99% of claimants make this one mistake with Understanding the Subrogation Process

Use your own collision coverage to get your car fixed immediately, not waiting weeks for the other driver’s insurer to pay.

The Express Lane vs. the Long, Winding Road

When another driver hits you, waiting for their insurance company to pay is like taking a long, slow, winding country road. They have no incentive to hurry. They will delay, they will dispute, and it could take weeks. Using your own collision coverage is the express lane. You pay your deductible, your own company fixes your car immediately, and you get back on the road. Don’t take their slow, frustrating road; use the fast, efficient highway you have already paid for.

Stop thinking subrogation is your problem. Do understand it’s the process your insurer uses to get their money (and your deductible) back instead.

The Banker Who Chases Down the Person Who Robbed You

Imagine you get robbed. Your bank (your insurer) immediately replaces the money in your account. “Subrogation” is the process where the bank’s security team then goes after the robber to get the bank’s money back. It is not your fight. It is an invisible, behind-the-scenes battle between the two companies. Your only involvement is the hope that when your bank’s team catches the robber, they will also recover the ten dollars that were in your wallet (your deductible).

Stop signing a release from the at-fault driver’s insurance company. Do let your own insurer handle the subrogation process first instead.

The Gag Order That Silences Your Own Army

When you sign a release from the other driver’s insurer, you are not just settling your claim; you are signing a legal gag order. You are promising that no one will ever come after them for this incident again. You have just taken your own insurance company’s army, which was preparing to go to war for you, and you have disarmed them. You have destroyed their legal “right of subrogation.” Your insurer will now refuse to pay you, because you have just given away their only chance to get their money back.

The #1 secret to getting your deductible back is to cooperate fully with your own insurer’s subrogation department.

Be the Star Witness for the Detective Who’s on Your Case

The subrogation department is the detective squad that is trying to solve the crime and get your money back. The #1 way you can help them is to be their perfect, cooperative star witness. Provide them with the police report, the other driver’s information, and any witness statements you have. The more evidence you give them, the stronger their case is, and the more likely it is that they will be able to successfully hunt down the other party and recover not just their money, but your deductible as well.

I’m just going to say it: Your insurance company will not try very hard to recover your deductible on a small claim because it’s not worth their legal expense.

The Multi-Billion Dollar Company Isn’t Suing for $500

Your insurance company is a massive, multi-billion dollar corporation. If you have a small, $2,000 claim, they are not going to spend $5,000 in legal fees to chase down the other driver’s insurer to get your $500 deductible back. They will make a few phone calls, but if they meet any resistance, they will do a simple business calculation and drop the case. It is not personal; it is just a cold, hard, financial decision. The cost of the fight is more than the prize is worth.

The reason you received a surprise check months after your claim was closed is because your insurer’s subrogation effort was successful.

The Unexpected Refund from a Battle You Didn’t Know Was Happening

You paid your deductible, your car was fixed, and you completely forgot about the accident. Then, six months later, a surprise check for your deductible amount arrives in the mail. This is not a mistake. It is the victory prize from a long, invisible war that your insurance company has been fighting on your behalf. Their subrogation team has been in a slow, grinding battle with the other insurer, and they have finally won, forcing the other side to surrender and pay back what they owed.

If you’re still trying to sue the at-fault driver after your insurer has paid you, you’re likely violating your policy’s subrogation clause.

You Can’t Sell the Same Horse to Two Different People

Your “right to recover” from the at-fault driver is a valuable asset, like a prize horse. When your insurance company pays your claim, the subrogation clause in your policy says that you have legally transferred the ownership of that horse to them. If you then try to sue the other driver yourself, you are trying to sell a horse that you no longer own. You are interfering with their legal rights, and you will be in breach of your own insurance contract.

The biggest lie you’ve been told is that you have to pay back your health insurance company out of your injury settlement. (This is often true, but it’s called subrogation).

The First Lien on Your Lottery Winnings

Your personal injury settlement is like winning the lottery. But the first person in line to claim a piece of that prize is your own health insurance company. They have a legal “lien,” or right of subrogation, for every single dollar they spent on your medical bills. Before you see a penny of your settlement for your pain and suffering, you must first use that money to pay back your health insurer for the costs they covered along the way. It is a shocking and often brutal financial surprise.

