Subrogation May Determine Who Pays Debts
Q: What is subrogation, exactly?
A: Subrogation
is an old legal doctrine that has to do with substituting one person (or
entity) for another in the settling of a debt or claim. The purpose of
subrogation is to make sure that a debt is paid by the person (or entity) who
should ultimately be responsible for it. Subrogation also gives certain rights
to the substituted person (or entity) who takes responsibility for the debt or
claim.
Q: I’ve seen the term
“subrogation” in my insurance policy. How does subrogation apply to an
insurance claim?
A: Subrogation frequently arises in the context of insurance
claims. When you buy auto insurance, the insurance company gives you a policy
that says what will be covered in case you are involved in an accident that
causes personal injury or property damage.
Let’s say, however, that you are involved in an accident that was not in
any way your fault and was not caused by your negligence. Instead, the damage
was caused entirely by the other driver. In such a case, your insurance carrier
can collect full reimbursement from the insurance carrier of the driver who was at fault. In this way, subrogation
has to do with equity, and in this instance, it allows your insurance carrier
to “step into your shoes” and, on your behalf, collect reimbursement against
the other driver, who was the actual negligent party.
Q: What if there is more
than one person who caused the damage?
A: In a civil “tort” lawsuit, a “plaintiff” brings legal action
“for damages” against one or more persons (or entities) whose action has caused
suffering or harm. Subrogation regularly arises in tort lawsuits involving
multiple defendants stemming from a single incident or transaction. Torts
involve any civil wrong against a person or property. They can range from
automobile accidents, product liability claims and medical malpractice
situations to claims of defamation, nuisance or even emotional distress.
Frequently,
a plaintiff may be able to collect an entire judgment against only one
defendant under the rules of “joint and several liability.” This means that,
even if several people shared responsibility for the harm, any one of them can
be held liable for the entire amount of the damages. Subrogation may allow a
single defendant who got stuck paying the whole amount of the damages to seek
reimbursement from the other defendants.
Q: If I am injured in an
accident that was someone else’s fault, can my doctor collect from that person
to cover my medical bills?
A: Yes. It’s possible for medical providers and insurers who
have given you medical care and treatment or paid your medical bills to pursue
their subrogation rights so that the person who caused your accident will be
held responsible for those bills.
Q: How does subrogation work in business
situations?
A: Business contracts, including construction contracts, often contain
subrogation clauses and provisions. It is common for project owners to place
subrogation clauses in agreements for work involving contractors,
subcontractors, architects, builders or other professionals. In such a
situation, the subrogation clause can shift risk and potentially place
reimbursement burdens on your shoulders, which you would not otherwise expect.
For this reason, you should always review and analyze such clauses carefully
and consider consulting with a qualified attorney before signing.
Contracts
may also include “waiver of subrogation clauses.” If your contract includes a
waiver clause and you waive your subrogation rights in a contract, you won’t be
able to seek reimbursement from the other party to the contract, even if that
party is at fault.
Q: How can I protect my
subrogation rights?
A: The doctrine of subrogation is widely considered to be a
highly technical area of law, and often is applied to very complex situations. Do
not miss an opportunity to obtain reimbursement through subrogation, and always
read the terms of a subrogation clause carefully. When in doubt, contact an
attorney with knowledge in this convoluted area of the law so you can protect
and defend your rights.
This “Law You Can Use” consumer
information column was provided by the Ohio State Bar Association. It was
prepared by Andrew L. Smith, a senior associate attorney in the Cincinnati
office of Smith, Rolfes & Skavdahl Company, LPA. Articles appearing in this
column are intended to provide broad, general information about the law. Before
applying this information to a specific legal problem, readers are urged to
seek advice from an attorney.
Labels: debt, insurance claims, property damage, subrogation
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