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North Carolina is unique, as the state strictly prohibits subrogation language or clauses in privately funded health insurance policies. This means that North Carolina insurance companies are not able to receive a subrogation interest in your personal injury recovery.
Subrogation allows your insurer to recoup costs (medical payments, repairs, etc.), including your deductible, from the at-fault driver's insurance company, if the accident wasn't your fault. A successful subrogation means a refund for you and your insurer.
While liens involve a claim against a third-party recovery, subrogation is a distinct concept. In subrogation, the entity that covered the loss has the right to go directly against the responsible third party. This benefit provider "steps into the shoes" of the injured party for purposes of pursuing reimbursement.
Essentially, the principle of subrogation permits one (i.e., the insurer) who is legally obligated to pay the debt of another to "stand in the shoes" of the person owed payment (i.e., the insured) and enforce that person's right against the actual wrongdoer.
A subrogation receipt transferring the insured's entire causes of action to the insurer allows the insurer to recover in the insured's name for the entire loss, not just to the extent of its payment.
North Carolina is unique, as the state strictly prohibits subrogation language or clauses in privately funded health insurance policies. This means that North Carolina insurance companies are not able to receive a subrogation interest in your personal injury recovery.
North Carolina General Statute § 97-10.2 even creates a right for the workers' compensation carrier to seek subrogation against the third party independently. ing to the statute, the injured employee has the exclusive right to file a suit against the third-party for twelve (12) months.
North Carolina's ?anti-subrogation rule? means that privately funded health insurance policies in North Carolina will not be able to seek and receive reimbursement (also known as ?subrogation?) from your personal injury recovery.