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Insurers lose, injured beneficiaries win in Supreme Court decision
Modern Healthcare

The Supreme Court delivered a blow to insurance plans and a victory to injured beneficiaries in an 8-1 decision Wednesday that limits the circumstances under which plans may recover money from beneficiaries who win cash in court for their injuries. The Supreme Court ruled in Montanile v. Board of Trustees of the National Elevator Industry Health Benefit Plan that if a plan’s beneficiary wins money in court for an injury but then spends it all, the plan may not then sue the beneficiary to recover the medical expenses it paid.

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