–97 (Iowa 1986).
In Wessels, we found a permanent mental health condition that made
future employment unlikely supported a modification of rehabilitative
spousal support into permanent spousal support. 542 N.W.2d at 490.
To properly address the issues presented, we begin our analysis by
considering the future contemplated by the parties at the time of their
dissolution of marriage. This approach provides the needed insight into
the threshold question of whether there has been a substantial change in
circumstances since the dissolution of marriage to support a
modification of the decree.
Based on the evidence produced at the hearing and the terms of
the decree for dissolution of marriage, the parties understood that
Alfronia would return to the workforce following a period of retraining
and enjoy a normal work life. Likewise, the parties necessarily
contemplated that the income Alfronia would receive by returning to the
workforce would enable her to satisfy her financial needs, together with
the other assets she received in the divorce and the spousal support paid
by Travis until their daughter graduated from high school. Alfronia was
unemployed during most of the marriage, and the parties relied on
Travis’s income for their financial support. The spousal support awarded
by the district court in its decree constituted rehabilitative support.
Considering Alfronia’s monthly expenses at the time of the dissolution of
marriage, as well as the other surrounding financial circumstances, the
parties necessarily contemplated that Alfronia would eventually earn
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more from her employment after the divorce than she did at the time she
left the workforce after the birth of their daughter. Over time, the parties
contemplated that Alfronia would not require any financial assistance
from Travis to meet her financial needs.
Alfronia did return to the workforce as contemplated at the time of
the divorce, but not in the manner as contemplated. Instead of entering
an employment track that would give her the opportunity to meet or
exceed the income level she enjoyed at the time of the marriage, Alfronia
is earning less than one-half of her previous earnings. See id.
(concluding former wife’s deteriorating condition precluding her from
working at anticipated levels was a substantial change in
circumstances). Alfronia claims this result has been attributable to her
medical condition, while Travis claims it is largely self-inflicted. Travis
supports his argument with evidence that Alfronia is not working on a
full-time basis, and her medical condition does not currently exclude her
from full-time employment.
The preponderance of the evidence in this case reveals Alfronia’s
medical condition is a circumstance beyond the contemplation of the
parties at the time of the dissolution of marriage, which will at some
point in the future not only render her unable to work, but take her life.
Travis responds that the disease has not yet progressed to the point that
it has substantially changed her financial picture. He claims her request
for modification is premature.
We have held that voluntary changes in employment that reduce
income do not normally justify a change in circumstance to support a
modification of spousal support. See Ellis v. Ellis, 262 N.W.2d 265, 267–
68 (Iowa 1978) (holding former husband’s planned voluntary retirement
to move to a warmer climate was insufficient grounds for a modification
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of spousal support). Yet, the evidence in this case does not support
Travis’s premise that Alfronia is not doing enough in her employment to
assist in her own financial support or that the changes in the
employment contemplated at the time of the divorce constitute a
voluntary reduction of income. Alfronia’s disease has not only been a
factor in preventing her from pursuing a career as a cosmetologist, but it
has disrupted her ability to assimilate back into her former career. She
not only endures frequent and sometimes prolonged periods of medical
treatment, but the presence of the disease in her life has, over all, been a
general impediment in her ability to reenter and compete in the
workforce. She has not voluntarily reduced her income, but has been
hindered by a medical condition that has turned her world upside down.
We conclude that Alfronia has suffered a substantial reduction in
her earning capacity due to her medical condition. The change is
permanent and will continue to adversely impact her earning capacity as
her disease progresses.
We next consider whether the consequence of Alfronia’s medical
condition justifies a permanent award of spousal support. Travis argues
the record fails to support an award of permanent alimony because the
impact of Alfronia’s medical condition is too uncertain and the possibility
exists that her cancer could go into remission. He claims the present
circumstances are not yet extreme enough to justify permanent spousal
support because Alfronia is still capable of working.
Unlike the former spouse in Wessels, Alfronia is currently capable
of working. Yet, this factor does not mean Alfronia’s particular
circumstances are not extreme enough to justify permanent spousal
support at this time. The circumstances to justify permanent alimony do
not necessarily require unemployment, but require a change in
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employment that places the former spouse in a financial position well
short of the expected self-sufficiency despite good-faith efforts. See
Wessels, 542 N.W.2d at 490 (holding former wife had shown a
substantial change in circumstances in part because she was “currently
not capable of holding a job,” but not indicating unemployment is the
sine qua non of modification). A preponderance of the evidence in this
case supports a finding that Alfronia is doing the best that she can do
under the circumstances to support herself, but has fallen far short
because of unexpected circumstances beyond her control. Her claim is
not premature.
Yet, the claims asserted by Alfronia cannot be resolved without
further considering the totality of circumstances that impact her future
financial conditions. While Alfronia has experienced significant changes
in her life since the dissolution of marriage that have significantly
diminished her earning capacity, Travis contends those changes still do
not justify a modification in the spousal support provisions of the decree.
