Common use of Recovery of Benefit Overpayments Clause in Contracts

Recovery of Benefit Overpayments. If it is determined that any benefits paid to an employee should not have been paid or should have been paid in a lesser amount, written notice thereof shall be given to such employee and he/she shall repay the amount of the overpayment to the insurer. If the employee fails to repay such amount of overpayment promptly, the insurer may arrange to recover the amount of the overpayment by making an appropriate deduction or deductions from any future benefit payment or payments payable to the employee or the company at the insurer's request may make an appropriate deduction or deductions from future compensation payable by the company to the employee. (e) Subrogation In the event of any payment to the employee under the Life and Disability Insurance Plan for loss of income for which the employee may have a cause of action against a third party, the Trustee of the Ford Group Health Trust (the Trustees) the Administrator or the company will have their interest subrogated in this regard. This will entitle the Trustee, the Administrator or the company to be reimbursed for any amount, that the employee recovers for loss of income from the Trustees, the Administrator or the company which exceeds the employee's actual loss of income. The employee will execute and deliver such instruments and papers as may be required and do whatever else is necessary to secure such rights. The employee may take no action which may prejudice the subrogation rights. The subrogation rights referred to above do not apply to an individual plan purchased by the employee specifically for wage loss replacement.

Recovery of Benefit Overpayments. If it is determined that any benefits paid to an employee should not have been paid or should have been paid in a lesser amount, written notice thereof shall be given to such employee and he/she shall repay the amount of the overpayment to the insurer. If the employee fails to repay such amount of overpayment promptly, the insurer may arrange to recover the amount of the overpayment by making an appropriate deduction or deductions from any future benefit payment or payments payable to the employee or the company at the insurer's request may make an appropriate deduction or deductions from future compensation payable by the company to the employee. (e) Subrogation In the event of any payment to the employee under the Life and Disability Insurance Plan for loss of income for which the employee may have a cause of action against a third party, the Trustee trustee of the Ford Group Health Trust (the Trusteestrustees) the Administrator administrator or the company will have their interest subrogated in this regard. This will entitle the Trusteetrustee, the Administrator administrator or the company to be reimbursed for any amount, that the employee recovers for loss of income from the Trusteestrustees, the Administrator administrator or the company which exceeds the employee's actual loss of income. The employee will execute and deliver such instruments and papers as may be required and do whatever else is necessary to secure such rights. The employee may take no action which may prejudice the subrogation rights. The subrogation rights referred to above do not apply to an individual plan purchased by the employee specifically for wage loss replacement.