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    Administrative Information
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         Effect on Plan Benefits
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Right of Recovery
         Dual Coverage Under the Plan — The Trust Vision Plan
         Plan Not Responsible for Quality of Medical Care — The Trust Medical and Vision Plans
         Benefits Not Transferable
         Uncashed Checks
        Important Information About Your Trust Medical Benefits
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        Notice of Privacy Practices
        Post-Mastectomy Reconstruction Surgery Notice
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Right of Recovery
If the plan pays benefits exceeding what should have paid under the coordination of benefits provision, the plan may recover the excess from one or more of:
  • The person it has paid or for whom it has paid
  • Insurance companies
  • Other organizations.
The amount of the payments includes the reasonable cash value of any benefits provided in the form of services.
A secondary plan that provides benefits in the form of services may recover the reasonable cash value of the services from the primary plan if the services are covered, but not paid or provided, by the primary plan. However, a plan is not required to reimburse a covered person in cash for the value of benefits provided in the form of services.
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© School District No. 1 Health and Welfare Trust  |  For PAT employees |  Rev. August 2016