CLAIMS REQUIREMENTS. The insurer will pay benefits provided that:
CLAIMS REQUIREMENTS. For (i) all non-contestable claims whether facultative or automatic and (ii) all contestable claims covered by automatic reinsurance with a total death benefit less than or equal to [dollar amount, the Ceding Company will review and settle such claims without prior approval from or consultation with the Reinsurer.
CLAIMS REQUIREMENTS. What am I insured for? In the event of your death, London Life will which you are insured as described in the pay the amount of life insurance for Summary. How is payment provided? Proceeds will be paid in one lump sum unless you or a beneficiary requests, by written notice filed with London Life, one of the following alternate payment methods: proceeds left on deposit; or proceeds paid in instalments; under any settlement plan then available from London Life. Life insurance What happens if I become totally disabled? If you are insured as a member of this group for long term disability insurance with London Life and, prior to your 65th birthday: you become, as a result of injury or disease, totally disabled as in the long term disability insurance benefit; and the disability has existed for shorter waiting period under or If you are not insured as a member with London Life and, prior to waiting period of six months or a disability benefit; for long term disability insurance you become, as a result of injury or disease, totally disabled and are unable to do any work; and the disability has existed for a continuous waiting period of six months; your life insurance will continue without payment of premium from the date your disability started and during the continuance of your disability, but not beyond age
CLAIMS REQUIREMENTS tort claims excluded For any claim subject to this article, the following requirements apply:
CLAIMS REQUIREMENTS. Replace the first paragraph with the following: At any time during the progress of the Work, but not later than 15 Calendar Days following the date of the Second Notification, the Contractor shall submit to the Engineer claims for compensation additional to that specified in the Contract, except claims waived by the Contractor per 00199.30(a). A claim not submitted within the 15-day limit is deemed waived by the Contractor, and the Agency may reject it.
CLAIMS REQUIREMENTS. LICENSEE will amend any patent application to include claims required by REGENTS.
CLAIMS REQUIREMENTS. The Ceding Company will promptly notify the Reinsurer after it receives a claim on a policy reinsured under this LOI. The Ceding Company will review and settle claims without prior approval from the Reinsurer. The Ceding Company may consult with the Reinsurer, but ultimate authority to pay or deny a claim will rest solely with the Ceding Company, and failure to follow the Reinsurer's recommendation, if any, will not relieve the Reinsurer of its reinsurance liability. For (i) contestable claims covered by facultative reinsurance regardless of amount and (ii) claims (whether contestable or non-contestable) in excess of [dollar amount] in which the death of the insured occurred in a country other than the United States (including territories and possessions) or Canada, the Ceding Company will send the Reinsurer full underwriting and claims investigation information along with proof of payment by the Ceding Company. For all other claims, the Ceding Company will provide the Reinsurer with proper claim proofs, which are a copy of the proof of payment by the Ceding Company, a copy of the insured's death certificate and a copy of the claimant's statement. The Ceding Company's contractual liability for policies covered under this LOI is binding on the Reinsurer, provided that the claim was paid in good faith and the company's standard practices were followed in the adjudication of the claim. Notwithstanding the foregoing, the Reinsurer retains the right upon reasonable notice to request and receive all reasonably necessary documents in connection with any claim. Claims covered under this LOI shall be paid within 30 calendar days of receipt of proper claim proofs or, when requested, within 30 calendar days of receipt of all requested documents in connection with a claim. Reinsurer assures Ceding Company that such requests for additional documents prior to payment of any claim will be made only occasionally and not routinely unless warranted by factors such as suspected fraud or other identifiable concerns. The Ceding Company will promptly advise the Reinsurer of its intention to contest, compromise, or litigate any claim involving a reinsured policy. Unless the Reinsurer does not accept participation in such contest, compromise, or litigation, the Reinsurer will pay its share of any settlement or decision up to the maximum that would have been payable under the specific policy had there been no controversy. If the Reinsurer does not accept participation in such cont...
CLAIMS REQUIREMENTS o Claims Data Management o On Line access to policy coverage information to the claims TPA's o Data for calculating claims TPA's processing fees
