AMOUNT CLAIMED Sample Clauses

AMOUNT CLAIMED. Please type or print in the box below, the total amount paid or reimbursed by you—net of co-pays, deductibles, and co-insurance— for purchases of brand Lidoderm between August 23, 2012, and September 14, 2013, and/or generic versions of Lidoderm (Lidocaine patch 5%) between September 15, 2013, and August 1, 2014, by your insureds, plan participants, or beneficiaries or their family members in Arizona, California, Florida, Kansas, Maine, Massachusetts, Minnesota, Nevada, New Hampshire, New Mexico, New York, North Carolina, North Dakota, South Dakota, Tennessee, West Virginia, or Wisconsin. BRAND LIDODERM OR GENERIC LIDODERM (LIDOCAINE PATCH 5%) TOTAL AMOUNT PAID Purchases or Reimbursements from August 23, 2012 thru September 14, 2013 in the above-listed states. $ GENERIC LIDODERM (LIDOCAINE PATCH 5%) TOTAL AMOUNT PAID Purchases or Reimbursements from September 15, 2013 thru August 1, 2014 in the above-listed states. $ You must submit claims data and information (documentation) in support of the purchase amounts stated above if the total net claim amount is more than $10,000. That claims documentation must include the following fields: Client FEIN, Carrier ID, Account ID, Group ID, Member ID, Date of Service, NDC, Drug Name, Product Description, Quantity, Total Paid, Member Paid, Plan Paid, Pharmacy Name and Pharmacy Location. If your total net claim is $10,000 or less, you need not provide complete claims data with this Claim Form, but the Claims Administrator may require supporting documentation.
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AMOUNT CLAIMED. “Amount Claimed” shall have the meaning set forth in Section 5.9.
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AMOUNT CLAIMED. 15. If you were unable to work because of illness, how many days were you off work?
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AMOUNT CLAIMED. Unspecified Brief Description: Plaintiffs filed an amended complaint (the "Amended Complaint") on April 16, 2008 to name Covenant Transportation Group, Inc. ("CTG") and Covenant Transport Solutions, Inc. ("Solutions") as defendants in a lawsuit previously filed by BNSF on December 21, 2007 against nine former employees of BNSF (the "Individuals") who, after leaving BNSF, accepted employment with Solutions. The original complaint alleged that the Individuals misappropriated and otherwise misused BNSF's trade secrets, proprietary information, and confidential information (the "BNSF Information") with the purpose of unlawfully competing with BNSF in the transportation logistics and brokerage business, and that the Individuals interfered unlawfully with BNSF's customer relationships. In addition to the allegations from the original complaint, the Amended Complaint alleges that CTG and Solutions acted in conspiracy with the Individuals to misappropriate the BNSF Information and to use it unlawfully to compete with BNSF. The Amended Complaint also alleges that CTG and Solutions interfered with the business relationship that existed between BNSF and the Individuals and between BNSF and its customers. BNSF seeks injunctive relief, specific performance, and an unspecified amount of damages. On April 28, 2008, an Answer to the Amended Complaint was filed. A jury trial in this matter has been set for November 3, 2008. An estimate of the possible loss, if any, or the range of the loss cannot be made at this time. COVENANT TRANSPORT, INC. Name of Plaintiff(s): HXXXXX, XXXX X., next of kin of HXXXXX, XXXXXXX XXXXX, deceased, Plaintiff Court: Chancery Court, Hxxxxxxx County, TN Case Number: 07-0701
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AMOUNT CLAIMED. Unspecified Brief Description: Plaintiff filed suit on August 10, 2007 for workers' compensation benefits under the Tennessee Workers' Compensation Act alleging that on or about June 28, 2006, the decedent sustained a compensable injury that resulted in the decedent's death during the scope of the decedent's employment with Covenant Transport, Inc. Plaintiff requests that the court determine the nature and extent of the decedent's disability and award compensation and such other benefits as are provided by law. COVENANT TRANSPORT, INC. Name of Plaintiff(s): WXXXXXXX, XXXX, widow and dependant of WXXXXXXX, XXXXX, deceased Court: Chancery Court, Hxxxxxxx County, TN Case Number: 07-0968 Amount Claimed: Unspecified Brief Description: Plaintiff filed suit on November 7, 2007 for workers' compensation benefits under the Tennessee Workers' Compensation Act (the "TWCA") alleging that on or about November 2, 2006, the decedent sustained an injury, which resulted in the decedent's death during the scope of the decedent's employment with Covenant Transport, Inc. Plaintiff requests the court award the maximum death benefits and the bad faith penalty provided for under the TWCA and other relief available under the law. COVENANT TRANSPORT, INC. Name of Plaintiff(s): ROCK LOGISTICS, INC. Court: US District Court – Eastern District of Tennessee, Chattanooga Division, TN Case Number: 1:08-cv-00148 Amount Claimed: $6,000,000 Brief Description: Plaintiff filed a complaint on June 3, 2008, in Chancery Court, Hxxxxxxx County, TN for damages that allegedly occurred on or about November 14, 2007, in connection with a certain shipment. Plaintiff alleges that the defendant violated various provisions of the Tennessee Consumer Protection Act. Plaintiff is suing the defendant for $3,000,000 compensatory damages plus $3,000,000 punitive damages, plus attorney's fees. Case transferred to US District Court-Eastern District of Tennessee, Chattanooga Division, TN June 25, 2008. COVENANT TRANSPORT, INC. Name of Plaintiff(s): DXXXXXXXX, XXXXXX Court: US District Court – Eastern District Court of Tennessee, Chattanooga Division, TN Case Number: 1:07:07-CV-00265 Amount Claimed: $750,000.00 Brief Description: Plaintiff filed a complaint in the Chancery Court of Hxxxxxxx County, Tennessee, on September 28, 2007. Defendant filed a Notice of Removal on October 30, 2007. Plaintiff states she filed suit to secure protection and redress for an alleged deprivation of rights granted by the Tennessee ...
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Related to AMOUNT CLAIMED

