Claim Overpayments. Employer acknowledges that unintentional administrative errors may occur. If Claim Administrator becomes aware of a Claim Overpayment to a Provider or Covered Person, Claim Administrator is authorized to follow its recovery processes, including, but not necessarily limited to, those items described below ("Recovery Process(es)"). Claim Administrator, however, will not be required to enter into litigation to obtain a recovery, unless specifically provided for elsewhere in this Agreement, nor will Claim Administrator be required to reimburse the Plan, except for when gross negligence or intentional misconduct by Claim Administrator caused the Overpayment. For purposes of Section 4.2(a.-e.) below, “Other Plan(s)” or “Another Plan” means any health benefit plan, including, but not limited to, individual and group plans or policies administered or insured by Claim Administrator.
Claim Overpayments. If the Corporation overpays an Insured on a claim for indemnity under this Contract, the Insured shall repay such overpaid amount to the Corporation within the time prescribed by the Corporation. The Corporation may charge interest on any claim overpayment not paid within the time so prescribed and on any other charges, fees, costs and expenses due to the Corporation by the Insured at the same rate as specified in the Application for outstanding Premiums for the Crop Year in which the notice of claim overpayment or notice of such outstanding charges, fees, costs or expenses is given. Interest shall commence on such claim overpayment and such other charges, fees, costs and expenses (except Premiums) 30 days after such written notification or at any other time beyond 30 days as may be specified in such notification to the Insured.
Claim Overpayments. Employer acknowledges that unintentional administrative errors may occur. When Claim Administrator becomes aware of a Claim overpayment, Claim Administrator will attempt to recover any such payment according to Claim Administrator's recovery policies and procedures. Claim Administrator, however, will not be required to enter into litigation to obtain a recovery, unless specifically provided for elsewhere in this Agreement, nor will Claim Administrator be required to reimburse the Plan, except for gross negligence or intentional acts by Claim Administrator which caused the overpayment.
Claim Overpayments
