Common use of Recoveries, including Subrogation Clause in Contracts

Recoveries, including Subrogation. In the event the Company or Plan Sponsor’s third party administrator obtains, directly or through a third party, Recoveries on behalf of Plan Sponsor that relate to amounts paid by the Company, the following will apply: Any recovery will be credited to the Plan Sponsor, subject to the terms of this agreement, as described below; provided, that Company may charge the Plan Sponsor a fee of up to 30% of the gross recovery including any third party fees and expenses for such recoveries, which will be netted against any such recovery. The recovery fee may exceed 30% if the applicable recovery vendor’s fee exceeds that percentage. Company shall have the right to retain any net recovery not exceeding $500 if 3 years have elapsed since this Agreement terminated. a. Plan Sponsor shall first reimburse Company, directly or through its third party administrator, a pro rata portion of such recovery; b. Such portion shall not exceed the amount Company has paid under the Agreement; c. Such portion will be net of Company’s portion of recovery fees; d. Allocation of the recovery fees will be based upon the amount related to such recovery that was paid by Company and Plan Sponsor; and e. Plan Sponsor will retain or receive the remaining portion of such recovery net of its portion of recovery fees.

Appears in 1 contract

Samples: Excess Health and Accident Coverage Agreement

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Recoveries, including Subrogation. In the event the Company or Plan Sponsor’s third party administrator obtains, directly or through a third party, Recoveries on behalf of Plan Sponsor that relate to amounts paid by the Company, the following will apply: Any recovery will be credited to the Plan Sponsor, subject to the terms of this agreement, as described below; provided, that Company may charge the Plan Sponsor a fee of up to 30% of the gross recovery including any third party fees and expenses for such recoveries, which will be netted against any such recovery. The recovery fee may exceed 30% if the applicable recovery vendor’s fee exceeds that percentage. If a net recovery exceeds the Specific Stop Loss Limit Company will not charge Plan Sponsor any recovery fee. Company shall have the right to retain any net recovery not exceeding $500 if 3 years have elapsed since this Agreement terminated. a. Plan Sponsor shall first reimburse Company, directly or through its third party administrator, a pro rata portion of such recovery; b. Such portion shall not exceed the amount Company has paid under the Agreement; c. Such portion will be net of Company’s portion of recovery fees; d. Allocation of the recovery fees will be based upon the amount related to such recovery that was paid by Company and Plan Sponsor; and e. Plan Sponsor will retain or receive the remaining portion of such recovery net of its portion of recovery fees.

Appears in 1 contract

Samples: Excess Health and Accident Coverage Agreement

Recoveries, including Subrogation. In the event the Company or Plan Sponsor’s third party administrator obtains, directly or through a third party, Recoveries on behalf of Plan Sponsor that relate to amounts paid by the Company, the following will apply: Any recovery will be credited to the Plan Sponsor, subject to the terms of this agreementAgreement, as described below; provided, that Company may charge the Plan Sponsor a fee of up to 30% of the gross recovery including any third party fees and expenses for such recoveries, which will be netted against any such recovery. The recovery fee may exceed 30% if the applicable recovery vendor’s fee exceeds that percentage. If a net recovery exceeds the Specific Stop Loss Limit Company will not charge Plan Sponsor any recovery fee. Company shall have the right to retain any net recovery not exceeding $500 if 3 years have elapsed since this Agreement terminated.. In the event the Company or Plan Sponsor’s third party administrator obtains, directly or through a third party, Recoveries on behalf of Plan Sponsor that relate to amounts paid by the Company, the following will apply: a. Plan Sponsor shall first reimburse Company, directly or through its third party administrator, a pro rata portion of such recovery; b. Such portion shall not exceed the amount Company has paid under the Agreement; c. Such portion will be net of Company’s portion of recovery fees; d. Allocation of the recovery fees will be based upon the amount related to such recovery that was paid by Company and Plan Sponsor; and e. Plan Sponsor will retain or receive the remaining portion of such recovery net of its portion of recovery fees.

Appears in 1 contract

Samples: Excess Health and Accident Coverage Agreement

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Recoveries, including Subrogation. In the event the Company or Plan Sponsor’s third party administrator obtains, directly or through a third party, Recoveries on behalf of Plan Sponsor that relate to amounts paid by the Company, the following will apply: Any recovery will be credited to the Plan Sponsor, subject to the terms of this agreement, as described below; provided, that Company may charge the Plan Sponsor a fee of up to 30% of the gross recovery including any third party fees and expenses for such recoveries, which will be netted against any such recovery. The recovery fee may exceed 30% if the applicable recovery vendor’s fee exceeds that percentage. If a net recovery exceeds the Specific Stop Loss Limit Company will not charge Plan Sponsor any recovery fee. Company shall have the right to retain any net recovery not exceeding $500 if 3 years have elapsed since this Agreement terminated.. In the event the Company or Plan Sponsor’s third party administrator obtains, directly or through a third party, Recoveries on behalf of Plan Sponsor that relate to amounts paid by the Company, the following will apply: a. Plan Sponsor shall first reimburse Company, directly or through its third party administrator, a pro rata portion of such recovery; b. Such portion shall not exceed the amount Company has paid under the Agreement; c. Such portion will be net of Company’s portion of recovery fees; d. Allocation of the recovery fees will be based upon the amount related to such recovery that was paid by Company and Plan Sponsor; and e. Plan Sponsor will retain or receive the remaining portion of such recovery net of its portion of recovery fees.

Appears in 1 contract

Samples: Excess Health and Accident Coverage Agreement

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