DOJ-OGR-00015175.tif

65.3 KB

Extraction Summary

2
People
6
Organizations
1
Locations
2
Events
5
Relationships
3
Quotes

Document Information

Type: Legal document (general release agreement excerpt)
File Size: 65.3 KB
Summary

This document is an excerpt from a legal General Release agreement, likely related to a settlement or compensation claim. It details the 'Releasor's' waiver of rights, authorization for information disclosure to 'Epiq' for resolving liens (Medicare/Medicaid), and the 'Epstein Estate's' responsibility to pay negotiated amounts for resolved claims. The Releasor is granting this release voluntarily in exchange for a Compensation Offer and has received legal advice.

People (2)

Name Role Context
Releasor Claimant/Party granting release
Waives rights, acknowledges awareness, authorizes disclosure of information, grants General Release.
Administrator Administrator of the EVCP
Retained Garretson Resolution Group/Epiq, authorized by Releasor to use/disclose information, determines Compensation...

Organizations (6)

Name Type Context
Garretson Resolution Group, Inc.
Retained by the Administrator of the EVCP, d/b/a Epiq Mass Tort.
Epiq Mass Tort
Retained by the Administrator of the EVCP to verify and resolve liens/reimbursement claims, authorized to act on beha...
EVCP
Entity for which the Administrator works, receives compensation claims, Epiq acts on its behalf.
Medicare
Government health insurance program, potential lienholder for Part A and/or Part B claims.
Medicaid
Government health insurance program, potential lienholder.
Epstein Estate
Will pay negotiated amount if Epiq resolves claim/lien, in addition to Compensation Offer.

Timeline (2 events)

Execution of General Release by Releasor
Verification and resolution of liens/reimbursement claims by Epiq on behalf of EVCP

Locations (1)

Location Context
Reference to California Civil Code Section 1542.

Relationships (5)

Releasor Authorized Administrator
Releasor authorized the Administrator to use and/or disclose information as to Releasor.
Administrator Retained Garretson Resolution Group, Inc. / Epiq
The Administrator of the EVCP has retained Garretson Resolution Group, Inc. d/b/a Epiq Mass Tort.
Epiq Acts on behalf of EVCP
Epiq is hereby authorized to act on behalf of the EVCP to verify and resolve such lien or reimbursement claim.
Epstein Estate Payer Epiq
the Epstein Estate will pay the negotiated amount in addition to any Compensation Offer determined by the Administrator.
Releasor Represented by Legal counsel
Releasor further represents that she is represented by legal counsel and has received legal advice prior to

Key Quotes (3)

"Releasor expressly waives and relinquishes any right or benefit that Releasor has or may have under Section 1542 of the California Civil Code and under any other statute or legal principle with similar effect."
Source
DOJ-OGR-00015175.tif
Quote #1
"In the event that Epiq resolves the asserted claim or lien, the Epstein Estate will pay the negotiated amount in addition to any Compensation Offer determined by the Administrator."
Source
DOJ-OGR-00015175.tif
Quote #2
"Releasor represents and acknowledges that she is voluntarily and freely granting this General Release in exchange for payment of the Compensation Offer, and that she is legally competent to execute and deliver this General Release."
Source
DOJ-OGR-00015175.tif
Quote #3

Full Extracted Text

Complete text extracted from the document (2,984 characters)

HIS OR HER FAVOR AT THE TIME OF EXECUTING THE RELEASE AND THAT, IF
KNOWN BY HIM OR HER, WOULD HAVE MATERIALLY AFFECTED HIS OR HER
SETTLEMENT WITH THE DEBTOR OR RELEASED PARTY.
Releasor expressly waives and relinquishes any right or benefit that Releasor has
or may have under Section 1542 of the California Civil Code and under any other statute
or legal principle with similar effect. In connection with such waiver and relinquishment,
Releasor acknowledges that she is aware that, after executing this General Release,
Releasor or Releasor's attorneys or agents may discover released Claims or facts in
addition to, or different from, those which they now know or believe to exist with respect
to the subject matter of this General Release, but that it is Releasor's intent hereby to fully,
finally and forever settle and release all of the Claims, whether known or unknown,
suspected or unsuspected, which now exist, may exist, or heretofore may have existed.
In furtherance of this intent, this General Release shall be, and remain in effect as, a full
and complete release of the Claims notwithstanding the discovery or existence of any
such additional or different Claims or facts.
The Administrator of the EVCP has retained Garretson Resolution Group, Inc.
d/b/a Epiq Mass Tort ("Epiq") to verify and resolve any lien or reimbursement claim
that may be owed to Medicare Part A and/or Part B ("Medicare") and/or Medicaid with
respect to compensation awarded to any participating claimant under the EVCP. If either
entity asserts a lien or reimbursement claim, Epiq is hereby authorized to act on behalf of
the EVCP to verify and resolve such lien or reimbursement claim. In the Claim Form,
Releasor authorized the Administrator to use and/or disclose information as to Releasor
for the resolution of Medicare and/or Medicaid liens. This includes providing to Epiq
certain information as to Releasor, including: (1) first name, last name and middle initial,
(2) Social Security number; (3) date of birth, (4) gender and (5) basic information
regarding the nature of Releasor's Claims, and authorizing the Administrator and Epiq
to use, exchange and report this information to Medicare and Medicaid, as may be
necessary, for purposes of verifying and resolving Medicare and/or Medicaid liens
and/or reimbursement claims and ensuring compliance with the Medicare Secondary
Payer Act, 42 U.S.C. § 1395(y)(b), and its accompanying regulations. In the event that
Epiq resolves the asserted claim or lien, the Epstein Estate will pay the negotiated amount
in addition to any Compensation Offer determined by the Administrator.
Releasor represents and acknowledges that she is voluntarily and freely granting
this General Release in exchange for payment of the Compensation Offer, and that she is
legally competent to execute and deliver this General Release. Releasor further
represents that she is represented by legal counsel and has received legal advice prior to
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DOJ-OGR-00015175

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