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Costco subrogation information

Costco subrogation information 2025

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The document outlines a Reimbursement Agreement between an employee and the Costco Employee benefits program, detailing the conditions under which the Plan is entitled to reimbursement for benefits paid related to injuries. It emphasizes that any recovery from third parties must first reimburse the Plan, regardless of legal costs incurred by the employee. Additionally, it includes an Authorization form for Aetna to request Protected Health Information (PHI) related to accident claims, requiring member consent for information disclosure.

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Versions	Form popularity	Fillable & printable
2015	4 Satisfied (43 Votes)
2012	4 Satisfied (48 Votes)

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