10.2 Third-Party Liability Rule

Third-party liability refers to expenses for an injury or illness caused by another person (called a third party) for which that person is liable or legally responsible to pay.

Medical services are provided if you and your Spouse are injured through the actions of a third party, such as an automobile accident.

If you collect any amount from the third party or his or her insurance company, the medical benefit provider is entitled to obtain reimbursement from you for the value of all hospital and medical services provided by them for the care of your injury. The amount collected from you will never be more than the amount you collect from the other person or the insurance company.

If you have any questions regarding third-party liability, contact the applicable medical benefit provider for details.