Travis argues that Alfronia has enough savings and retirement funds to
replace her diminished earnings for the remainder of her life. He also
argues she may be able to obtain social security disability benefits in the
future to further assist in her financial support.
The challenge in determining whether a change in the spousal
support provisions of a divorce decree is warranted in this case centers
primarily on Alfronia’s reduced life expectancy and the existence of funds
available to her that could be used to replace her diminished income. We
first consider Alfronia’s life expectancy.
The evidence in the case revealed that the median survival range
for people with the same type of blood disorder suffered by Alfronia is
between five and seven years from the time of diagnosis. Alfronia’s
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doctor, however, believes she may be in the fifty percentile of patients
who survive beyond the median range based on her particular
circumstances. Accordingly, we proceed in the analysis on that premise
that Alfronia will live beyond 2016.
We next consider all of the financial resources Alfronia has
available to her. See Iowa Code § 598.21C(1). Alfronia’s reduced life
expectancy brings into play those assets she has maintained to help fund
her retirement years as potential assets she can begin to utilize now.
Tragically, the point in time when Alfronia will leave the workplace will
come much sooner than expected and the time period she will be
expected to live after leaving the workplace will be much shorter than
expected. Consequently, we must consider if some or all of the assets set
aside for her retirement can be used now to replace some or all of the
reduction in her current income. We must also consider if other cash
assets can be used to help fund her current expenses.
Alfronia currently has $150,000 in her retirement account and
$80,000 in a savings account. Her present monthly expenses, including
the expected cost of her medical care, exceed $5000.
Alfronia earns approximately $1100 each month and receives $500
each month in spousal support. She also receives monthly child support
of $1020, which is properly considered in determining spousal support in
this case because Alfronia’s monthly expenses included the expenses
incurred in caring for their daughter. This child support will terminate
in 2016, although Alfronia will likely continue to spend money on behalf
of their daughter in her continuing role as a parent. Therefore, without
considering the retirement and savings accounts, the stream of income
currently available to Alfronia reveals she is in need of substantial
financial support due to a reduction in her earning ability attributable to
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her medical disorder. By the time of the modification hearing, her
expenses were exceeding her income and support by more than $30,000
a year. The question of whether spousal support needs to be modified
turns on the extent to which the retirement and savings accounts should
be considered as a current source of financial support. If these accounts
are sufficient to adequately support Alfronia, there is no justification to
modify the spousal support provisions of the decree.
In light of all the circumstances, the retirement account should be
considered as an asset available to Alfronia to help meet her current
financial needs. Two reasons primarily support this conclusion: First,
Alfronia’s life expectancy has dramatically changed. This change
implicates the purposes of retirement funds. These funds are set aside
to provide financial support in the latter stages of life, and sadly, Alfronia
is most likely now in this stage of her life. Second, the funds in the
account are legally available for her use. An IRA has restrictions on the
early withdrawal of funds, but Alfronia will likely have an opportunity to
begin withdrawing funds from the account at this time without a penalty,
and she can always withdraw funds with a penalty.1 She has
1Generally speaking, if a person withdraws an amount from an IRA before she
reaches fifty-nine-and-a-half years, her taxes are “increased by an amount equal to 10
percent of the portion of such amount which is includible in gross income.” See I.R.C.
§§ 72(t)(1), (2)(A)(i) (2012); see also id. §§ 408(a) (describing an individual retirement
account and its requirements), 4974(c)(4) (identifying “an individual retirement account
described in section 408(a)” as a “qualified requirement plan”). Alfronia will likely not
have reached fifty-nine-and-a-half years of age before needing to withdraw an amount
from her IRA. However, Alfronia may be able to avoid this penalty for some of her
medical expenses. See id. §§ 72(t)(2)(B) (providing that the ten percent penalty
described in section 72(t)(1) does not apply to “[d]istributions made to the employee . . .
to the extent such distributions do not exceed the amount allowable as a deduction
under section 213 to the employee for amounts paid during the taxable year for medical
care”), 213(a) (“There shall be allowed as a deduction the expenses paid during the
taxable year, not compensated for by insurance or otherwise, for medical care of the
taxpayer . . . to the extent that such expenses exceed 10 percent of adjusted gross
income.”). Of course, after Alfronia can no longer work, she will likely be disabled
within the meaning of I.R.C. § 72(t)(2)(A)(iii). See id. §§ 72(m)(7) (“For purposes of this
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unrestricted access to her bank account. Accordingly, the $150,000
retirement account and $80,000 savings account should be treated as
assets available to Alfronia to currently assist in her financial support.
Consequently, these assists should be considered as a factor in
determining the overall circumstances in deciding the existence of a
change in circumstances to modify spousal support.
The primary difficulty in utilizing these assets in the analysis lies
in determining what portion of the funds Alfronia should be expected to
start withdrawing for her support each year. This determination not only
relates to her current financial needs, but also considers the length of
her work life and life expectancy.
