SUBROGATION AGREEMENTSubrogation Agreement • February 19th, 2011
Contract Type FiledFebruary 19th, 2011In consideration of the payment of medical and/or disability benefits which may be paid to me (or my spouse or dependent) or on my behalf by the Painters and Allied Trades District Council #82 Health Care Plan ("Fund") arising from the injury or illness that occurred or commenced on (date), I assign to the Fund, to the extent of payments made by the Fund, all of my claim or cause of action against any person or legal entity that may be legally liable for my injuries. If I receive or have already received any payment for the same injury or illness, I agree to reimburse the Fund to the extent of its payments.