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Everything listed under: subrogation

  • Application of Med-Pay When Injured Party on the Job

    If both medpay and UM are available under the policy, you can claim them both.

    Answer: Yes. See: Aetna v. State Board of Prop. & Cas. Rates, 1981 OK 153, 637 P.2d 1251: Med pay offset against UM invalid. No subrogation for medical bills paid under UM

  • Blue Cross Blue Shield Policy

    Do you have a Blue Cross Blue Shield policy so I can see the subrogation language?

    Answer: Be careful about relying on the BC/BS subrogation language from some other policy. BC/BS has a bewildering array of plans and the subrogation provisions are not always the same. Get your client’s employee benefit booklet and examine that language.

  • Health Insurance Subrogation

    Isn't it true a health insurance subrogation claim is null and void against a GTCA case?

    Answer: That's a good question. 51 O.S. Sec. 155(27) says: “The state or a political subdivision shall not be liable if a loss or claim results from... 27. Any claim or action based on the theory of indemnification or subrogation...” Does this mean the injured plaintiff can collect for the medical bills paid under a subrogated health policy or does it mean the injured employee can’t recover for those medical bills, since the statute exempts the governmental entity from the liability. The governmental entities’ lawyers will argue the latter, arguing that the statute is obviously not intended to provide a windfall for injured plaintiffs. The injured plaintiffs’ lawyers will argue that the statute doesn’t, on its face, purport to deal with whether the injured plaintiff can recover but only says the subrogated entity cannot recover subrogation. Get ready to go to the Supreme Court.

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