Common use of JUSTIFICATION AND ACKNOWLEDGEMENT OF THE RIGHT TO THE INSURED AMOUNTS Clause in Contracts

JUSTIFICATION AND ACKNOWLEDGEMENT OF THE RIGHT TO THE INSURED AMOUNTS. 4.1. In case of disability, without prejudice to the remaining obligations provided for in article 19 of the General Conditions, the Policyholder and/or the Beneficiary indicated in the Schedule must: a) Send to the Insurance Company, within sixty (60) days following the confirmation of total permanent disability, a statement from the treating physician, for the account of the Policyholder or the Insured/Insured Person, indicating the onset, causes, nature and evolution of the disability; b) Attach an exact description of the activity performed by the Insured/Insured Person before the disability. 4.2. The Insurance Company reserves the right to require any additional justification and to proceed to the investigations it deems convenient in order to determine the exact state of health of the Insured/Insured Person, having him/her examined by its physicians at its discretion. In this case, any costs arising therefrom shall be borne by the Insurance Company, and the Insured/Insured Person must authorise his/her treating physician to provide, on a confidential basis, to the physician representing the Insurance Company any medical information regarding the reported claim. 4.3. The non-compliance by the Policyholder and/or the Beneficiary with the provisions in 4.1. and 4.2. implies their accountability for loss and damage arising therefrom or the suspension of this cover during the period of non-compliance. 4.4. The lack of truthfulness in the information provided to the Insurance Company implies the loss of the right to the insured amounts. 4.5. In case of dispute, the parties may resort to the means of dispute settlement provided for in the law. 4.6. While disputes are being settled, the premiums and premium surcharges regarding the Death cover, as well as the premiums and premium surcharges regarding the disability cover, that may fall due during the discussions, must be paid to the Insurance Company. If the Insurance Company loses the dispute, it shall return the amounts received and pay, if that is the case, the amounts due plus interest of 1% per year, counted from the end of the period indicated in article 3 of this Special Condition.

JUSTIFICATION AND ACKNOWLEDGEMENT OF THE RIGHT TO THE INSURED AMOUNTS. 4.15.1. In case of disabilityDisability, without prejudice to the remaining obligations provided for in article 19 of the General Conditions, the Policyholder and/or the Beneficiary indicated in the Schedule must: a) Send to the Insurance Company, within sixty (60) days following the confirmation of total permanent disabilitydisability for the profession or compatible activity, a statement from the treating physician, for the account of the Policyholder or the Insured/Insured Person, indicating the onset, causes, nature and evolution of the disability; b) Attach an exact description of the activity performed by the Insured/Insured Person before the disability. 4.25.2. The Insurance Company reserves the right to require any additional justification and to proceed to the investigations it deems convenient in order to determine the exact state of health of the Insured/Insured Person, having him/her examined by its physicians at its discretion. In this case, any costs arising therefrom shall be borne by the Insurance Company, and the Insured/Insured Person must authorise his/her treating physician to provide, on a confidential basis, to the physician representing the Insurance Company any medical information regarding the reported claim. 4.35.3. The non-compliance by the Policyholder and/or the Beneficiary with the provisions in 4.15.1. and 4.25.2. implies their accountability for loss and damage arising therefrom or the suspension of this cover during the period of non-compliance. 4.45.4. The lack of truthfulness in the information provided to the Insurance Company implies the loss of the right to the insured amounts. 4.55.5. In case of dispute, the parties may resort to the means of dispute settlement provided for in the law. 4.65.6. While disputes are being settled, the premiums and premium surcharges regarding the Death cover, as well as the premiums and premium surcharges regarding the disability cover, that may fall due during the discussions, must be paid to the Insurance Company. If the Insurance Company loses the dispute, it shall return the amounts received and pay, if that is the case, the amounts due plus interest of 1% per year, counted from the end of the period indicated in article 3 4 of this Special Condition.

