FEHBA Lien Resolution in 2025

The Federal Employees Health Benefits Act (FEHBA) presents unique challenges for attorneys handling personal injury settlements, particularly when federal health plans assert subrogation or reimbursement rights. Unlike ERISA-governed private sector plans, FEHBA liens are governed by a distinct statutory and regulatory framework, raising complex questions about jurisdiction, federal preemption, and enforceability. This program will examine the historical development of FEHBA, key U.S. Supreme Court decisions such as McVeigh and Nevils, and practical strategies for negotiating and resolving FEHBA lien claims. Participants will gain insight into statutory interpretation, emerging arguments that may survive preemption, and best practices for maximizing client recovery while maintaining compliance.

Learning Objectives: 

1. Discuss the historical background underpinning FEHBA
2. Analyze the statutory framework governing FEHBA jurisdiction and preemption
3. Consider the basis for FEHBA subrogation/reimbursement
4. Analyze pertinent case law regarding FEHBA reimbursement claims, and arguments that can be made to maximize net recovery for your clients