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subrogation or reimbursement.
You and your spouse or dependent child(ren) 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’s consent. 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 been made to the Plan under the “Third Party Liability” section above. The
Plan, or its designee, 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, including the right to seek or receive benefits, appeal benefit
determinations, obtain Plan documents, or file any suit against the Plan or its fiduciaries, and
any attempt to do so 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. The payment of benefits directly to a health care or
other provider, if any, shall be done as a convenience to you and shall not make the provider
an assignee. In no event shall any provider of benefits be a “participant” or “beneficiary”
under the Plan and no provider shall have standing under ERISA or the claims procedures of
this Plan. Neither the Employer nor the Plan shall be in any manner liable for, or subject to,
the debts, contracts, liabilities, engagements or torts of any person entitled to benefits
hereunder.
QUALIFIED MEDICAL CHILD SUPPORT ORDER (QMCSO)
A QMCSO is a court order giving a child who otherwise might not be eligible for medical
coverage under the Plan a right to such coverage. Normally, such an order is issued by the
court in connection with a divorce or separation. Before your Employer will comply with a
QMCSO, it must determine that the court order meets the requirements of applicable law
pertaining to QMCSOs. You will be notified if a court order relating to you is received by
your Employer and the procedure used by your Employer to determine whether the order is a
QMCSO. You may receive from your Employer, without charge, a copy of the Plan’s
QMCSO procedures.
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