I wish I knew about “waivers of subrogation” in my commercial lease before a fire.

The Legal Handshake That Prevents a War

A “waiver of subrogation” is a legal peace treaty that you can sign before a war ever starts. In a commercial lease, it’s a clause where both the landlord and the tenant agree that if there is a fire, their insurance companies will not be allowed to sue each other. It’s a mutual handshake. The landlord’s insurer will pay for the building, the tenant’s insurer will pay for the contents, and the two armies will agree to not go to war. It prevents years of expensive and destructive litigation.

99% of people make this one mistake: they don’t follow up with their own insurer to ask about the status of their deductible recovery.

The Forgotten Money in a Bureaucratic Black Hole

After your claim is paid, the file gets sent to a separate, bureaucratic black hole called the subrogation department. They are overworked, and your small deductible is at the bottom of a very large pile. If you do not proactively and politely follow up every few months, your file will likely gather dust forever. You must be the one to periodically call and ask for a status update. You must be the gentle but persistent reminder that your forgotten money is still waiting to be recovered.

Use the other driver’s admission of fault to your adjuster to help your company’s subrogation case, not just for your own peace of mind.

The Signed Confession for Your Legal Team

When the other driver tells you at the scene, “I’m so sorry, I was texting,” it feels like a personal victory. But you must immediately turn that victory into a weapon for your team. The first thing you must do is report that exact, quoted confession to your own claims adjuster. That admission of fault is the “smoking gun” that the subrogation department will use as their primary piece of evidence to build an ironclad case against the other driver’s insurance company.

Stop accepting a partial deductible refund. Do ask for an accounting of the subrogation recovery and why you weren’t made whole instead.

The Pie That Wasn’t Big Enough for Everyone

Imagine your insurer spends $4,000 on your claim, and you paid your $1,000 deductible. They go after the other driver, but because of a dispute, they only recover $2,500 (half of the total $5,000 loss). They then send you a check for half of your deductible, $500. This is a “pro-rata” recovery. You must not just accept it. You have the right to ask for a full accounting of why they were not able to recover the full amount and why you are not being “made whole” first.

Stop thinking of it as a “claim against you.” Do see a subrogation letter as a claim against your insurance policy instead.

The Lawsuit Addressed to Your Bodyguard, Not to You

A scary-looking subrogation letter from another insurance company feels like a personal, legal attack. It is not. It is a business letter that has been sent to the wrong address. The claim is not against you; it is against the professional bodyguard you have hired: your insurance company. Your only job is to not engage with the letter. You must simply forward it to your own insurer, who is the party that is legally and financially responsible for responding to the threat.

The #1 hack for a health insurance subrogation claim is to have your attorney negotiate the lien amount down.

The Doctor Who Will Accept a Lower Fee for a Quick Payment

Your health insurer has a $50,000 lien on your personal injury settlement. This is their opening bid. The #1 secret is that this number is almost always negotiable. Your personal injury attorney is an expert negotiator. They will go to the health insurer and argue that because of the risks and costs of the lawsuit, the insurer should reduce their lien. Just like a doctor who will accept a lower cash price, the insurer will often agree to take a smaller, guaranteed payment today rather than risk getting nothing tomorrow.

I’m just going to say it: Subrogation is a multi-billion dollar industry that operates almost completely invisibly to the public.

The Secret, Financial Plumbing of the Insurance World

Subrogation is the vast, hidden network of financial plumbing that connects every insurance company. Every day, billions of dollars are flowing through these pipes as insurers fight, negotiate, and pay each other back for the claims they have covered. It is a massive, highly profitable, and completely invisible industry, with its own specialized lawyers, collection agencies, and arbitration systems. You, the policyholder, are just a single drop of water in this massive, hidden system.

The reason a collection agency is calling you is because your insurer paid a claim and is now trying to subrogate against you as an uninsured party.

The Bill for the Accident You Caused

Imagine you are an uninsured driver, and you cause an accident. The other driver’s insurance company pays to fix their car. A few months later, a collection agency starts calling you. This is subrogation. The other driver’s insurer has paid the claim, and now they have hired a collection agency to come after you, personally, to get their money back. Because you did not have a bodyguard (your own insurance), you are now facing the other team’s hired muscle all by yourself.

If you’re still not telling your health insurer that your injuries were from a car accident, you’re setting yourself up for a future subrogation nightmare.

