Common use of Reductions - Acts of Third Parties Clause in Contracts

Reductions - Acts of Third Parties. If a covered Member is injured or becomes ill due to the act or omission of another person (a "third party"), Blue Shield of California shall, with respect to services required as a re- xxxx of that injury, provide the benefits of this Agreement and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the covered Member on a fee-for- service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the injury or illness or from unin- sured/underinsured motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member re- ceives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settlement or any other arrangement from any third party or third party insurer, or from uninsured or underinsured motorist coverage, related to the illness or inju- ry (the “Recovery”), without regard to whether the Member has been “made whole” by the Recovery. Blue Shield’s right to restitution, reimbursement or other available remedy is with respect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated in accordance with California Civil Code section 3040. The covered Member is required to:

Reductions - Acts of Third Parties. If a covered Member is injured or becomes ill due to the act or omission of another person (a "third party"), Blue Shield of California shall, with respect re- spect to services required as a re- xxxx result of that injury, provide the benefits of this Agreement and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the covered cov- ered Member on a fee-for- for-service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the injury or illness or from unin- sured/underinsured motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member re- ceives receives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settlement settle- ment or any other arrangement from any third party or third party insurer, or from uninsured or underinsured under- insured motorist coverage, related to the illness or inju- ry injury (the “Recovery”), without regard to whether the Member has been “made whole” by the RecoveryRecov- ery. Blue Shield’s right to restitution, reimbursement reimburse- ment or other available remedy is with respect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated in accordance with California Civil Code section 3040. The covered Member is required to:

Reductions - Acts of Third Parties. If a covered Member is injured or becomes ill due to the act or omission of another person (a "third party"), Blue Shield of California shall, with respect to services required as a re- xxxx of that injury, provide the benefits of this Agreement and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the covered Member on a feefee- for-for- service basis from any recovery (defined below) obtained ob- tained by or on behalf of the Member, from or on behalf of the third party responsible for the injury or illness or from unin- sureduninsured/underinsured motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member re- ceives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settlement or any other arrangement from any third party or third party insurer, or from uninsured or underinsured motorist coverage, related to the illness or inju- ry in- jury (the “Recovery”), without regard to whether the Member Mem- ber has been “made whole” by the Recovery. Blue Shield’s right to restitution, reimbursement or other available remedy is with respect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated in accordance with California Cali- fornia Civil Code section 3040. The covered Member is required to:

Reductions - Acts of Third Parties. If a covered Member is injured or becomes ill due to the act or omission of another person (a "third party"), Blue Shield of California shall, with respect to services required as a re- xxxx of that injury, provide the benefits of this Agreement and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the covered Member on a fee-for- service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the injury or illness or from unin- sured/underinsured motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member re- ceives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settlement or any other arrangement from any third party or third party insurer, or from uninsured or underinsured motorist coverage, related to the illness or inju- ry (the “Recovery”), without regard to whether the Member has been “made whole” by the Recovery. Blue Shield’s right to restitution, reimbursement or other available remedy is with respect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated in accordance with California Civil Code section 3040. The covered Member is required to:

Reductions - Acts of Third Parties. If a covered Member is injured or becomes become ill due to the act or omission of another person (a "third party"), Blue Shield of California shall, with respect to services required as a re- xxxx result of that injury, provide the benefits of this Agreement and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the covered Member on a fee-for- service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the injury or illness or from unin- sured/underinsured motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member re- ceives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settlement or any other arrangement from any third party or third party insurer, or from uninsured or underinsured motorist coverage, related to the illness or inju- ry (the “Recovery”), without regard to whether the Member has been “made whole” by the Recovery. Blue Shield’s right to restitution, reimbursement or other available remedy is with respect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated in accordance with California Civil Code section 3040. The covered Member is required to: