Common use of Claim Decision Clause in Contracts

Claim Decision. Upon receipt of a claim, the Company shall advise the Claimant that a reply will be forthcoming within 90 days and shall, in fact, deliver such reply within such period. The Company may, however, extend the reply period for an additional 90 days for reasonable cause. If the claim is denied in whole or in part, the Company shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (i) the specific reason or reasons for such denial; (ii) the specific reference to pertinent provisions of this Agreement on which such denial is based; (iii) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (iv) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (v) the time limits for requesting a review under subsection (3) and for review under subsection (4) hereof.

Claim Decision. Upon receipt of a claim, the Company Bank shall advise the Claimant that a reply will be forthcoming within 90 days and shall, in fact, deliver such reply within such period. The Company Bank may, however, extend the reply period for an additional 90 days for reasonable cause. If the claim is denied in whole or in part, the Company Bank shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (ia) the specific reason or reasons for such denial; (iib) the specific reference to pertinent provisions of this Agreement on which such denial is based; (iiic) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (ivd) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (ve) the time limits for requesting a review under subsection (3) and for review under subsection (4) hereof.

Claim Decision. Upon receipt of a claim, the Company Bank shall advise the Claimant that a reply will be forthcoming within 90 days and shall, in fact, deliver such reply within such period. The Company Bank may, however, extend the reply period for an additional 90 days for reasonable cause. If the claim is denied in whole or in part, the Company Bank shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (ia) the specific reason or reasons for such denial; (iib) the specific reference to pertinent provisions of this Agreement on which such denial is based; (iiic) a description of any additional material or information necessary for the Claimant to perfect his or her his claim and an explanation why such material or such information is necessary; (ivd) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (ve) the time limits for requesting a review under subsection (3) and for review under subsection (4) hereof.

Claim Decision. Upon receipt of a claim, the Company Corporation shall advise the Claimant that a reply will be forthcoming within 90 ninety (90) days and shall, in fact, deliver such reply within such period. The Company Corporation may, however, extend the reply period for an additional 90 ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Company Corporation shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: : (i1) the The specific reason or reasons for such denial; ; (ii2) the The specific reference to pertinent provisions of this Agreement on which such denial is based; ; (iii3) a A description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; ; (iv4) appropriate Appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and and (v5) the The time limits for requesting a review under subsection (3) c. and for review under subsection (4) d. hereof.

Claim Decision. Upon receipt of a claim, the Company Corporation shall advise the Claimant that a reply report will be forthcoming within 90 ninety (90) days and shall, in fact, fact deliver such the reply within such period. The Company Corporation may, however, extend the reply period for an additional 90 thirty (30) days for reasonable cause. If the claim is denied in whole or in part, the Company Corporation shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: : (i1) the specific reason or reasons for such denial; ; (ii2) the specific reference to pertinent provisions of this Agreement on which such denial is based; ; (iii3) a description of any additional material or information necessary for the Claimant to perfect his or her (his) (her) claim and an explanation why such material or such information is necessary; ; (iv4) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and and (v5) the time limits for requesting a review under subsection (3C) and ad for review under subsection (4( d) hereof.

Claim Decision. Upon receipt of a claim, the Company Bank shall advise the Claimant that a reply will be forthcoming within 90 ninety (90) days and shall, in fact, deliver such reply within such period. The Company Bank may, however, extend the reply period for an additional 90 ninety (90) days for reasonable cause. If the claim is denied denied, in whole or in part, the Company Bank shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (i) the specific reason or reasons for such denial; (ii) the specific reference to pertinent provisions of this Agreement on which such denial is based; (iii) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (iv) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (v) the time limits for requesting a review under subsection (3) and for review under subsection (4) hereof.