Opinion ID: 795595
Heading Depth: 3
Heading Rank: 2

Heading: Mohawk Plan

Text: 20 The subrogation and reimbursement provision in the Mohawk Plan, unlike that of the United Distributors Plan, claims a right to reimbursement in full, and in first priority, for any medical expenses paid by the Plan relating to the injury or illness, but does not specify that that reimbursement be made out of any particular fund, as distinct from the beneficiary's general assets. BCBS Letter Br., Exh. B; BR1-1 at 3. Instead, it makes receipt of a settlement, judgment, or other payment relating to the accidental injury or illness a trigger for the general reimbursement obligation. Id. Further, in requiring reimbursement in full, it fails to limit recovery to a specific portion of a particular fund. Accordingly, we conclude that, because the Mohawk plan fails to specify that recovery come from any identifiable fund or to limit that recovery to any portion thereof, it fails to meet the requirements outlined in Sereboff for the assertion of an equitable lien for the purposes of 29 U.S.C. § 1132(a)(3). For this reason, we conclude that it was not error to dismiss BCBS's claims. 8