Subrogation and Reimbursement. 1. In the event a Participant is legally entitled to recover all or a portion of the cost of a service or a prescription drug covered by this Plan from a third party, the Employer will, upon making payment under this Plan, succeed to any rights of recovery the Participant may have or acquire (with respect to such service or prescription drug) against any individual or organization except insurers of individual hospital, surgical or medical policies issued to the Participant.
Subrogation and Reimbursement. These paragraphs apply when another party (including any insurer) is, or may be found to be, responsible for Your injury, illness or other condition and We have provided benefits related to that injury, illness or condition. As permitted by applicable state law, unless preempted by federal law, We may be subrogated to all rights of recovery against any such party (including Your own insurance carrier) for the benefits We have provided to you under this Policy. Subrogation means that We have the right, independently of you, to proceed directly against the other party to recover the benefits that We have provided. Subject to applicable state law, unless preempted by federal law, We may have a right of reimbursement if you or anyone on your behalf receives payment from any responsible party (including Your own insurance carrier) from any settlement, verdict or insurance proceeds, in connection with an injury, illness, or condition for which We provided benefits. Under Section 5-335 of the New York General Obligations Law, Our right of recovery does not apply when a settlement is reached between a plaintiff and defendant, unless a statutory right of reimbursement exists. The law also provides that, when entering into a settlement, it is presumed that You did not take any action against Our rights or violate any policy between You and us. The law presumes that the settlement between You and the responsible party does not include compensation for the cost of dental care services for which We provided benefits. We request that You notify Us within 30 days of the date when any notice is given to any party, including an insurance company or attorney, of Your intention to pursue or investigate a claim to recover damages or obtain compensation due to injury, illness or condition sustained by You for which we have provided benefits. You must provide all information requested by Us or Our representatives including, but not limited to, completing and submitting any applications or other forms or statements as We may reasonably request.
Subrogation and Reimbursement. Subject to the limitations of Section 10.2(d), the Committee shall maintain, as part of each Plan, a comprehensive subrogation and reimbursement policy, updated from time to time as appropriate.
Subrogation and Reimbursement. If the Plan is self-insured, the following provisions regarding subrogation and third-party reimbursement will apply.
Subrogation and Reimbursement. THIRD-PARTY LIABILITY
Subrogation and Reimbursement. If we make Claims payment on your behalf for Injury or Illness for which another party is liable, or for which uninsured/underinsured motorist (UIM) or personal injury protection (PIP) insurance exists, we will be subrogated to any rights that you may have to recover compensation or damages from that liable party related to the Injury or Illness, and we would be entitled to be repaid for payments we made on your behalf out of any recovery that you obtain from that liable party after you have been fully compensated for your loss. The liable party is also known as the "third party" because it is a party other than you or us. This party includes a UIM carrier because it stands in the shoes of a third party tort feasor and because we exclude coverage for such benefits. Definitions The following terms have specific meanings in this contract: Subrogation means we may collect directly from third parties or from proceeds of your recovery from third parties to the extent we have paid on your behalf for Illnesses or Injury caused by the third party and you have been fully compensated for your loss. Reimbursement means that you are obligated under the contract to repay any monies advanced by us from amounts you have received on your claim after you have been fully compensated for your loss. Restitution means all equitable rights of recovery that we have to the monies advanced under your plan. Because we have paid for your Illness or Injury, we are entitled to recover those expenses from any responsible third‐party once you have been fully compensated for your loss. To the fullest extent permitted by law, we are entitled to the proceeds of any settlement or judgment that results in a recovery from a third party, up to the amount of payments we have made on your behalf after you have been fully compensated for your loss. Our right to recover exists regardless of whether it is based on subrogation, reimbursement or restitution. In recovering payments made on your behalf, we may at our election hire our own attorney to prosecute a subrogation claim for recovery of payments we have made on your behalf directly from third‐parties, or be represented by your attorney prosecuting a claim on your behalf. Our right to prosecute a subrogation claim against third‐parties is not contingent upon whether or not you pursue the party at fault for any recovery. If you recover from a third party and we share in the recovery, we will pay our share of the legal expenses. Our share i...
Subrogation and Reimbursement. Subrogation is the substitution of one person or entity in the place of another with reference to a lawful claim, demand or right. The Company shall be entitled to all rights of recovery for the reasonable value of services and Benefits provided by The Company to any Covered Person, from any third party or entity that either provides or is obligated to provide Benefits or payments to the Covered Person. The Covered Person agrees to execute and deliver such documents (including a written confirmation of assignment, and consents to release medical records), and provide such help as may be reasonably requested by The Company.
Subrogation and Reimbursement. The Company's obligations under this Agreement to the Executive and the Executive's Spouse will be reduced with respect to any injury or illness caused by a third party to the extent that the Executive or the Executive's Spouse recovers any amount from the third party or the third party's insurance carrier, without regard to whether the third party admits liability and without regard to whether such recovery specifically mentions or otherwise relates to medical benefits or amounts paid under this Agreement. The Executive or the Executive's Spouse, as applicable, will reimburse the Company for any payment that is made by the Company which is not required under the preceding sentence. In addition, in the event that the Executive or the Executive's Spouse sustains an injury or illness caused by a third party, the Company will be subrogated to the rights of the Executive or the Executive's Spouse against the third party or the third party's insurance carrier (including uninsured motorist coverage).
Subrogation and Reimbursement. Pledgor waives the Pledgor's rights of subrogation and reimbursement and any other rights and defenses available to Pledgor, including: (i) any defenses Pledgor may have to this Agreement obligation by reason of an election of remedies by Lender; and (ii) any rights or defenses Pledgor may have by reason of protection afforded to Pledgor pursuant to any antideficiency or other laws limiting or discharging Pledgor' s indebtedness.
Subrogation and Reimbursement. SECTION IX -
