Claims Notification. HEBP will prepare and mail explanation of benefit forms for medical and dental claims.
Claims Notification. You must contact Us with full details as soon as possible of any Disability, incident or on the discovery of any loss or damage which may result in a claim under this Policy. You must also tell Us if You know of any writ, summons, or prosecution against You and immediately send Us every letter or document which relates to a claim.
Claims Notification. If any claim, or other action, including proceedings before an administrative agency, is made or brought by any person, firm, corporation, or other entity against Contractor or County in relation to the performance of this Contract, Contractor shall give written notice to County of the claim or other action within three (3) working days after being notified of it or the threat of it; the name and address of the person, firm, corporation or other entity that made or threatened to make a claim, or that instituted or threatened to institute any type of action or proceeding; the basis of the claim, action or proceeding; the court or administrative tribunal, if any, where the claim, action or proceeding was instituted; and the name or names of any person against whom this claim is being made or threatened. This written notice shall be given in the manner provided herein. Except as otherwise directed, Contractor shall furnish to County copies of all pertinent papers received by Contractor with respect to these claims or actions.
Claims Notification. In the event of any occurrence which may give rise to a claim under this Policy the Insured shall as soon as possible give notice thereof to the Company with full particulars. Every letter claim writ of summons and process shall be notified or forwarded to the Company immediately on receipt.
Claims Notification. A. The PH-MCO will provide the Department with semi-annual files as defined by the Department that include information on applicable services.
B. Each file must include all eligible procedures, including services provided by capitated providers, and must have dates of service within the applicable six month period. This file must contain all data elements as specified by the Department.
C. The PH-MCO may not include an allowance for claims that have not been paid.
D. Each file is due on or before a date specified by the Department, which will be at least six months following the end of the applicable six month period.
E. The Department will include in its calculation only services rendered by a physician who is eligible on the date of service per the Department’s current file.
Claims Notification. (a) As soon as a Party becomes aware of the possibility of a claim involving indemnification under this Article V, the indemnified Party shall give the indemnifying Party prompt written notice in writing and shall permit the indemnifying Party to have control over the defense of such claim or suit. The indemnified Party agrees to provide all reasonable information and assistance to the indemnifying Party in such defense. No such claims shall be settled other than by the Party defending the same, and then only with the consent of the other Party, which shall not be unreasonably withheld or delayed; provided, however, that the indemnified Party shall have no obligation to consent to any settlement of any such claim which imposes on the indemnified Party any liability or obligation which cannot be assumed and performed in full by the indemnifying Party.
(b) As soon as any Party becomes aware of the possibility of a claim involving contribution under Section 5.4, such Party shall notify the other Parties and the Parties shall cooperate in the defense of such claim. Each of the Parties shall provide all reasonable information and assistance to such defense.
Claims Notification. You must contact Us with full details as soon as possible of any Disability, incident or on the discovery of any loss or damage which may result in a claim under this Master Certificate. You must also tell Us if You know of any writ, summons, or prosecution against You and immediately send Us every letter or document which relates to a claim.
Claims Notification. The Insured must provide written notification to the Company no later than 35 days of the occurring of any Accident Incident event or circumstance which may give rise to a loss which is covered under this Extension The following special extensions shall be payable in addition to any benefit paid under the Personal Accident Section - Nuclear Chemical or Biological Cause Extension Benefits 1- 4 of the Policy subject to the Maximum Incident Limit (and inner limits where applicable) as detailed in the Schedule If during the Operative Time the Insured Person sustains bodily injury following an Accident or contracts illness which within 26 weeks is the sole and independent cause of Death for which Benefit 1 is paid the Company will pay necessary expenses with the Company’s prior written consent for either • telephone counselling or • face to face counselling or • cognitive behavioural therapy as deemed appropriate by the Company to the Insured Person’s Spouse or Child up to £250 per week up to a maximum £5,000 any one Insured Person If during the Period of Insurance any single Incident results in payment of the Death benefit for five or more Directors or Employees of the Insured who are covered under the Personal Accident Insurance – Nuclear Chemical or Biological Cause Extension the Company will pay necessary expenses with the Company’s prior written consent for specialist counselling support services for any Director or Employee of the Insured up to a maximum £5,000 If during the Operative Time the Insured Person sustains bodily injury following an Accident or contracts illness which within 26 weeks is the sole and independent cause of Disablement for which Benefit 2 3 or 4 is paid the Company will pay necessary expenses with the Company’s prior written consent for either as deemed appropriate by the Company to the Insured Person up to £250 per week up to a maximum £5,000 any one Insured Person If during the Operative Time the Insured Person sustains bodily injury following an Accident or contracts illness which within 26 weeks is the sole and independent cause of Disablement for which Benefit 2 3 or 4 is paid the Company will pay necessary expenses incurred with the Company’s prior written consent to make alterations to the Insured Person’s home car or usual place of work as a direct and necessary result of the Disablement suffered up to a maximum of £25,000 If during the Operative Time the Insured Person sustains bodily injury following an Accident or contra...
Claims Notification. On the happening of an occurrence likely to give rise to a claim contact: The Intermediary who arranged the insurance, details as noted on the schedule or The Chubb Claims Service Team. Postal Address: Chubb European Group SE, 0 Xxxxxxx Xxxx, XXXX, Xxxxxx 0. Telephone: (00) 0000000 (Within Ireland only) International: +000 (0) 0000000 Facsimile: (00) 0000000; E-mail: XXXxxxxxx@xxxxx.xxx as soon as reasonably possible after the date of the occurrence .
Claims Notification a. If the Insured Person is diagnosed / underwent a surgical procedure or any medical condition falling under purview of the definition of Critical Illness as mentioned in the Policy that may result in a claim, then the Insured Person must provide intimation to the Company immediately and in any event within 7 days of the aforesaid Illness/ condition/ surgical event or completion of Survival Period and which can be received from Insured person through various modes like email / telephone/ fax/ in person or may be via letter or any other suitable mode. Upon receipt of information the Company will register the claim under a unique claim number.
b. The following details are to be provided at the time of intimation of Claim:
i. The Policy Number/Certificate Number, ii. Name of the Policyholder; iii. Employee No./ Member ID iv. Name and address of the Insured Person in respect of whom the request is being made;
