Common use of REDUCTIONS – THIRD PARTY LIABILITY Clause in Contracts

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits of this Agreement and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a fee-for- service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury or illness or from uninsured/underinsured mo- torist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settle- ment or any other judgment, from any third party or third party insurer, or from uninsured or under- insured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- ery. Blue Shield’s right to restitution, reimburse- ment or other available remedy is with respect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able Blue Shield to enforce its right to restitu- tion, reimbursement or other available remedies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, release, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits of this Agreement and have an equitable right to restitution, reimbursement or other available avail- able remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a fee-for- for-service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsuredunin- sured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received re- ceived by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured un- insured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy rem- edy is with respect to that portion of the total Recovery Re- covery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated cal- culated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ Subscriber expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able enable Blue Shield to enforce its right to restitu- tionresti- tution, reimbursement or other available remediesrem- edies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited other- wise prohibited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, releasere- lease, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits benefits of this Agreement and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a fee-for- for-service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy is with respect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ Subscriber expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able enable Blue Shield to enforce its right to restitu- tionrestitution, reimbursement or other available remedies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery Recovery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited prohibited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, release, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services Ser- vices required as a result of that injury, provide the ben- efits benefits of this Agreement and have an equitable equi- table right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber Subscrib- er on a fee-for- for-service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible re- sponsible for the in- jury injury or illness or from uninsuredunin- sured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received re- ceived by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured un- insured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy rem- edy is with respect to that portion of the total Recovery Re- covery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated cal- culated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ Subscriber expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able enable Blue Shield to enforce its right to restitu- tionresti- tution, reimbursement or other available remediesrem- edies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited other- wise prohibited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, releasere- lease, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits benefits of this Agreement and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a feefee- for-for- service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy is with respect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated in accordance with California Civil Code section 3040. .. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ Subscriber expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able enable Blue Shield to enforce its right to restitu- tionrestitution, reimbursement or other available remediesremedies ; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery Recovery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien lien, in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited prohibited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, release, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits of this Agreement and have an equitable right to restitution, reimbursement or other available avail- able remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a fee-for- for-service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsuredunin- sured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received re- ceived by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured un- insured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy rem- edy is with respect to that portion of the total Recovery Re- covery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated cal- culated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able Blue Shield to enforce its right to restitu- tion, reimbursement or other available remedies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien lien, in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, releasere- lease, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits benefits of this Agreement and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a feefee- for-for- service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy is with respect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ Subscriber expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able Blue Shield to enforce its right to restitu- tion, reimbursement or other available remedies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, release, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third partypar- ty”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits benefits of this Agreement and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber Sub- ▇▇▇▇▇▇▇ on a fee-for- for-service basis from any recovery re- covery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received re- ceived by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured un- insured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy rem- edy is with respect to that portion of the total Recovery Re- covery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated cal- culated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ Subscriber expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able enable Blue Shield to enforce its right to restitu- tionres- titution, reimbursement or other available remedies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited other- wise prohibited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, releasere- lease, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services Ser- vices required as a result of that injury, provide the ben- efits benefits of this Agreement and have an equitable equi- table right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber Subscrib- er on a fee-for- for-service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible re- sponsible for the in- jury injury or illness or from uninsuredunin- sured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received re- ceived by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured un- insured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy rem- edy is with respect to that portion of the total Recovery Re- covery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated cal- culated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ Subscriber expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able enable Blue Shield to enforce its right to restitu- tionresti- tution, reimbursement or other available remediesrem- edies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery Recovery when the Recovery is obtained from or on behalf of the third party or the insurer in- surer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited other- wise prohibited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, releasere- lease, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits benefits of this Agreement and have an equitable right to