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ERISA Plan Prohibited from Conditioning Payment of Claims on Execution of Subrogation Agreement
Health Plan Law 
Oct. 10, 2007
Excerpt: This district court opinion highlights two important aspects of health plan administration in the enforcement of reimbursement or subrogation provisions. A self-funded ERISA group health plan may pend payment of medical claims - and ultimately deny them - if participants do not execute documents required by the plan. An important caveat, however, is that the plan must contain a provision imposing this requirement.
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