Mealey's Health Law - ERISA Plan Terms Govern Reimbursement Obligation, Federal Judge Rules

Mealey's Health Law - ERISA Plan Terms Govern Reimbursement Obligation, Federal Judge Rules

ROCK ISLAND, Ill. - A federal judge in Illinois on Feb. 5 ruled that where a health plan governed by the Employee Retirement Income Security Act requires a plan participant to reimburse the plan for benefits received from a third-party recovery, the participant was not relieved of his reimbursement obligation by the plan's failure to follow procedures in a document other than the plan's governing document (Plumbers and Pipefitters Local No. 25 Welfare Fund, et al. v. Wes Sedam, No. 12-4114, C.D. Ill.; 2014 U.S. Dist. LEXIS 14436).

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