Sec. 140.005. PAYORS' RECOVERY LIMITED. (a) If an injured covered individual is entitled by law to seek a recovery from the third-party tortfeasor for benefits paid or provided by a subrogee as described by Section 140.004, then all payors are entitled to recover as provided by Subsection (b) or (c).
(b) This subsection applies when a covered individual is not represented by an attorney in obtaining a recovery. All payors' share under Subsection (a) of a covered individual's recovery is an amount that is equal to the lesser of:
(1) one-half of the covered individual's gross recovery; or
(2) the total cost of benefits paid, provided, or assumed by the payor as a direct result of the tortious conduct of the third party.
(c) This subsection applies when a covered individual is represented by an attorney in obtaining a recovery. All payors' share under Subsection (a) of a covered individual's recovery is an amount that is equal to the lesser of:
(1) one-half of the covered individual's gross recovery less attorney's fees and procurement costs as provided by Section 140.007; or
(2) the total cost of benefits paid, provided, or assumed by the payor as a direct result of the tortious conduct of the third party less attorney's fees and procurement costs as provided by Section 140.007.
(d) A common law doctrine that requires an injured party to be made whole before a subrogee makes a recovery does not apply to the recovery of a payor under this section.
Added by Acts 2013, 83rd Leg., R.S., Ch. 180 (H.B. 1869), Sec. 1, eff. January 1, 2014.
Structure Texas Statutes
Civil Practice and Remedies Code
Title 6 - Miscellaneous Provisions
Chapter 140 - Contractual Subrogation Rights of Payors of Certain Benefits
Section 140.002. Applicability of Chapter
Section 140.003. Conflicts With Other Law
Section 140.004. Contractual Subrogation Rights Authorized
Section 140.005. Payors' Recovery Limited
Section 140.006. Attorney's Fees in Declaratory Judgment Action
Section 140.007. Attorney's Fees in Recovery Action