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Asked in CA May 26, 2022 ,  0 answers

Insurance company tries to get reimbursed

A policy holder gets injuried as a friends house. Their insurance pays medical bills. Then the insurance company wants to contant friend to see if they might be ale to get reimbursed for claims paid, putting blame on friend and/or homeinsurances insurance. Can they legally do this?

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2 Answers

Anonymous
Reply

Posted on / Apr. 21, 2008 14:43:00

Re: Insurance company tries to get reimbursed

Yes. It's called subrogation, and it happens all the time. If you read the language of your insurance policy, you will likely see that it requires you to cooperate if the insurer brings a subrogation lawsuit.

Your insurance company has promised to pay your medical bills (subject to certain limitations), but it has not promised to absorb those costs itself. If you had no insurance you could have sued the people responsible for your injuries, but you might not have been able to collect anything and even if you could the process would have taken time. The insurance company spares you the uncertainty and the delay, but then it can sue in your place if it thinks doing so would be cost-effective.

If insurers had to absorb losses instead of recovering them from the responsible parties, insurance premiums would be much higher than they are now and many people would not be able to afford coverage. Subrogation helps keep premiums down and places the financial burden on the people who caused the harm. After all, why should the fact that you have insurance benefit the people who injured you?

Anonymous
Reply

Posted on / Apr. 21, 2008 14:43:00

Re: Insurance company tries to get reimbursed

Yes. It's called subrogation, and it happens all the time. If you read the language of your insurance policy, you will likely see that it requires you to cooperate if the insurer brings a subrogation lawsuit.

Your insurance company has promised to pay your medical bills (subject to certain limitations), but it has not promised to absorb those costs itself. If you had no insurance you could have sued the people responsible for your injuries, but you might not have been able to collect anything and even if you could the process would have taken time. The insurance company spares you the uncertainty and the delay, but then it can sue in your place if it thinks doing so would be cost-effective.

If insurers had to absorb losses instead of recovering them from the responsible parties, insurance premiums would be much higher than they are now and many people would not be able to afford coverage. Subrogation helps keep premiums down and places the financial burden on the people who caused the harm. After all, why should the fact that you have insurance benefit the people who injured you?

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