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If you or your eligible Dependents, or your agent s ; or guardian of a minor or incapacitated individual ; refuse to sign and return a restitution agreement, or to cooperate with the Plan and or its assignee, such refusal and non-cooperation may be grounds to deny payment of any medical benefits. By participating in the Plan, you and your eligible Dependents acknowledge and agree to the terms of the Plan's equitable or other rights to full restitution. You will take no action to prejudice the Plan's rights to restitution. You and your eligible Dependents agree that you are required to cooperate in providing and obtaining all applicable documents requested by the Plan Administrator or the Company, including the signing of any documents or agreements necessary for the Plan to obtain full restitution. You and your eligible Dependents are also required to: Notify the Plan Supervisor at 800 700-7153 as soon as possible, that the Plan may have a right to obtain restitution of any and all benefits paid by the Plan. You will later be contacted by HMA, and you must provide the information requested. If you retain legal counsel, your counsel must also contact HMA; Inform HMA in advance of any settlement proposals advanced or agreed to by another party or another party's insurer; Provide the Plan Administrator all information requested by the Plan Administrator regarding an action against another party, including an insurance carrier; this includes responding to letters from the Plan Supervisor and other parties designated by Plan Administrator acting on behalf of the Plan ; on a timely basis; Not settle, without the prior written consent of the Plan Administrator, or its designee, any claim that you or your eligible Dependents may have against another party, including an insurance carrier; and Take all other action as may be necessary to protect the interests of the Plan.
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