Blue Cross & Blue Shield of Texas, Inc. and Subsidiaries - Page 15




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                  all anticipated recoveries on account of salvage, whether or                         
                  not the salvage is treated, or may be treated, as an asset                           
                  for state statutory accounting purposes.  * * * [And]                                
                  includes anticipated recoveries on account of subrogation                            
                  claims arising with respect to paid or unpaid losses.                                

                  Case law relevant to the meaning of estimated salvage                                
            recoverable is limited.  The Supreme Court in a century-old case                           
            explained salvage rights as follows:  “[T]he insurer, when he has                          
            paid * * * the assured * * * is entitled, by way of salvage, to                            
            the benefit of anything that may be received”.  Phoenix Ins. Co.                           
            v. Erie & W. Transp. Co., 117 U.S. 312, 321 (1886), cited in                               
            Continental Ins. Co. v. United States, 200 Ct. Cl. 552, 474 F.2d                           
            661 (1973).  (Emphasis added.)                                                             
                  Black's Law Dictionary 1280, 1340 (7th ed. 1999) defines                             
            “recovery” as “the regaining or restoration of something lost or                           
            taken away”, and it defines “salvage” (utilized largely in the                             
            property and casualty insurance industry) as “property saved or                            
            remaining after a fire or other loss, sometimes retained by an                             
            insurance company that has compensated the owner for the loss.”                            
            (Emphasis added.)                                                                          
                  In essence, Blue Cross contends that, because under its                              
            health insurance plans it is contractually liable for the full                             
            potential amount of all claims covered by its insurance plans, it                          
            should be regarded as having a contractual right of recovery or                            
            salvage for all portions of claims with respect to which other                             
            insurance companies and Medicare also have a liability to pay the                          





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Last modified: May 25, 2011