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August 2015

Reminder: Auto insurance is primary when treating FEP® members for auto accident-related injuries

When you’re treating Federal Employee Program members for injuries and conditions sustained in a car accident, bill the member’s no-fault auto insurer as the primary payer.

In these circumstances, regardless of any state law, FEP requires the member’s no-fault auto insurance to be the primary payer. FEP has rights of recovery and subrogation under certain situations including when members are injured in a car accident, despite the member’s coverage under any no-fault auto insurance and associated Personal Injury Protection.

This holds true even if the FEP member has elected to designate their auto insurance coverage as secondary to their FEP health benefits coverage. 

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2014 American Medical Association. All rights reserved.