Third Party Liability

Note: PacifiCare changed its name to UHC of California and will do business as (dba) UnitedHealthcare of California, effective May 2011. (See the March 25, 2011 announcement.)

If you are ever injured through the actions of another person (a third party) and receive compensation for your medical care, you will be required to reimburse PacifiCare, or its nominee, for the reasonable value of medical services and benefits provided.  The amount of reimbursement shall not exceed the amount of compensation you receive from the third party.

• You must obtain PacifiCare's written consent prior to settling any claim, or releasing any third party from liability, if such a release would limit PacifiCare's right of reimbursement.
• Should you settle your claim against a third party and compromise PacifiCare’s reimbursement rights, PacifiCare reserves the right to initiate legal action.  Attorney fees will be awarded to the prevailing party.
• You are required to cooperate in protecting the interest of PacifiCare by providing PacifiCare with all liens, assignments or other documents.  Failure to cooperate with PacifiCare in this regard could result in membership termination.