The White Lie That Will Become a Legal Landmine

You go to the doctor for a sore back, and you tell them it’s just a strain. You don’t mention the car accident because you don’t want to deal with the paperwork. Your health insurance pays the bills. A year later, you hire a lawyer and get a big settlement from the car insurance company. Your health insurer will eventually find out. They will then come after you, accusing you of fraud and demanding to be paid back. That small, initial white lie has just become a massive, legal landmine.

The biggest lie you’ve been told is that subrogation is optional.

The Contractual Duty You Cannot Refuse

Your insurance policy is a contract. And a key part of that contract is the subrogation clause. This clause says that as a condition of them paying your claim, you are legally and automatically transferring your right to recover to them. It is not optional. It is not a choice you get to make. It is a fundamental, non-negotiable part of the deal you agreed to when you bought the policy. Refusing to cooperate with their subrogation efforts is a breach of your contract.

I wish I knew that my insurer’s subrogation rights could affect my ability to get a fair pain and suffering settlement.

The Two Hungry Mouths and Not Enough Food

Imagine you are in a negotiation for a pizza. You are negotiating for your share (your pain and suffering). But sitting next to you at the table is your own, very hungry health insurer, who has a right to the first several slices to cover the medical bills. The other side knows this. They know that a large part of their settlement offer will go directly to your health insurer. This can reduce their incentive to offer you a larger amount for your own, personal damages.

99% of people make this one mistake: they don’t understand that their own insurance company becomes the “plaintiff” in a subrogation action.

The Moment Your Insurance Company Sues in Your Name

When your insurance company files a subrogation lawsuit, they are not suing as “The Insurance Company.” The lawsuit will often be filed as “John Smith (you) vs. the Other Driver.” They are legally “standing in your shoes.” They have the right to use your name as the plaintiff in the case. This is a confusing but critical legal concept. It is not you who is suing; it is your insurance company, who is wearing a mask with your face on it.

Use intercompany arbitration results to your advantage, not just letting the insurers decide everything behind closed doors.

The Secret Courtroom Where the Real Decisions Are Made

Most subrogation disputes are not decided in a real court. They are decided in a secret, private courtroom called “intercompany arbitration.” This is where the insurance companies go to have a neutral arbitrator make a fast, binding decision. The results of these arbitrations are not always fair. You must not be a passive observer. You must provide your own insurer with all the evidence they need to win this secret trial, as the outcome will determine if you get your deductible back.

Stop ignoring a subrogation letter from your landlord’s insurance company. Do turn it over to your renter’s insurance immediately instead.

The Legal Grenade You Must Not Try to Defuse Yourself

A subrogation letter from your landlord’s insurer, blaming you for a fire, is a legal hand grenade. Your first instinct might be to try to defuse it yourself by calling them and arguing. This is a catastrophic mistake. You are not a bomb disposal expert. You must not touch it. Your only job is to immediately and carefully hand the grenade over to the professionals—your own renter’s insurance company—whose liability coverage is the bomb squad you have already paid for.

Stop thinking your insurer is on your side during subrogation. Their goal is to recover their own payment, not necessarily your deductible.

The Lion That Is Hunting for Its Own Dinner, Not Yours

During subrogation, your insurer is a lion hunting on the savanna. Their primary, and often only, goal is to recover the thousands of dollars they paid for your claim. That is their dinner. Your small, $500 deductible is just a tiny scrap of meat that might be left over. While they are happy to get it for you if it’s easy, they will not expend any extra energy or risk to hunt for your small scrap. Their own, much larger meal is their only real priority.

The #1 secret your health insurer doesn’t want you to know is that their subrogation claim is limited by the “made whole” doctrine in many states.

The Rule That Says You Get to Eat First

The “made whole” doctrine is a powerful, pro-consumer legal shield. It says that your own health insurance company cannot take a single dollar of your personal injury settlement until you have been fully and completely compensated for all of your own damages, including your pain and suffering. It is the rule that says you, the injured victim, get to eat your full meal first. Only if there is any food left over at the end can the health insurer ask for their share.

I’m just going to say it: Your personal injury lawyer will spend more time fighting with your own health insurer than with the defendant’s insurer.