restitution, reimbursement or other available avail- able remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a fee-for- for-service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsuredunin- sured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received re- ceived by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured un- insured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy rem- edy is with respect to that portion of the total Recovery Re- covery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated cal- culated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ Subscriber expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able enable Blue Shield to enforce its right to restitu- tionresti- tution, reimbursement or other available remedies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery Recovery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited other- wise prohibited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, releasere- lease, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits of this Agreement and have an equitable right to restitution, reimbursement or other available avail- able remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a fee-for- for-service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsuredunin- sured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received re- ceived by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured un- insured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy rem- edy is with respect to that portion of the total Recovery Re- covery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated cal- culated in accordance with California Civil Code section 3040. The 3040.The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able Blue Shield to enforce its right to restitu- tion, reimbursement or other available remedies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien lien, in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, releasere- lease, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits benefits of this Agreement and have an equitable right to restitutionrestitu- tion, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a fee-for- for-service basis ba- sis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness ill- ness or from uninsured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery recov- ery the Member receives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured un- insured or under- insured underinsured motorist coverage, related re- lated to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy is with respect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection with such injury inju- ry or illness, calculated in accordance with California Cali- fornia Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ Subscriber expects to bring or has brought against the third party arising from the alleged al- leged acts or omissions causing the injury or illness, not later than 30 days after submitting submit- ting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able enable Blue Shield to enforce its right to restitu- tionres- titution, reimbursement or other available remedies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery Recovery when the Recovery is obtained from or on behalf of the third party or the insurer in- surer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited prohibited by law; and, 5. Periodically respond to information requests regarding re- ▇▇▇▇▇▇▇ the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, release, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third partypar- ty”), Blue Shield shall, with respect to Services required re- quired as a result of that injury, provide the ben- efits bene- fits of this Agreement and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a feefee- for-for- service basis from any recovery (defined belowbe- low) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settle- ment or any other judgment, from any third party or third party insurer, or from uninsured or under- insured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- ery. Blue Shield’s right to restitution, reimburse- ment or other available remedy is with respect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ cov- ered Subscriber expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able Blue Shield to enforce its right to restitu- tion, reimbursement or other available remedies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, release, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services Ser- vices required as a result of that injury, provide the ben- efits benefits of this Agreement and have an equitable equi- table right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber Subscrib- er on a fee-for- for-service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible re- sponsible for the in- jury injury or illness or from uninsuredunin- sured/underinsured mo- torist motorist coverage. .. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received re- ceived by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured un- insured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy rem- edy is with respect to that portion of the total Recovery Re- covery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated cal- culated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later lat- er than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able Blue Shield to enforce its right to restitu- tion, reimbursement or other available remedies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, releasere- lease, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits benefits of this Agreement and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a feefee- for-for- service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy is with respect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ Subscriber expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able enable Blue Shield to enforce its right to restitu- tionrestitution, reimbursement or other available remediesremedies ; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery Recovery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien lien, in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited prohibited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, release, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits benefits of this Agreement and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a fee-for- for service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made been”made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy is with respect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ Subscriber expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able enable Blue Shield to enforce its right to restitu- tionrestitution, reimbursement or other available remediesremedies ; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery Recovery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien lien, in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited prohibited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, release, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services Ser- vices required as a result of that injury, provide the ben- efits benefits of this Agreement and have an equitable equi- table right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a fee-for- for-service basis from any recovery (defined de- fined below) obtained by or on behalf of the MemberMem- ber, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsuredunin- sured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settle- ment or any other judgment, from any third party or third party insurer, or from uninsured or under- insured underin- sured motorist coverage, related to the illness or injury in- jury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- ery. Blue Shield’s right to restitution, reimburse- ment or other available remedy is with respect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able ena- ble Blue Shield to enforce its right to restitu- tion, reimbursement or other available remedies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited prohibited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtainedob- tained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, release, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits benefits of this Agreement and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a