Legal Question in Insurance Law in Texas

Re: Reimburse Health Provider after settlement?

This is a very complicated area of the law, even for lawyers. Generally speaking, the policy will control your duties to your health carrier regarding communicating with them about the settlement. It will also probably deal with matters such as reimbursing your carrier for medical expenses. However, the ultimate answer will depend on whether the policy is subject to Texas law or federal law, the Employee Retirement Income Security Act. Unfortunately, this can be ascertained only upon a careful legal review of the policy and the circumstances under which the health coverage was obtained. It may very well determine whether the carrier is entitled to something or nothing.