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Health Insurer That Paid Another Insurer's Claims Is Not Entitled To Reimbursement
Wolters Kluwer Law & Business
Aug. 1, 2014 "Although an insurer that covered students' sports injuries was obligated to pay for their medical expenses where its policy and a health insurer's policies overlapped, it did not have to reimburse the health insurer for payments that had already been made on the students' claims, according to the Sixth Circuit ... This was because the claim was brought under ERISA Sec. 502(a)(3)(B), which only provides for equitable, not monetary relief, the court held. The terms of the two insurers' policies conflicted with regard to which company was responsible for making payments." [Central States, Se. and Sw. Areas Health and Welfare Fund v. First Agency, Inc., No. 13-2077 (6th Cir. July 1, 2014)] MORE >> |
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