69 • All information you or your attorney discovered concerning the third party’s insurance coverage; • The amount and l ocation of any funds you recover from the third party or his or her insurer, and the dates on which such funds were received; • All information related to any oral or written settlement agreement between you and the third party or his or her insurer; • All inf ormation regarding any legal action that has been brought on your behalf against the third party or his or her insurer; • All other information the Plan may request. All Recovered Proceeds are to Be Applied to Reimbursement of the Fund By accepting an advanc e payment of claims for an injury, every claimant agrees to reimburse the Fund for all such advances by applying any and all amounts paid or payable to them by any third party or that third party’s insurer by way of settlement, judgment, arbitration or rec overy, or in satisfaction of any judgment or agreement, regardless of whether those proceeds are characterized as being paid on account of the medical expenses for which any advance has been made by the Fund. The Fund will have the right to recover from th e claimant the full amount of benefits paid without deductions or adjustments of any kind including attorney’s fees. In such event, the Fund must be fully reimbursed within 30 calendar days of the date proceeds are received by the claimant or his attorney, or the claimant will have additional liability for interest and all costs of collection, including reasonable attorney’s fees. The Fund may offset future claims/benefits in order to receive the full amount of benefits paid if full reimbursement is not mad e. Furthermore, once the claim is settled and further liability is closed, the Fund is not liable for, and will not pay, future benefits for claims related to that injury or accident. Note: This Fund is a self - insured employee welfare benefit plan and, the refore, ERISA preempts any state law purporting to restrict the Fund’s right under this provision. Furthermore, any state law directed at insurance companies will not apply to the Fund since it is self - insured. No - Fault Insurance Coverage Where the partici pant or eligible dependent is involved in a motor vehicle accident covered by a no - fault insurance policy, whether or not required by state insurance law, the automobile no - fault insurance carrier will initially be liable for lost wages, medical, surgical, hospital and related charges and expenses up to the greater of: • The maximum amount of basic reparation benefit required by applicable law; or • The maximum amount of the applicable no - fault insurance coverage in effect. The Plan will thereafter consider any excess charges and expenses under the applicable provisions of the respective Plan in which you are provided health coverage. Before related claims will be paid through the Fund, the participant or his/her eligible dependent will be required to sign a Rei mbursement Agreement and Consent to Lien. If the participant or his/her eligible dependent fails to secure no - fault insurance as required by state law, the participant or eligible dependent is considered as being self - insured and must pay the amount of the basic medical reparation expenses for himself and/or his eligible dependents arising out of the accident.

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