  • Amount The required additional Security shall be in an amount equal to the amount necessary to gross up fully for currently applicable federal and state income taxes the estimated Costs of Local Upgrades and Network Upgrades for which Interconnection Customer previously provided Security. Accordingly, the additional Security shall equal the amount necessary to increase the total Security provided to the amount that would be sufficient to permit the Interconnected Transmission Owner to receive and retain, after the payment of all applicable income taxes (“Current Taxes”) and taking into account the present value of future tax deductions for depreciation that would be available as a result of the anticipated payments or property transfers (the “Present Value Depreciation Amount”), an amount equal to the estimated Costs of Local Upgrades and Network Upgrades for which Interconnection Customer is responsible under the Interconnection Service Agreement. For this purpose, Current Taxes shall be computed based on the composite federal and state income tax rates applicable to the Interconnected Transmission Owner at the time the additional Security is received, determined using the highest marginal rates in effect at that time (the “Current Tax Rate”), and (ii) the Present Value Depreciation Amount shall be computed by discounting the Interconnected Transmission Owner’s anticipated tax depreciation deductions associated with such payments or property transfers by its current weighted average cost of capital.

  • Disputed Amounts 28.1.1 If any portion of an amount due to a Party (the “Billing Party”) under this Agreement is subject to a bona fide dispute between the Parties, the Party billed (the “Non-Paying Party”) shall, prior to the Xxxx Due Date, give written notice to the Billing Party of the amounts it disputes (“Disputed Amounts”) and include in such written notice the specific details and reasons for disputing each item; provided, however, a failure to provide such notice by that date shall not preclude a Party from subsequently challenging billed charges provided that such charges were paid. The Non-Paying Party shall pay when due all undisputed amounts to the Billing Party. Notwithstanding the foregoing, except as provided in Section 28.2, a Party shall be entitled to dispute only those charges for which the Date was within the immediately preceding eighteen (18) months of the date on which the other Party received notice of such Disputed Amounts.

  • Aggregate Consideration 9 Agreement......................................................................7

  • Overpayment Provider shall be liable to the GLO for any costs disallowed pursuant to financial and/or compliance audit(s) of funds received under this Contract. Provider shall reimburse such disallowed costs from funds other than those that Provider received under this Contract. Provider must refund disallowed costs and overpayments of funds received under this Contract to the GLO within 30 days after the GLO issues notice of overpayment to Provider.

  • Amounts Owed After the Termination Date, the Advisor shall be entitled to receive from the Company or the Operating Partnership within thirty (30) days after the effective date of such termination all amounts then accrued and owing to the Advisor, including all its interest in the Company’s income, losses, distributions and capital by payment of an amount equal to the then-present fair market value of the Advisor’s interest, subject to the 2%/25% Guidelines to the extent applicable.

  • Determination of Excise Tax Liability Unless the Company and the Executive otherwise agree in writing, the Company will select a professional services firm (the “Firm”) to make all determinations required under this Section 6, which determinations will be conclusive and binding upon the Executive and the Company for all purposes. For purposes of making the calculations required by this Section 6, the Firm may make reasonable assumptions and approximations concerning applicable taxes and may rely on reasonable, good faith interpretations concerning the application of Sections 280G and 4999 of the Code. The Company and the Executive will furnish to the Firm such information and documents as the Firm reasonably may request in order to make determinations under this Section 6. The Company will bear the costs and make all payments for the Firm’s services in connection with any calculations contemplated by this Section 6. The Company will have no liability to the Executive for the determinations of the Firm.

  • Allocated Values The Unadjusted Purchase Price is allocated among the Assets as set forth in Exhibit D attached hereto (the “Allocated Values”). Sellers and Buyer agree that the Allocated Values shall be used to compute any adjustments to the Unadjusted Purchase Price pursuant to the provisions of Article III and Article IV.

  • No Payment Shall Exceed Lawful Rate Notwithstanding any other term of this Agreement, the Borrower shall not be obliged to pay any interest or other amounts under or in connection with this Agreement or otherwise in respect of the Obligations in excess of the amount or rate permitted under or consistent with any applicable law, rule or regulation.

  • Payment at Highest Lawful Rate If the Borrower is not obliged to make a payment that it would otherwise be required to make, as a result of Section 5.6(a), the Borrower shall make such payment to the maximum extent permitted by or consistent with applicable laws, rules and regulations.

  • Determination of Dollar Amounts The Administrative Agent will determine the Dollar Amount of:

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