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Common in the insurance industry, subrogation is a legal process that allows an insurance company to pursue a party that caused a covered loss. It's one way companies recover the amount of claims ...
Blue Cross Blue Shield payments to about 6 million people are set to go out more than two years after the health insurer reached a $2.67 billion settlement with subscribers.
“It’s a process called subrogation. They now get 10% of MY, the widow, portion of any settlement I receive. ... "I had health insurance when I gave birth to my youngest child. I supposedly had ...
The first reported judicial decision involving an effort of a health insurer to seek subrogation on a personal injury claim is the 1982 decision in Frost v. Porter Leasing Corp., 436 N.E.2d 387 (Mass. 1982) in which subrogation was denied. “ERISA reimbursement” claims began arising in the late 1980s and have been resisted by some federal ...
In an "excess" or "supplemental" travel insurance policy where there is a 'first payer' clause, through the subrogation process an insurer is legally entitled to seek cost-sharing up to a certain percentage from a member's private group health insurance provider after the insurer pays out a travel insurance claim. [10]
The names had also had "stop loss" insurance of their own with the respondents, the stop loss insurers. The respondents had paid out under the stop loss policies. The stop loss insurers now claimed to be subrogated to the settlement money paid by Outhwaite. It was not disputed that the stop loss insurers had a right of subrogation, but the ...
Marlene Sereboff and her husband Joel were the beneficiaries of a health insurance plan administered by Mid Atlantic Medical Services, Inc., and covered by ERISA. [2] The plan contained an "Acts of Third Parties" provision, which applied if a third party was responsible for their illness or injury, and required the beneficiaries to reimburse Mid Atlantic for plan benefits from any recovery ...
(Reuters) -The three largest U.S. drug distributors have agreed to pay $300 million to resolve claims by health insurers and benefit plans that they helped fuel the deadly U.S. opioid epidemic ...