Repayment Agreement. I HEREBY FURTHER AGREE to reimburse DHS, any and all hospital, medical and similar expenses paid on my behalf as a result of said accident or incident, should compensation be paid directly to me from any judgment, award, settlement, or insurance proceeds for my injuries received as a result of the above-referenced accident or incident. I FURTHER UNDERSTAND that this Repayment Agreement is in addition to any Assignment, right of recovery, right of subrogation, or lien rights DHS may have to any proceeds from any judgment, award, settlement, or insurance proceeds for my injuries received as a result of the above-referenced accident or incident.
Appears in 3 contracts
Sources: Assignment of Payment and Repayment Agreement, Assignment of Payment and Repayment Agreement, Assignment of Payment and Repayment Agreement