This means you are paying for premiums with money that has already been taxed. Choosing to pay your premiums after-tax does not reduce your taxable income, but, if total medical expenses for the year reach an IRS-required level, some choose to file a tax schedule (i.e., Schedule A) to report those expenses.
Indifferently definition, without interest or concern; not caring; apathetic: his indifferent attitude toward the suffering of others. See more.
Once he gives up on his erstwhile Sources of Supply, the narcissist proceeds to promptly and peremptorily devalue and discard them. This is often done by simply ignoring them  a facade of indifference that is known as the silent treatment and is, at heart, hostile and aggressive. Indifference is, therefore, a form of devaluation. People find the narcissist cold, inhuman, heartless, clueless, robotic or machine-like.