Page 44 - 2022 MLB Umpire Benefit Guide Flipbook 1

MLB League-Wide Insurance Program
Plan and Summary Plan Description

any settlement or recovery from a third person or party. In accordance with that constructive
trust, lien or equitable lien by agreement, you and your spouse or dependent children ) agree to
cooperate with the Plan in reimbursing it for Plan costs and expenses.

Once you or your spouse or dependent child(ren) has any reason to believe that you or they may
be entitled to recovery from any third party, you or your spouse or dependent child(ren) must
notify the Plan. And, at that time, you and your spouse or dependent children )(and youror their
attorney,if applicable)mustsign asubrogation/reimbursementagreement thatconfirmstheprior
acceptance of the Plan’s subrogation rights and the Plan’s right to be reimbursed for expenses
arising from circumstances that entitle you or your spouse or dependent children ) to any
payment, amount or recovery from a third party.

If you or your spouse or dependent child(ren) fails or refuses to execute the required
subrogation/reimbursement agreement, the Plan may deny payment of any benefits to you, your
spouse and any of your dependent children ) until the agreement issigned. Alternatively, if you
or your spouse or dependent children ) fails or refuses to execute the required
subrogation/reimbursement agreement and the Plan nevertheless pays benefits to oron behalf of
you or your spouse or dependent children ), you or your spouse or dependent child(ren)’s
acceptance of such benefits will constitute agreement to the Plan’s right to subrogation or
reimbursement.

You and your spouse or dependent children ) consent and agree that you or they will not assign
your or their rights to settlement or recovery against a third person or party to any other party,
including their attorneys, without the Plan’sconsent. As such, the Plan’s reimbursement will not
be reduced by attorneys’ fees and expenses without express written authorization from the
Employer.

RECOUPMENT

The Plan has the right to recover any mistaken payment, any overpayment, any payment that is
made to any individual who was not eligible for that payment, or any payment that was required
to have beenmade to the Plan under the “Subrogation” section above. The Plan,or itsdesignee,
may withhold or offset future benefit payments, sue to recover such amounts, or may use any
other lawful remedy to recoup any such amounts.

NO ASSIGNMENT OF BENEFITS

You cannot assign, pledge, encumber or otherwise alienate any legal or beneficial interest in
benefits under the Plan,and any attempt to doso will be void. The payment of benefits directly
to a health care provider, if any, will be done as a convenience to the covered person and will not
constitute an assignment of benefits under the Plan.

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