In the event that WPA funds any treatment costs attributable to the fault or negligence of a Third Party (including accident, illness or clinical negligence), WPA has a right in law to recover all such medical expenses from the Third Party.
It is a term of your health insurance that if WPA funds any treatment costs for which you make a personal injury or clinical negligence claim you agree to comply with the Claims Co-operation Procedure set out below.
Claims Co-Operation Procedure
If you make a claim under your health insurance for treatment which may have been caused by a Third Party, you must let us know straightaway. This also applies in the event that it later transpires that a Third Party is at fault.
If you subsequently make a personal injury or clinical negligence claim against the Third Party, it is important that you understand that it is your personal duty to include in your claim any medical costs claimed from WPA. You must repay to WPA from any settlement of your personal injury or clinical negligence claim such medical costs. If you do not do this then we have the right to recover in full from you the medical costs we have paid, together with interest and any legal costs we incur in recovering such monies. In addition we may withhold payment of any further claims for which you have claimed or wish to claim for until you do comply with this Claims Co-operation Procedure.
By making a claim for your medical costs you agree that:
Please note WPA reserves its right of subrogation to take over any legal action in your name against the Third Party should we choose to do so in order to recover medical costs WPA has incurred on your behalf. In this event you must provide WPA with all reasonable assistance.