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C-number: C-39-12-011-S

C-number: C-39-12-011-S-00
Item: #A-4
Revision: 00
Item Text
A-4. SETTLEMENTS OF CLAIMS FOR RECOVERY OF MEDICAL CARE AND TREATMENT Approve settlement of a claim for recovery of the cost of medical care and treatment for Allen Dirkmeyer. The settlement represents recovery by the Maricopa County Benefits Trust Fund of $28,825.00 on claims of $170,740.27. A.R.S. § 12-962 permits the county to recover the cost of medical care and treatment provided to participants in its employee Health and Welfare Benefits Program('Participants") who are injured by third parties. Under the Count's Administrative Services Only Agreement (the"ASO") with Connecticut General Life Insurance Company ("CIGNA"), the County has authorized CIGNA to enter into binding settlement agreements where the recovery is 50 percent or more of the cost of the medical care and treatment provided to Participants for injuries caused by third-party tortfeasors. The settlement to be considered for approval was negotiated by CIGNA or its subcontractor for recovery of less than 50 percent of the cost of the medical care and treatment provided to Mt. Dirkmeyer for injuries caused by the third-party tortfeasor. The ASO provides the CIGNA's administrative fee for obtaining reimbursement to the Benefits Trust Fund is (a) five percent of the amount reimbursed, plus attorneys' fees, in cases in which it has retained counsel, and (b) 29 percent of the amount reimbursed in cases where no counsel is retained. (C-39-12-011-S-00)

C-number: C-39-12-011-S-00
Item: #A-3
Revision: 00

Vote: approved

Item Text
A-3. EMPLOYEE BENEFITS SETTLEMENT CASE NO 11233133 1) Rescind Agenda Item C-39-12-011-S-00. Approve the lien reduction and third-party recovery of $24,000.00 in Employee Benefits Subrogation Case No 11233133 for medical and related claims. Total claims paid were $170,740.27. The Employee Benefits Trust paid $170,740.27 in medical and related claims for a covered individual who was involved in a motor vehicle accident. The Board previously approved a lien reduction in Item C-39-12-011-S-00 which was not collected. Due to limited settlement proceeds, the Board is requested to approve the compromise of the Plan’s medical lien in the amount of $24,000.00. This item was discussed in executive session on April 8, 2013. (C-39-13-036-S-00)

2 item(s) sharing C-number base C-39-12-011-S