69 Agreement and Consent to Lien along with acknowledgement by the claimant’s attorney, both executed without alteration or other conditions. Sources of Payment The Plan’s sourc es of payment through subrogation or reimbursement are as follows: • Money from a responsible party or third party that you, your family members, your guardian, or other representatives or beneficiaries receive or are entitled to receive; • Any constructive trust that is imposed on the proceeds of any settlement, verdict or other amount that you, your family members, your guardian, or other representatives or beneficiaries receive; • Any liability or other insurance (for example, uninsured motorist, underinsure d motorist, medical payments, no - fault, school, homeowners, or excess or umbrella coverage) that is paid or payable. Cooperation with the Plan by All Covered Persons By accepting an advance for related claim payment, every claimant agrees to do nothing tha t will waive, compromise, diminish, release or otherwise prejudice the Fund’s reimbursement rights. By accepting an advance payment for related claims to an injury, every claimant agrees to notify and consult with the Board of Trustees, its Fund Office or designee before: • Starting any legal action or administrative proceeding against a third party based on any alleged negligent, intentional or otherwise wrongful action that may have caused or contributed to the claimant’s injury that resulted in the Fund’s advance payment of claims; or • Entering into any settlement agreement with that third party or that third party’s insurer that may be related to any actions by that third party that may have caused or contributed to the claimant’s injury that resulted in th e Fund’s advance for claims related to such injury. By accepting an advance in claim payments, every claimant agrees to keep the Board of Trustees, its Fund Office or designee informed of all material developments with respect to all such claims, actions, or proceedings. Your Responsibilities You have the duty to cooperate fully with the Plan and any party designated by the Plan Administrator if the Plan’s rights of subrogation or reimbursement are asserted, including executing and delivering any documents the Plan may require or appearing in court for a deposition or testimony, if necessary. You must do nothing to prejudice the Plan’s rights of subrogation and reimbursement. When making or filing a claim, you or your legal representative must give the Plan written notice about whether or not you were injured by a third party. You also must provide the following information in a timely manner: • The name, address and telephone number of: The third party who in any way caused the injury, as well as the attorney representing the third party; The third party’s insurer; and The attorney who represents you with respect to the third party’s act or omission. • Before any meeting, the date, time and location of the meeting between the third party or his or her attorney an d yourself or your attorney; • All terms of any settlement offer made by the third party or his or her insurer;
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