The Vicious, Two-Front War You Are In

A personal injury case is a brutal, two-front war. The first, and often easier, front is the fight against the at-fault driver’s insurance company. The second, and often more vicious and difficult, front is the fight against your own health insurance company. Your lawyer will spend countless hours in a bitter, trench warfare negotiation with your own health insurer’s subrogation department, fighting to reduce their lien so that there is actually some money left over for you at the end of the day.

The reason the other insurer isn’t paying is because they are waiting for the subrogation demand from your company.

The Two Generals Who Will Only Speak to Each Other

You are a soldier on the battlefield, and you are trying to get the other side’s general to surrender to you. It will never happen. The two generals—the two insurance companies—will only negotiate with each other. The other insurer is not going to pay you directly. They are waiting for the formal, official “subrogation demand” from your insurance company’s general. The entire process is a formal, business-to-business transaction that you are not a part of.

If you’re still not providing your insurer with the other party’s contact information, you’re hindering their ability to get your deductible back.

The Detective Who Needs the Suspect’s Address

The subrogation department is the detective who is trying to track down the suspect who stole your deductible. But they are not on the street. They are in an office, a thousand miles away. If you do not give them the suspect’s name, address, and insurance information, you have given them a case with no leads. You are the one who was at the scene of the crime, and you are the one who has the clues. You must provide your detective with the information they need to have any chance of solving the case.

The biggest lie you’ve been told is that the subrogation process is fast.

The Slow, Grinding Gears of Corporate Justice

Subrogation is not a speedboat; it is a massive, rusty, industrial gear that turns at a painfully slow pace. It is a process of formal letters, legal deadlines, and bureaucratic delays between two massive, slow-moving corporations. There is zero incentive for either side to hurry. It is not uncommon for a simple, straightforward subrogation claim to take six months, a year, or even longer to finally grind its way to a conclusion. It is a masterclass in corporate inertia.

I wish I knew that I could buy “waiver of subrogation” endorsements for my business policies.

The Pre-Nuptial Agreement for Your Business Relationships

A “waiver of subrogation” is a financial pre-nuptial agreement. It is an endorsement you add to your policy before you sign a contract with another company. It is a promise from your insurance company that says, “If we pay a claim, we will not sue the other party.” This is often a requirement in commercial leases and construction contracts. It is the legal handshake that prevents a future, messy, and expensive divorce between the two companies’ insurance carriers.

This one small action of asking your adjuster “What’s the plan for subrogation?” will change how they view your involvement.

The Shareholder Who Is Asking to See the Business Plan

This one, simple question is a powerful statement. It signals to the adjuster that you are not a clueless, passive victim. It shows that you are an educated, engaged, and active shareholder in this process. You are asking to see their business plan. You are putting them on notice that you understand how the system works, and that you will be monitoring their progress and holding them accountable for their efforts to recover your deductible. It is a small question that signals a big shift in power.

Use the “common fund” doctrine to reduce your health insurer’s lien, not just paying them their full amount.

The Rule That Says Your Lawyer Gets Paid First

The “common fund” doctrine is a legal rule of fairness. It says that since your personal injury lawyer did all the work to create the “common fund” of money (the settlement), they get to be paid first. This means that your health insurer is not entitled to their full, $50,000 lien. They must first reduce their lien by a pro-rata share of your attorney’s fees and costs. They have to help pay for the lawyer who created the very fund of money they are now trying to claim.

Stop letting your insurer’s subrogation failure prevent you from suing for your own uncovered damages.

Your Right to Chase the Rest of the Debt

Your insurer tries to subrogate, but they fail. This does not mean your rights are extinguished. Your insurer was only ever chasing their portion of the debt (what they paid you). You still have the right to file your own, separate lawsuit for all of your uncovered damages. This includes your deductible, your diminished value, and any other costs that your own policy did not cover. Their failure does not prevent you from launching your own, separate attack.

Stop confusing subrogation with salvage. Subrogation is recovery from a third party; salvage is the value of your damaged property.

The Robber vs. the Wreckage

“Subrogation” and “salvage” are two completely different financial transactions. “Subrogation” is the money your insurer gets from the robber—the at-fault person who caused the damage. “Salvage” is the money your insurer gets from selling the wreckage—the totaled car or the burnt building—for scrap. One is a recovery from a person; the other is a recovery from a pile of metal. They are two separate and distinct sources of money that the insurer uses to offset their costs.

