Claims Provisions. This Section tells you how and when to file a claim under the Plan.
Claims Provisions. All benefits will be paid in United States dollars. The following provisions apply to all benefits. NOTICE OF CLAIM: Written notice of claim must be given by either you or someone acting on your behalf (herein referred to as the “Claimant”) to our designated representative or us within 30 days after a covered reason first begins or as soon as reasonably possible. Notice must include your name and the policy number.
Claims Provisions. The following provisions shall apply in respect of each Claim:
(a) The Retailer will:
(i) give written notice of the Claim to the Distributor as soon as reasonably practicable, specifying the nature of the Claim in reasonable detail and will make available to the Distributor all information that it holds that is reasonably required by the Distributor or relevant to the Claim;
(ii) not make any determination, admission, settlement or compromise in respect of the Claim, without first obtaining the Distributor’s written consent, which may not be unreasonably withheld or delayed;
(iii) consult with the Distributor in respect of the Claim; and
(iv) permit the Distributor to communicate directly with the relevant Consumer in relation to the Claim.
(b) If the Distributor is notified of any potential Claim, the Distributor will be entitled to determine whether the event, circumstance or condition giving rise to the Claim constitutes a Failure of the kind referred to in clauses 26.10(a)(ii), 26.10(a)(iii) and 26.10(a)(iv) and to assume management and defence of the Claim. The Distributor will advise the Retailer as soon as practicable after being notified of the Claim whether or not it intends to assume the management and defence of the Claim. Where the Distributor so assumes the management and defence of the Claim it will, subject to the terms of this agreement, be entitled to determine the conduct of that Claim. If the Distributor assumes the management and defence of the Claim pursuant to this clause, the Retailer shall be entitled to make it clear to the relevant Consumer and the Electricity and Gas Complaints Commissioner that the Distributor is dealing with the Claim as it relates to the Network. Whoever conducts the management and defence of the Claim will ensure that:
(i) the other party is kept informed on a timely basis of any development in relation to the Claim; and
(ii) to the extent practicable, the other party and its legal counsel (to the extent applicable) are consulted in a timely manner prior to taking any significant steps in relation to the Claim.
(c) If, in respect of any Claim brought against the Retailer, the management and defence of which has been assumed by the Distributor pursuant to sub-clause (b), the Distributor intends (whether by reason of any fact or matter which is asserted or proven in such proceedings or otherwise) to assert that the indemnity in clause 26.10 does not apply, the Distributor will promptly notify the Retailer acco...
Claims Provisions. 9.1 Notice of Claim 9.2 Proof of Loss 9.3 Payment of Claims 9.4 Appeals 9.5 Claim Overpayment 9.6 Independent Third Party Review
Claims Provisions. A. A written claim must be filed by the Customer within 2 days of delivery of the shipment to the final destination. In case of failure to make delivery, then a written claim must be filed by the Customer within 2 days after a reasonable time for delivery has elapsed.
B. The Company is not liable for any claim that is not filed within 2 days of the delivery of the shipment to the final destination. The Company is not liable for any claim that is not filed within 2 days after a reasonable time for delivery has elapsed for shipments that were not delivered.
C. In order for any claim to be considered, all monies due to the Company from the Customer must have been paid in full.
Claims Provisions. Basis of Valuation – The total sum insured for a claim under this Certificate shall be the estimated amount for which the Pens & Jetties should exchange immediately before the damage, between a willing buyer and a willing seller in an arms length transaction, after proper marketing wherein the parties had each acted knowledgeably, prudently and without compulsion.
Claims Provisions. Notice of Claim Proof of Claim Payment of Claims Assignment Co-ordinating Coverage Guidelines for Health Care Expenses Co-ordination of Benefits Recovering Overpayments Third Party Claim Recovery Legal Action Rights of Liberty Health and The Claimant Converting Group Coverage to an Individual Insurance Policy COVERED CLASS: All Eligible Unionized Employees GROUP NUMBERS: Hourly-Paid Employees Office Employees PLAN EFFECTIVE DATE: May The Summary of Coverages and the pages following give you a full description of all the conditions, limitations and exclusions that apply to your coverage. Be sure to read this information carefully and keep it in a safe place for future reference. EDITION DATE June, LONG TERM DISABILITY COVERAGE Monthly of your monthly Earnings as of the beginning of your Total Disability (rounded to the next higher multiple of if not already a multiple thereof) up to a maximum of If you are entitled to benefits from certain other sources during your Total Disability, the amount of Monthly Benefit may be reduced as explained in the Integration of Benefits section of the Long Term Coverage.
Claims Provisions. Notice of Claim. Written notice of claim must be given to the Company within 20 days after the occurrence or commencement of any loss covered by the Policy, or as soon thereafter as reasonably possible. Notice given by or on behalf of the claimant to the Company at AIG A&H Claims Department, P.O. Box 25987, Shawnee Mission, KS 66225, or to any authorized agent of the Company, with information sufficient to identify the Insured Person, is deemed notice to the Company. Claim Forms. The Company, upon receipt of a written notice of claim will furnish to the claimant such forms as are usually furnished by it for filing proofs of loss. If such forms are not furnished within 15 days after the giving of such notice, the claimant will be deemed to have complied with the requirements of this Policy as to proof of loss upon submitting, within the time fixed in this Policy for filing proof of loss, written proof covering the occurrence, the character and the extent of the loss for which claim is made. Proof of Loss. Written proof of loss must be furnished to the Company, in case of claim for loss for which this Policy provides any periodic payment contingent upon continuing loss, within 90 days after the termination of the period for which the Company is liable, and in case of claim for any other loss, within 90 days after the date of such loss. Failure to furnish such proof within the time required will not invalidate or reduce any claim if it was not reasonably possible to give proof within such time, provided such proof is furnished as soon as reasonably possible and in no event, except in the absence of legal capacity of the claimant, later than one year from the time proof is otherwise required. Payment of Claims. Indemnity for loss of life will be payable in accordance with the beneficiary designation and the provisions respecting such payment which may be prescribed herein and effective at the time of payment. If no such designation or provision is then effective, such indemnity shall be payable to the estate of the Insured Person. Any other accrued indemnities unpaid at the Insured Person’s death may, at the option of the Company, be paid either to such beneficiary or to such estate. All other indemnities will be payable to the Insured Person.
Claims Provisions. On the happening of any occurrence likely to give rise to a Claim under this Group Policy notice shall be given to The Claims Service Team as soon as reasonably possible after the date of the occurrence.
Claims Provisions. Subject to the provisions of Section 11.4, upon the Company or any of the subsidiaries becoming aware of any claim being made against the Company or any of the subsidiaries in respect of a Tax liability which may give rise to a liability for the Sellers to pay Tax under Section 13.3 or 13.4, the Buyer shall procure that the Company or that subsidiary will as soon as reasonably practicable give notice of the claim to each of the Sellers and the Buyer shall procure that the Company or that subsidiary will take such reasonable action and give such reasonable information and assistance in connection with the affairs of the Company or that subsidiary as may be both reasonably requested in writing by the Sellers and reasonably necessary to avoid, resist, object to, appeal or compromise the claim.
