Our clients’ health insurance companies aggressively pursue reimbursement from our clients’ third-party settlements of the benefits they have paid for health care required to treat their injuries. Although in some cases the health insurance companies are entitled under the health plan/contract to be reimbursed from the "third-party recovery," in many cases they are not, and in every case the amount of the reimbursement can be minimized or reduced.
Every dollar we save from the reimbursement claim of our clients’ health insurers goes directly to our clients. We take this aspect of our representation, reducing or eliminating reimbursement to health insurers very seriously, and we have been extremely successful in doing so.
One example is our client who had a $77,000 reimbursement lien claim, a third-party insurance limit of $15,000, and a recovery of $165,000 after we made a policy limit demand that was not accepted, and we convinced the health insurer to walk away from its lien entirely. (See the discussion above about Preparing for Trial - Policy Limit Demands.)
Another example is a case in which we were successful in obtaining a $5,000,000 policy limit settlement for our client who was seriously injured by a private tour bus, and we persuaded the health insurer to drop its claim for reimbursement of over $650,000 in medical expenses it paid.
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Representative
Clients
Gabriel, a 24 year-old car dealership worker who
suffered head trauma and mild brain injury in a fight
with a co-worker.
Lisa, a 36 year-old single mother
and auto parts store clerk who was driven from her job
by a boss who sexually harassed her.
Shaheed, a 35 year old bakery
salesman, who suffered multiple broken bones in a accident
with a runaway truck that ran into him as he was driving
his young nephew to school.
