Justice for the Member & Fairness for the Plan

A nonprofit organization that provides programs to underserved communities in California, through its TPA, recouped the maximum allowable amount per applicable state law by using The Phia Group’s subrogation services. A member of the nonprofit organization’s self-funded health plan suffered catastrophic injuries, including fractures throughout their entire body, when a semitruck failed to stop at a stop sign, striking the vehicle the member was driving. The plan member retained an attorney to pursue the trucking company. The member’s attorney achieved a total settlement exceeding $2,000,000.00. The member’s attorney demanded that the Plan only accept a minimal amount of recovery to provide the member a greater share of the recovery, citing the member’s significant injuries. However, The Phia Group upheld the Plan’s right of recovery and ultimately recovered the maximum allowed recovery pursuant to applicable state law, providing the Plan with a reimbursement of $600,000.00.

By partnering with The Phia Group,the client saved $600,000.00 through Phia’s steadfast position upholding the Plan’s recovery rights, thus ensuring the nonprofit organization was able to offer their employees lower premiums through their self-funded health plan.