Northern Buckeye Education Council Group Health Benefits Plan v. Lawson

{¶ 1} The Northern Buckeye Education Council Group Health Benefits Plan (“Plan”), appellee, is a self-funded governmental1 group health-care plan sponsored by the Northern Buckeye Education Council. The Plan provided Karen W. Lawson, appellant, and certain of her dependents with health insurance by virtue of her employment.

{¶ 2} The health-benefits contract negotiated between Lawson’s employer and the Plan included a reimbursement and subrogation provision as Section 3.7 of the contract:

{¶ 3} “Any payments made by this Plan for injury or illness caused by the negligent or wrongful act of any…