Posts tagged health plan's reimbursement rights.
Most health plans subject to the Employee Retirement Income Security Act of 1974, as amended ("ERISA"), include a subrogation clause which requires a participant to reimburse the plan if the participant later recovers money from a third party for injuries (which were treated by medical benefits provided by the health plan). In Montanile v. Board of Trustees of the National Elevator Industry Health Benefit Plan, No. 14-723, 2016 WL 228344 (January 20, 2016), the United States Supreme Court ruled, that when a participant expends the whole recovery on nontraceable expenditures, the ...
Posted in: Federal Tax, Nonprofit Organizations and Benefit Plans
Tags: ERISA, health plan's reimbursement rights, Montanile v. Board of Trustees of the National Elevator Industry Health Benefit Plan, settlement disputes, U.S. Supreme Court ruling on reimbursement rights