Claims and Loss Adjustment Expense. A. Xxxxxx shall be reported by the Company in summary form as hereinafter provided, but the Company alone and at its full discretion shall adjust, settle or compromise all claims and losses hereunder. The Company shall be the sole judge as to:
Claims and Loss Adjustment Expense. A. Losses shall be reported by the Company in summary form as hereinafter provided, but the Company shall notify the Reinsurer immediately when a specific case involves unusual circumstances or large loss possibilities. The Reinsurer shall have the right to participate, at its own expense, in the defense or control of any claim or suit or proceeding involving this reinsurance.
Claims and Loss Adjustment Expense. A. All loss settlements, judgments, and all interest on said judgments (including extra contractual obligations awards and loss in excess of policy limits judgments made against the Company, including interest on said judgments) made by the Company, or the Company’s designated representative, whether under strict policy conditions or by way of compromise, shall be unconditionally binding upon the Reinsurer.
Claims and Loss Adjustment Expense. A. Losses shall be reported by the Company in summary form as hereinafter provided. Further, the Company shall notify the Reinsurer whenever a claim involves a fatality, amputation, spinal cord damage, brain damage, blindness, extensive bxxxx or multiple fractures, regardless of liability. The Reinsurer shall have the right to participate, at its own expense, in the defense of any claim or suit or proceeding involving this reinsurance.
Claims and Loss Adjustment Expense. A. Whenever a claim is reserved by the Company for an amount greater than 50% of its retention hereunder and/or whenever a claim appears likely to result in a claim under this Contract, the Company shall notify the Reinsurer. The Reinsurer shall have the right to participate, at its own expense, in the defense or control of any claim or suit or proceeding involving this reinsurance.
Claims and Loss Adjustment Expense. A. Whenever a claim is reserved by the Company for an amount greater than $250,000 and/or whenever a claim appears likely to result in a claim under this Contract, the Company shall notify the Reinsurer. All cases of serious injury which, regardless of considerations of liability or coverage, in the opinion of the Company, might result in a claim under this Contract shall be reported to the Reinsurer, including, but not limited to the following:
Claims and Loss Adjustment Expense. A. Whenever a claim is reserved by the Company for an amount greater than 66.0% of its retention hereunder and/or whenever a claim appears likely to result in a claim under this ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Page 7 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Contract, the Company shall notify the Reinsurer. All cases of serious injury which, regardless of considerations of liability or coverage, might result in a claim under this Contract, shall be reported to the Reinsurer, including but not limited to the following: 1. Brain injury with significant cognitive, behavioral or physical residual damages;
Claims and Loss Adjustment Expense. A. Whenever a claim is reserved by the Company for an amount greater than its retention hereunder and/or whenever a claim appears likely to result in a claim under this Contract, the Company shall notify the Reinsurer. Further, the Company shall notify the Reinsurer whenever a claim involves a fatality, amputations or permanent loss of use of upper or lower extremities, spinal injuries resulting in partial or total paralysis of upper or lower extremities, brain injuries resulting in impairment of physical functions, severe burn cases, or any other injuries likely to result in a permanent disability rating of 50.0% or more, regardless of liability, if the policy limits or statutory benefits applicable to the claim are greater than the Company's retention hereunder. The Reinsurer shall have the right to participate, at its own expense, in the defense or control of any claim or suit or proceeding involving this reinsurance.
Claims and Loss Adjustment Expense. A. All decisions to settle or defend Claims under policies covered by this Agreement shall be made by the Reinsurer. The Company shall provide such information regarding Claims as may be reasonably requested by Reinsurer. The Reinsurer shall have the exclusive power and authority to assume the Company's defense of any Claim and to direct any and all actions to be taken by or on behalf of the Company in connection with the settlement or defense of Claims, except to the extent that the authority to settle or defend Claims may from time to time be delegated to the Company by Reinsurer.
Claims and Loss Adjustment Expense. A. Losses shall be reported by the Company in summary form as hereinafter provided, but the Company shall notify the Reinsurer immediately when a specific case involves unusual circumstances or large loss possibilities.
