Adult competent plaintiff settlements typically don’t require court approval unless involving minors, incapacitated persons, or class actions. Minor settlements need judicial review ensuring fairness and proper preservation. Wrongful death settlements may require probate court approval. Structured settlements benefit from court approval for tax purposes. Medicare Set-Asides increasingly involve judicial review. High-low agreements during trial need court acknowledgment. Court approval protects vulnerable parties and ensures attorney fee reasonableness. Hearings examine settlement terms, allocation, and preservation methods. Approved settlements gain finality protection. Strategic considerations include whether voluntary submission benefits parties through added certainty.