The #1 hack for a workers’ comp subrogation claim is to understand how it impacts your third-party lawsuit.

The First, and Biggest, Shark in the Water

If you are injured at work by a third party, the workers’ comp insurer has a massive, ironclad subrogation lien on your personal injury case. They are the first, and the biggest, shark in the water. They get paid back first, before you, and before your lawyer. Understanding the exact size of their lien, and your lawyer’s ability to negotiate it down, is the single most important financial factor that will determine how much money you will actually get to keep from your own lawsuit.

I’m just going to say it: The subrogation department of your insurance company has no idea who you are. You are just a file number to them.

The Nameless, Faceless Cog in a Giant Machine

The friendly adjuster who handled your claim is gone. Your file has been transferred to the subrogation department, a massive, faceless, and impersonal factory. You are no longer a person with a story; you are a file number on a spreadsheet. The people handling your case are judged not on their customer service, but on their recovery numbers. They are the cold, detached collection agents for the insurance company, and they are not on your side. They are on the side of the balance sheet.

The reason you can’t get clear answers is because your claim has been transferred to a different company that only handles subrogation.

The Subcontractor Who Only Does One, Specific Job

You call your insurance company for an update, and no one seems to know what’s going on. That’s because they have outsourced the work. Many insurers don’t handle their own subrogation. They transfer the entire file to a separate, specialized, third-party company that does nothing but subrogation. It’s like your general contractor has hired a subcontractor to do the plumbing. Your insurance company is no longer in charge, and you are now dealing with a new company that you have never even heard of.

If you’re still not getting proof of the other driver’s policy limits, you’re losing the ability to assess the likelihood of a full recovery.

The Size of the Bank Vault You Are Trying to Rob

The success of your insurer’s subrogation effort depends entirely on the size of the other person’s bank vault—their liability policy limit. If the other driver only has the state minimum limit of $15,000, and your damages are $50,000, a full recovery is impossible. You must get your adjuster to find out the other driver’s policy limits. This is the most important piece of financial intelligence you can have. It tells you if you are trying to rob a giant, federal reserve, or a small, local credit union with almost no money in it.

The biggest lie you’ve been told is that you have no say in the subrogation process.

You Are the CEO, and They Are Your Hired Gun

While the insurer has the right to subrogate, you are not a helpless passenger. You are the CEO of your claim. You have the right to be kept informed, to ask for status updates, and to ensure they are not “waiving” their subrogation rights without your permission. If their failure to pursue subrogation is harming your ability to recover your own deductible, you have the right to complain and to demand action. You are not their employee; they are your hired gun.

I wish I knew that by settling with the at-fault party, I could destroy my insurer’s right to subrogate.

The Peace Treaty That Prevents Your Army from Attacking

When you accept a small, out-of-pocket settlement from the at-fault driver and sign their release, you have just signed a binding peace treaty. This treaty not only prevents you from suing them, but it also prevents your insurance company from ever attacking them. You have just single-handedly disarmed your own army and destroyed their legal right to get their money back. Your insurer will then turn around and demand that you pay them back for the claim they paid, because you gave away their rights.

99% of people make this one mistake: they get angry at their own insurer for pursuing subrogation against a friend or family member.

The Impersonal, Contractual Machine That Has No Feelings

You have a small accident with your brother-in-law. You are both fine, and you agree to handle it privately. But you still report it to your insurer. You have just activated an impersonal, unfeeling machine. The subrogation department does not know or care that the other driver is your family. They will see a file where another party is at fault, and they will automatically and aggressively pursue them for the money. You have wound up a robot and set it on a course that you can no longer control.

Use your state’s laws on subrogation, not just the language in your policy.

The Federal Law That Overrides Your Local Contract

Your insurance policy is a private contract. But it is governed by a higher power: your state’s laws. Many states have specific, pro-consumer laws that dictate how subrogation must be handled. These laws can give you more rights than your policy does, especially when it comes to the “made whole” doctrine or who gets paid first. You must not assume that the policy is the final word. The state’s law is the federal government that can override the local rules of your contract.

Stop accepting a “pro-rata” share of your deductible. Do argue that you should be paid first out of any recovery instead.

