Collateral Source Rule

Collateral Source Rule

Collateral Source Rule

The collateral source rule is a common law doctrine providing that a defendant's liability is not reduced by benefits the plaintiff received from sources independent of the defendant, such as health insurance, disability benefits, or gratuitous care.

The rationale is that a wrongdoer should not benefit from the plaintiff's foresight in obtaining insurance. In practice the rule affects both what evidence the jury hears and how the judgment is calculated.

Alternative Names:

Collateral Source Doctrine

Why it Matters?

The rule is often the difference between a damages presentation built on billed charges and one built on amounts actually paid, which in medical-heavy cases can change exposure by a large multiple. Defense strategy on medical specials, lien resolution, and settlement valuation all depend on where the venue stands on this issue.

Frequently asked questions

Can the jury hear that a plaintiff's medical bills were paid by insurance?

Can the jury hear that a plaintiff's medical bills were paid by insurance?

In many states, no. Others permit evidence of amounts actually accepted as payment, and some allow post-verdict reduction by the court instead of putting the issue before the jury.

Why does the billed versus paid distinction matter so much?

Why does the billed versus paid distinction matter so much?

Billed charges frequently exceed negotiated payment rates by several times. Whether damages are anchored to billed or paid amounts often changes the value of a serious injury case dramatically.