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Reset Form SUBROGATION/REIMBURSEMENT AGREEMENT In consideration of the benefits paid by the Heartland Healthcare (Fund) in connection with or arising out of the below described accident or occurrence
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A subrogation reimbursement agreement is a legal document that allows an insurance company to pursue a third party for reimbursement of claims paid to their insured after an accident or loss.
Typically, the insurance company that has paid for the loss is required to file the subrogation reimbursement agreement.
To fill out a subrogation reimbursement agreement, you need to provide specific details about the insured party, the claim, the amount to be recovered, and the information of the third party responsible for the loss.
The purpose of a subrogation reimbursement agreement is to recover costs from the party at fault for the loss, ensuring that the insurance company can reclaim funds that it has paid out.
The information that must be reported includes the insured's details, the claim number, the amount of loss, details of the liable party, and any payment made under the insurance policy.
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