Based on the evidence presented at the modification hearing,
Alfronia will more likely than not be expected to survive her disease
beyond 2016. She will also be expected to work until the last year of her
life and should earn approximately $20,000 annually. Her annual
expenses are expected to exceed $60,000.
It is a fundamental objective that the retirement fund utilized by
Alfronia to supplement her income and provide support after she will be
unable to work must remain a funding source throughout her lifetime.
This proposition must be met for her to satisfy her financial needs. This
approach is no different for any person facing retirement and is not easy
to accomplish with certainty. We do not fully consider the potential
availability of future social security benefits because the record
_____________________
section, an individual shall be considered to be disabled if he is unable to engage in any
substantial gainful activity by reason of any medically determinable physical or mental
impairment which can be expected to result in death or to be of long-continued and
indefinite duration.”), 72(t)(2)(A)(iii) (providing that “[d]istributions which are . . .
attributable to the employee’s being disabled within the meaning of subsection (m)(7)”
are not subject to the ten percent tax penalty contained in section 72(t)(1)); see also 26
C.F.R. § 1.72–17A(f)(3) (2011) (“Ordinarily, a terminal illness because of disease or
injury would result in disability.”).
15
contained no evidence as to the availability or amount of such benefits.
Yet, the law reveals Alfronia will likely be eligible to receive some benefits.
See 42 U.S.C. § 423(a), (d) (2012) (providing that certain disabled persons
may receive social security disability insurance benefits and defining
disability for the purposes of that section).
Under all the circumstances, we conclude spousal support should
be increased to $1600 per month. This determination is based on the
best available understanding of the future that lies ahead for Alfronia
and her foreseeable financial needs during her life expectancy, and it
builds in a needed cushion to accommodate the inherent uncertainty of
the length of life.
Additionally, the spousal support award must be modified to
continue for the remainder of her life. The obligation to pay spousal
support for life is based upon the underlying purpose of spousal
support—providing support for the former spouse while they are
incapable of self-support. See In re Marriage of Olson, 705 N.W.2d 312,
316 (Iowa 2005) (“Traditional alimony is ‘payable for life or so long as a
spouse is incapable of self-support’ ” (quoting In re Marriage of Francis,
442 N.W.2d 59, 64 (Iowa 1989))); see also In re Marriage of Smith, 573
N.W.2d 924, 926 (Iowa 1998) (“Self-sufficiency is the primary goal of
rehabilitative alimony.”). However, that principle normally does not
apply once remarriage has occurred. See In re Marriage of Shima, 360
N.W.2d 827, 828 (Iowa 1985); Myers v. Myers, 195 N.W.2d 113, 114
(Iowa 1972). Consequently, the obligation of Travis to pay spousal
support may terminate in the event Alfronia remarries. Overall, the
modified spousal support award should be adequate to provide for
Alfronia’s financial needs for the remainder of her life, which is the
objective sought to be achieved.
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The spousal support awarded considers the current medical
expenses incurred by Alfronia. It also considers the amount of her
potential annual liability for medical expenses not covered by her
insurance. Thus, we strike the provision of the modified decree by the
district court that requires Travis to share in the future medical expenses
incurred by Alfronia.
Travis also challenged the requirement for him to pay the modified
spousal support obligation retroactive to the time Alfronia filed her claim
to modify spousal support. Spousal support may be modified
retroactively. See In re Marriage of Bonnette, 431 N.W.2d 1, 5 (Iowa Ct.
App. 1988); see also Wessels, 542 N.W.2d at 490. In exercising our
discretion to impose the award retroactively in this case, we recognize
Alfronia has not experienced any decrease in her net worth since the
dissolution of marriage. To some extent, this reveals Alfronia has
prudently maintained her assets since the divorce despite the decrease in
her income. Moreover, the modified spousal support obligation in this
case is predicated on the circumstances at the time of the modification
hearing, including the amount of assets held by Alfronia available for her
future financial support. There was no evidence to show it would be
unfair to make the award prospective from the date of the district court
judgment on March 15, 2012. To the contrary, the evidence showed that
modification of the spousal-support award from the entry of the modified
decree would adequately provide for Alfronia’s future financial needs.
Consequently, the obligations under the modified decree shall be
retroactive to March 15, 2012. In the event new circumstances not
contemplated as of that date arise, either party may seek additional
relief.
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IV. Remaining Issues.
We affirm the decision of the district court to deny the request by
Travis to modify physical care. We also affirm the decision of the district
court to deny Alfronia’s request for trial attorney fees. We award
appellate attorney fees to Alfronia of $3000. This award is not in
addition to the vacated award by the court of appeals, but replaces that
award. All other provisions of modified decree by the district court are
affirmed. Costs are divided equally.
V. Conclusion.
We vacate the decision of the court of appeals and affirm the order
of the district court, as modified by this opinion.
DECISION OF COURT OF APPEALS VACATED; DISTRICT
COURT ORDER AFFIRMED ON APPEAL AND AFFIRMED AS
MODIFIED ON CROSS-APPEAL.