Determination of Claim Sample Clauses

Determination of Claim. Following the submission of any Claims Submission Packet under ¶ 2.3 (a) or (b), the Settlement Administrator shall provide a neutral assessment of the facts and proof, and a recommendation to Defendants for acceptance or rejection of the Claim based on whether, in the opinion of the Settlement Administrator, the Participating Settlement Class Member’s losses or out-of-pocket expenses occurred more likely than not as a result of the Alleged Breach. The initial determination of whether the claim should be accepted or rejected rests solely with Defendants, who agree to consider the Settlement Administrator’s recommendation in good faith in making such an assessment. Defendants, through the Settlement Administrator, shall have thirty (30) days to accept or reject the Claim after the Settlement Administrator provides Defendants with a recommendation, or to provide the Participating Settlement Class Member in writing, with such copies provided to Co-Lead Class Counsel, with reasonable requests for additional information (“Claims Supplementation”). If Defendants request such Claim Supplementation, the Participating Settlement Class Member shall have forty-five (45) days to provide it to the Settlement Administrator upon receipt of the request. In the event of unusual circumstances interfering with compliance during that period, the Participating Settlement Class Member may request and, for good cause shown (e.g., illness, the Participating Settlement Class Member is located out of the country, mail failures, lack of cooperation of third parties in possession of required information, etc.), shall be given a reasonable extension during which to comply. Defendants shall have thirty (30) days from their receipt of the Claim Supplementation to accept or reject the claim through the Settlement Administrator.
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Determination of Claim. 23. Upon completion of the interview and review as set out above, the Assessor will then determine:

Related to Determination of Claim

  • Notification of Claim is the process of notifying a claim to the insurer or TPA by specifying the timelines as well as the address / telephone number to which it should be notified.

  • Determination of Eligibility The Plan Administrator shall determine the eligibility of each Employee for participation in the Plan based upon information provided by the Employer. Such determination shall be conclusive and binding on all individuals except as otherwise provided herein or by operation of law.

  • Notification of Claims In order that the indemnification provisions contained in this Section shall apply, upon the assertion of a claim for which either party may be required to indemnify the other, the party seeking indemnification shall promptly notify the other party of such assertion, and shall keep the other party advised with respect to all developments concerning such claim. The party who may be required to indemnify shall have the option to participate with the party seeking indemnification in the defense of such claim or to defend against said claim in its own name or in the name of the other party. The party seeking indemnification shall in no case confess any claim or make any compromise in any case in which the other party may be required to indemnify it except with the other party’s prior written consent.

  • Eligibility Determination The State or its designee will make eligibility determinations for each of the HHSC HMO Programs.

  • Salary Determination 12.5.1 A unit member shall receive a salary not less than the minimum salary nor more than the maximum salary (Articles 12.3 and 12.4) for the rank to which appointed, except as provided in Articles 4.15, 5.6, 10.6.1 or Article 10.6.1.1. The effective dates for salaries shall be the appropriate dates specified in Article 12.2.2.

  • Limitation of Claims 18.3.1 All claims under the Bonds and this Bond Agreement for payment, including interest and principal, shall be subject to the time-bar provisions of the Norwegian Limitation Act of May 18, 1979 No. 18.

  • Adverse Benefit Determination An adverse benefit determination is any of the following:  Denial of a benefit (in whole or part),  Reduction of a benefit,  Termination of a benefit,  Failure to provide or make a payment (in whole or in part) for a benefit, and  Rescission of coverage, even if there is no adverse effect on any benefit. An appeal of an adverse benefit determination can be made either as an administrative appeal or as a medical appeal, as defined further in this section. Our Customer Service Department phone number is (000) 000-0000 or 0-000-000-0000.

  • Determination of Agreement 29. (1) In any of the following events namely if —

  • Determination of Clearing Price The Selling Shareholder and the Placement Agents shall have determined, in writing, the clearing price for the Securities in the Auction.

  • PRESENTATION OF CLAIMS Presentation and processing of any or all claims arising out of or related to this Agreement shall be made in accordance with the provisions contained in Chapter 1.05 of the Santa Xxxx County Code, which by this reference is incorporated herein.

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