Q: If I get a workers compensation settlement do I have to repay everything my private insurance paid for my injury?
If I get a workers compensation settlement do I have to repay everything my private insurance paid for my injury prior to workers compensation taking over? Would that repayment start from just the time that I filed for workers comp or would it start from the very beginning of being treated for the injury? Would the workers compensation pay them directly out of my settlement? And would the settlement be more to account for the medical bills? Thank you.
A:
Under California law, if you receive a workers' compensation settlement, you may need to repay your private insurance for any medical expenses they covered related to your injury. This process is known as subrogation, where the insurance company seeks reimbursement for costs they incurred due to another party's liability. The repayment typically includes medical expenses paid from the time of the injury, not just from when you filed for workers' compensation.
The repayment to your private insurance would generally come from your settlement amount. Workers' compensation might pay your private insurance directly out of your settlement funds, depending on the agreements and legal requirements involved. It's essential to ensure all related medical bills are considered when negotiating your settlement.
Settlements can sometimes be adjusted to account for these repayments, aiming to cover all medical expenses incurred. This means your final settlement should reflect the total costs, including what needs to be repaid to your private insurance. Consulting with a knowledgeable attorney can help you understand the specifics of your case and ensure you receive a fair settlement.
Tim Akpinar agrees with this answer
Justia Ask a Lawyer is a forum for consumers to get answers to basic legal questions. Any information sent through Justia Ask a Lawyer is not secure and is done so on a non-confidential basis only.
The use of this website to ask questions or receive answers does not create an attorney–client relationship between you and Justia, or between you and any attorney who receives your information or responds to your questions, nor is it intended to create such a relationship. Additionally, no responses on this forum constitute legal advice, which must be tailored to the specific circumstances of each case. You should not act upon information provided in Justia Ask a Lawyer without seeking professional counsel from an attorney admitted or authorized to practice in your jurisdiction. Justia assumes no responsibility to any person who relies on information contained on or received through this site and disclaims all liability in respect to such information.
Justia cannot guarantee that the information on this website (including any legal information provided by an attorney through this service) is accurate, complete, or up-to-date. While we intend to make every attempt to keep the information on this site current, the owners of and contributors to this site make no claims, promises or guarantees about the accuracy, completeness or adequacy of the information contained in or linked to from this site.