JUSTIFICATION AND ACKNOWLEDGEMENT OF THE RIGHT TO THE INSURED AMOUNTS. 4.17.1. In case of disabilitynon-invasive cancer, without prejudice to the remaining obligations provided for in article 19 18 of the General Conditions, the Policyholder and/or the Beneficiary indicated in the Schedule must: a) Send must send to the Insurance Company, within sixty (60) days following the confirmation of total permanent disabilitynon-invasive cancer, a statement from the treating physician, for biomedical report with the account final diagnosis and the medical report regarding the tumour with the date of the Policyholder or initial diagnosis and the Insured/Insured Person, indicating the onset, causes, nature and evolution date of the disability; b) Attach an exact description of the activity performed by the Insured/Insured Person before the disabilityfirst medical appointment. 4.27.2. The Insurance Company reserves the right to require any additional justification and to proceed to the investigations it deems convenient in order to determine the exact state of health of the Insured/Insured Person, having him/her examined by its physicians at its discretion. In this case, any costs arising therefrom shall be borne by the Insurance Company, and the Insured/Insured Person must authorise his/her treating physician to provide, on a confidential basis, to the physician representing the Insurance Company any medical information regarding the reported claim. 4.37.3. The nonNon-compliance by the Policyholder and/or the Beneficiary with the provisions in 4.17.1. and 4.27.2. implies their accountability makes them liable for loss losses and damage damages arising therefrom or may give rise to the suspension of this cover during the period of non-compliance. 4.47.4. The lack of truthfulness in the information provided to the Insurance Company implies the loss of the right to the insured amounts. 4.57.5. In case of dispute, the parties may resort to the means of dispute settlement provided for in the law. 4.67.6. While disputes are being settled, the premiums and premium surcharges regarding the Death cover, as well as the premiums and premium surcharges regarding the disability non-invasive cancer cover, that may fall due during the discussions, must be paid to the Insurance Company. If the Insurance Company loses the dispute, it shall return the amounts received and pay, if that is the case, the amounts due plus interest of 1% per year, counted from the end of the period indicated in article 3 4 of this Special Condition.

JUSTIFICATION AND ACKNOWLEDGEMENT OF THE RIGHT TO THE INSURED AMOUNTS. 4.15.1. In case of disabilityDisability, without prejudice to the remaining obligations provided for in article 19 of the General Conditions, the Policyholder and/or the Beneficiary indicated in the Schedule must: a) Send to the Insurance Company, within sixty (60) days following the confirmation of total permanent disabilitydisability for the profession or compatible activity, a statement from the treating physician, for the account of the Policyholder or the Insured/Insured Person, indicating the onset, causes, nature and evolution of the disability; b) Attach an exact description of the activity performed by the Insured/Insured Person before the disability. 4.25.2. The Insurance Company reserves the right to require any additional justification and to proceed to the investigations it deems convenient in order to determine the exact state of health of the Insured/Insured Person, having him/her examined by its physicians at its discretion. In this case, any costs arising therefrom shall be borne by the Insurance Company, and the Insured/Insured Person must authorise his/her treating physician to provide, on a confidential basis, to the physician representing the Insurance Company any medical information regarding the reported claim. 4.35.3. The non-compliance by the Policyholder and/or the Beneficiary with the provisions in 4.15.1. and 4.25.2. implies their accountability for loss and damage arising therefrom or the suspension of this cover during the period of non-compliance. 4.45.4. The lack of truthfulness in the information provided to the Insurance Company implies the loss of the right to the insured amounts. 4.55.5. In case of dispute, the parties may resort to the means of dispute settlement provided for in the law. 4.65.6. While disputes are being settled, the premiums and premium surcharges regarding the Death cover, as well as the premiums and premium surcharges regarding the disability cover, that may fall due during the discussions, must be paid to the Insurance Company. If the Insurance Company loses the dispute, it shall return the amounts received and pay, if that is the case, the amounts due plus interest of 1% per year, counted from the end of the period indicated in article 3 4 of this Special Condition.