The “You First” Rule of the Recovery

Many insurers will tell you that you will only get a “pro-rata” or partial share of your deductible back if they only make a partial recovery. But some states have a different, more powerful rule. This rule says that you, the innocent, out-of-pocket victim, must be “made whole” first. This means that the first dollars they recover must go to you to pay back your deductible. Only after you have been paid in full can the insurance company start to pay themselves back.

Stop thinking you can’t sue for your deductible yourself in small claims court.

The Small, Fast Boat in a World of Slow Battleships

The insurance companies are two giant, slow-moving battleships, locked in a year-long subrogation battle. But you have access to a small, fast, and nimble speedboat: small claims court. In many cases, you have the right to file your own, separate lawsuit against the at-fault driver’s insurance company to recover your deductible. This is often a much faster and more effective way to get your money back than waiting for the two battleships to finish their war.

The #1 secret is that if your insurer waives subrogation, you may have a clear path to sue the at-fault party yourself.

The Green Light to Launch Your Own Attack

Sometimes, an insurer will make a business decision to “waive” their right to subrogation, meaning they are not going to pursue the other party. This is a secret green light for you. By waiving their rights, they have just given the “prize horse” back to you. They have just cleared the legal field of their own army. This may now give you a clear, unobstructed path to hire your own attorney and file your own, separate lawsuit against the at-t party for all of your damages, including what your insurer paid.

I’m just going to say it: Med-Pay subrogation is one of the most confusing and frustrating parts of any auto injury claim.

The Shell Game of Medical Bills

“Med-Pay” is a no-fault coverage that pays your initial medical bills. But the rules for whether your own insurer can get that money back (subrogate) from the other driver are a dizzying, state-by-state mess of legal shell games. In some states, it’s allowed. In others, it’s illegal. In some, it’s allowed but only after you’ve been made whole. It is a complex, frustrating, and often unfair part of the process that requires an expert lawyer to untangle.

The reason the process is so adversarial is because your insurer’s financial interests are now directly opposed to the other insurer’s interests.

The Two Lions Fighting Over the Same Gazelle

Before the claim, all the insurance companies are on the same team. But the moment an accident happens, they become two lions fighting over a single gazelle (the money). Your insurance company’s desire to get their money back is now in a direct, head-to-head, dollar-for-dollar conflict with the other insurance company’s desire to not pay. You are no longer in a customer service transaction; you are a witness to a brutal, primal, financial battle between two apex predators.

If you’re still ignoring a letter from a company like “The Hartford” or “SubroIQ,” you’re losing valuable time.

The Hired Gun Who Has Just Entered the Fight

You get a letter from a company you’ve never heard of. It is not junk mail. It is a formal announcement that a new, specialized hired gun has just entered the fight. Many insurers outsource their subrogation to these large, aggressive, third-party companies. Ignoring their letter is a huge mistake. You are ignoring a professional adversary who has just informed you that they are now handling the case against you. You must immediately forward that letter to your own insurance company.

The biggest lie you’ve been told is that you need to help your insurer with their subrogation case.

The Star Witness Who Has a Right to Be Paid

Your “duty to cooperate” with your insurer does not mean you have to be their unpaid, part-time paralegal. You are the star witness in their case, and your time is valuable. For anything beyond providing the basic, initial information, you have the right to be compensated. If they need you to spend a day in a deposition, you can and should demand that they compensate you for your lost wages and your time. You are helping them win their case; you do not have to do it for free.

I wish I knew that some states don’t allow insurers to subrogate for medical payments at all.

The Legal Shield That Protects Your Medical Benefits

In some states, the law has created a special, protective shield around certain types of benefits. These “anti-subrogation” states have passed laws that say an insurance company is simply not allowed to come after your personal injury settlement to get their medical payments back. It is a powerful, pro-consumer law that says the benefits you paid for are yours to keep, and the insurer does not have the right to take them back from you. You must know if your state has erected this legal shield.

This one small action of documenting the other driver’s license plate will change the entire subrogation outcome.

The Single, Most Important Clue in the Entire Investigation

In the chaos after an accident, the single most important piece of evidence you can collect is a photo of the other driver’s license plate. This one, simple piece of data is the key that unlocks their entire identity. It is the thread that the subrogation detectives will use to pull and unravel the entire case. It will give them the driver’s name, their address, and most importantly, their insurance company. Without this one, critical clue, the entire investigation can go cold before it even begins.

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