It depends. In most cases today, insurance policies contain

Have a Question?

Fill out this quick form and we will contact you within 24 hours!

Name*

Phone*

Email*
Describe Your Case:

I've been in a car wreck and I've received a letter from my own health insurance company demanding that Ipay the medical bills back if i get a recovery in my automobile accident case. Do I really have to pay them back and is that legal?

 

A:

It depends.  In most cases today, insurance policies contain "subrogation" or "reimbursement" provisions that claim that the insurer can force you to repay if you recover damages in a lawsuit or settlement.  While Georgia law generally prohibits an "assignment" of a personal injury case and disallows "subrogation", it does allow for "reimbursement" if you have been made "whole" for all "economic and non-economic" damages.  The burden of proof is on the health or auto insurer to prove that you have been made whole, which is difficult to do if the case results in a general settlement.

If your "insurance" is through your employer, a federal law, known as ERISA, may trump (or "preempt") Georgia law.  If the ERISA plan is "self-funded", you may be stuck having to repay.  In other words, your "health insurance" acts like a glorified loan of funds, not true insurance.


Free Book

Do I Have a Case?

Contact us today for a free, no obligation consultation about your personal injury legal needs.

Name *

Phone *

Email *

Tell us more *


Jason R. Schultz
525 Westpark Drive, Suite 120
Peachtree City, GA 30269
Phone: (404) 474-0804
Fax: (770) 692-3326
Get Directions

Find Us On Facebook
Super Lawyers
Seriously Outstanding
only 5% selected each year



The National Trial Lawyers

FAQs

Videos