feefee- for-for- service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy is with respect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ Subscriber expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able enable Blue Shield to enforce its right to restitu- tionrestitution, reimbursement or other available remedies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery Recovery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien lien, in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited prohibited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, release, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits of this Agreement and have an equitable right to restitution, reimbursement or other available avail- able remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a fee-for- for-service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsuredunin- sured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received re- ceived by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured un- insured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy rem- edy is with respect to that portion of the total Recovery Re- covery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated cal- culated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able Blue Shield to enforce its right to restitu- tion, reimbursement or other available remedies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited pro- hibited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, releasere- lease, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits benefits of this Agreement and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a feefee- for-for- service basis from any recovery (defined belowbe- low) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsuredunin- sured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery recov- ery the Member receives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured un- insured or under- insured underinsured motorist coverage, related re- lated to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy is with respect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection with such injury inju- ry or illness, calculated in accordance with California Cali- fornia Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ Subscriber expects to bring or has brought against the third party arising from the alleged al- leged acts or omissions causing the injury or illness, not later than 30 days after submitting submit- ting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able enable Blue Shield to enforce its right to restitu- tionres- titution, reimbursement or other available remedies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery Recovery when the Recovery is obtained from or on behalf of the third party or the insurer in- surer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited by law; and, 5. Periodically respond to information requests regarding re- ▇▇▇▇▇▇▇ the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, release, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits of this Agreement and have an equitable right to restitution, reimbursement or other available avail- able remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a fee-for- for service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsuredunin- sured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received re- ceived by way of court judgment, arbitration award, settle- ment settlement or any other judgment, from any third party or third party insurer, or from uninsured un- insured or under- insured underinsured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment reimbursement or other available remedy rem- edy is with respect to that portion of the total Recovery Re- covery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated cal- culated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ Subscriber expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able enable Blue Shield to enforce its right to restitu- tionresti- tution, reimbursement or other available remediesrem- edies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien lien, in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited other- wise prohibited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, releasere- lease, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third partypar- ty”), Blue Shield shall, with respect to Services required re- quired as a result of that injury, provide the ben- efits benefits of this Agreement and have an equitable right to restitution, reimbursement or other available availa- ble remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a fee-for- for-service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury injury or illness or from uninsuredunin- sured/underinsured mo- torist motorist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settle- ment or any other judgment, from any third party or third party insurer, or from uninsured or under- insured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- ery. Blue Shield’s right to restitution, reimburse- ment or other available remedy is with respect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection with such injury or illness, calculated in accordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ cov- ered Subscriber expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able Blue Shield to enforce its right to restitu- tion, reimbursement or other available remedies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, release, or relinquishment of the rights of Blue Shield.

REDUCTIONS – THIRD PARTY LIABILITY. If the Subscriber is injured or becomes ill due to the act or omission of another person (a “third party”), Blue Shield shall, with respect to Services required as a result of that injury, provide the ben- efits of this Agreement and have an equitable right to restitution, reimbursement or other available remedy to recover the amounts Blue Shield paid for Services provided to the Subscriber on a fee-for- service basis from any recovery (defined below) obtained by or on behalf of the Member, from or on behalf of the third party responsible for the in- jury or illness or from uninsured/underinsured mo- torist coverage. Blue Shield’s right to restitution, reimbursement or other available remedy is against any recovery the Member receives as a result of the injury or illness, including any amount awarded to or received by way of court judgment, arbitration award, settle- ment or any other judgment, from any third party or third party insurer, or from uninsured or under- insured motorist coverage, related to the illness or injury (the “Recovery”), without regard to whether the Member has been “made whole” by the Recov- eryRecovery. Blue Shield’s right to restitution, reimburse- ment ▇▇▇▇- bursement or other available remedy is with respect re- spect to that portion of the total Recovery that is due Blue Shield for the Benefits it paid in connection connec- tion with such injury or illness, calculated in accordance ac- cordance with California Civil Code section 3040. The Subscriber is required to: 1. Notify Blue Shield in writing of any actual or potential claim or legal action which such Sub- ▇▇▇▇▇▇▇ expects to bring or has brought against the third party arising from the alleged acts or omissions causing the injury or illness, not later than 30 days after submitting or filing a claim or legal action against the third party; and, 2. Agree to fully cooperate with Blue Shield to execute any forms or documents needed to en- able Blue Shield to enforce its right to restitu- tion, reimbursement or other available remedies; and, 3. Agree in writing to reimburse Blue Shield for Benefits paid by Blue Shield from any Recov- ery when the Recovery is obtained from or on behalf of the third party or the insurer of the third party, or from uninsured or underinsured motorist coverage; and, 4. Provide Blue Shield with a lien in the amount of Benefits actually paid. The lien may be filed with the third party, the third party’s agent or attorney, or the court, unless otherwise prohib- ited by law; and, 5. Periodically respond to information requests regarding the claim against the third party, and notify Blue Shield, in writing, within ten (10) days after any Recovery has been obtained. A Subscriber’s failure to comply with 1 through 5, above, shall not in any way act as a waiver, release, or relinquishment of the rights of Blue Shield.