Common use of Claim Determination Clause in Contracts

Claim Determination. The final determination of whether an insured employee qualifies for claim payments under Group Life insurance, Accidental Death and Dismemberment Insurance, the Group Hospital-Medical and Prescription Drug Plan, the Short Term Disability Program or the Dental Benefit Plan, shall be made by the respective carriers. Except for Short Term Disability Claims which arise exclusively after the date of ratification of this agreement, such determination may not be made the subject of a complaint under the General Labour Agreement and is not a proper matter for arbitration under such General Labour Agreement.

Appears in 4 contracts

Samples: Supplemental Agreement, 2020 Labour Agreement, 2013 Labour Agreement

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Claim Determination. The final determination of whether an insured employee qualifies for claim payments under Group Life insurance, Accidental Death and Dismemberment Insurance, the Group Hospital-Medical and Prescription Drug Plan, the Short Term Disability Health and Accident Insurance Program or the Dental Benefit Plan, shall be made by the respective carriers. Except for Short Term Disability Health and Accident insurance Claims which arise exclusively after the date of ratification of this agreement, such determination may not be made the subject of a complaint under the General Labour Agreement and is not a proper matter for arbitration under such General Labour Agreement.

Appears in 3 contracts

Samples: Collective Agreement, Collective Agreement, Collective Agreement

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Claim Determination. The final determination of whether an insured employee qualifies for claim payments under Group Life insurance, Accidental Death and Dismemberment Insurance, the Group Hospital-Medical and Prescription Drug Plan, the Short Term Disability Health and Accident Insurance Program or the Dental Benefit Plan, shall be made by the respective carriers. Except for Short Term Disability Claims which arise exclusively after the date of ratification of this agreement, such determination may not be made the subject of a complaint under the General Labour Agreement and is not a proper matter for arbitration under such General Labour Agreement.

Appears in 1 contract

Samples: Collective Agreement

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