Common use of REDUCTIONS – THIRD PARTY LIABILITY Clause in Contracts

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits 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 Subscriber 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 in- jury or illness or from uninsured/underinsured mo- torist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settle- ment or any other judgment, from any third party or third party insurer, or from uninsured or under- insured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- ery. Blue Shield’s right to restitution, 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 Subscriber is required to:

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits of this Agreement and have an equitable right to restitution, reimbursement or other available avail- able remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber 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 in- jury injury or illness or from uninsuredunin- sured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received re- ceived by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured un- insured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy rem- edy is with respect to that portion of the total Recovery Re- covery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated cal- culated in accordance with California Civil Code section 3040. The Subscriber is required to:

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber a Member is injured or becomes ill due to the act or omission omis- sion of another person (a “third party”), Blue Shield or a con- tracted Dental Plan Administrator shall, with respect to Services ser- vices required as a result of that injury, provide the ben- efits Benefits of this Agreement the Plan and have an equitable right to restitution, reimbursement reimburse- ment or other available remedy to recover the amounts Blue Shield paid for Services services provided to the Subscriber on a fee-for- service basis Member from any recovery re- covery (defined below) obtained by or on behalf of the MemberMem- ber, from or on behalf of the third party responsible for the in- jury or illness or from uninsured/underinsured mo- torist coveragemotorist cover- age. Blue Shield’s This right to restitution, reimbursement or other available remedy rem- edy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received re- ceived by way of court judgment, arbitration award, settle- ment settlement or any other judgmentarrangement, from any third party or third party insurer, or from uninsured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- ery. Blue Shield’s The right to restitution, reimburse- ment 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 Section 3040. The Subscriber Member is required to:

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits 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 Subscriber 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 in- jury or illness or from uninsured/underinsured mo- torist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settle- ment or any other judgment, from any third party or third party insurer, or from uninsured or under- insured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment xxxx- bursement or other available remedy is with respect re- spect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection connec- tion with such injury or illness, calculated in accordance ac- cordance with California Civil Code section 3040. The Subscriber is required to:

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services Ser- vices required as a result of that injury, provide the ben- efits benefits of this Agreement and have an equitable equi- table right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber Subscrib- er 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 re- sponsible for the in- jury injury or illness or from uninsuredunin- sured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received re- ceived by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured un- insured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy rem- edy is with respect to that portion of the total Recovery Re- covery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated cal- culated in accordance with California Civil Code section 3040. The Subscriber is required to:

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services Ser- vices required as a result of that injury, provide the ben- efits benefits of this Agreement and have an equitable equi- table right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a fee-for- for-service basis from any recovery (defined de- fined below) obtained by or on behalf of the MemberMem- ber, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsuredunin- sured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settle- ment or any other judgment, from any third party or third party insurer, or from uninsured or under- insured underin- sured motorist coverage, related to the illness or injury in- jury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- ery. Blue Shield’s right to restitution, 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 Subscriber is required to:

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third partypar- ty”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits 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 Subscriber Sub- xxxxxxx on a fee-for- for-service basis from any recovery re- covery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received re- ceived by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured un- insured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy rem- edy is with respect to that portion of the total Recovery Re- covery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated cal- culated in accordance with California Civil Code section 3040. The Subscriber is required to: