Third Party Liability. If a covered Person 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 re- quired as a result of that injury, provide the Ben- efits of the Plan and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield of California paid for Services provided to the cov- ered Person on a fee-for-service basis from any recovery (defined below) obtained by or on be- half of the Subscriber, from or on behalf of the third party responsible for the injury or illness or from uninsured/underinsured motorist coverage.
Appears in 9 contracts
Samples: Dental Ppo Plan 1000, Dental Ppo Plan 1500 for Medicare Supplement Subscribers, Dental Ppo Plan 1500
Third Party Liability. If a covered Person 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 re- quired as a result of that injury, provide the Ben- efits of the Plan and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield of California paid for Services provided to the cov- ered Person on a fee-for-service basis from any recovery (defined below) obtained by or on be- half of the Subscriber, from or on behalf of the third party responsible for the injury or illness or from uninsured/underinsured motorist coverage.the
Appears in 2 contracts
Samples: Dental Ppo Plan 1500, Dental Ppo Plan 1000 for Medicare Supplement Subscribers
Third Party Liability. If a covered Person 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 re- quired required as a result of that injury, provide the Ben- efits Benefits of the Plan and have an equitable right to restitution, reimbursement or other available remedy to recover re- cover the amounts Blue Shield of California paid for Services provided to the cov- ered covered Person on a fee-for-service basis from any recovery (defined below) obtained by or on be- half behalf of the Subscriber, from or on behalf of the third party responsible for the injury or illness or from uninsuredunin- sured/underinsured motorist coverage.
Appears in 1 contract
