MDL 926 Claims Administrator Sample Clauses

MDL 926 Claims Administrator. At the request of the Claims Administrator, the MDL 926 Claims Administrator may, subject to the approval of the MDL 926 Court, serve as a consultant to the Claims Administrator, the Claims Office, and the District Court to assist in the efficient and accurate operation of the Settlement Facility. The Claims Administrator may establish, in cooperation with the MDL 926 Claims Administrator, the Claimants’ Advisory Committee, and the Debtor’s Representatives a reasonable schedule for consultation with the MDL 926 Claims Administrator. It is expressly intended that the Initial MDL 926 Claims Administrator is authorized to provide substantive guidance, information and training to the Claims Administrator and the Claims Operations Manager. It is also expressly intended that the Claims Administrator and the Claims Operations Manager will seek the guidance provided by the Initial MDL 926 Claims Administrator and will adopt and abide by the Initial MDL 926 Claims Administrator’s protocols as specified at Section 4.03 (unless modified expressly by this Settlement Facility Agreement or subsequently by written agreement of the Claimants’ Advisory Committee and the Debtor’s Representatives) to ensure consistent protocols as applicable.
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MDL 926 Claims Administrator. The MDL 926 Claims Administrator may, subject to the approval of the MDL 926 Court, serve as a consultant to the Claims Administrator, the Claims Office, and the MDL 926 Court to assist in the efficient and accurate operation of the Settlement Facility. The Settlement Facility shall reimburse the MDL 926 Claims Administrator for such services at a rate or on a basis to be determined by the MDL 926 Court. The Claims Administrator will establish, in cooperation with the MDL 926 Claims Administrator, the Claimants’ Advisory Committee, and the Debtor’s Representatives a reasonable schedule for consultation with the MDL 926 Claims Administrator. It is expressly intended that the MDL 926 Claims Administrator is authorized to provide substantive guidance, information and training to the Claims Administrator and the Claims Operations Manager. It is also expressly intended that the Claims Administrator and the Claims Operations Manager will seek the guidance provided by the MDL 926 Claims Administrator and will adopt and abide by the MDL 926 Claims Administrator’s existing protocols regarding processing methods and interpretation of the Disease eligibility criteria for Breast Implant Claims (unless modified expressly by this Settlement Facility Agreement or subsequently by written agreement of the Claimants’ Advisory Committee and the Debtor’s Representatives) to ensure consistent protocols as applicable.
Sample 1

Related to MDL 926 Claims Administrator

  • Claims Administrator Pursuant to the Preliminary Approval Order, and subject to Court approval, Interim Co- Lead Counsel shall engage a qualified Claims Administrator. The Claims Administrator will assist with the settlement claims process as set forth herein.

  • Claims Administration An employee will be required to comply with any and all rules and regulations and/or limitations established by the carrier or applicable third party administrator and contained in the policy, and employees and their dependents shall look solely to such carrier or third party administration for the adjudication of the payment of any and all benefits claims.

  • Plan Administrator Employees must elect a plan administrator during their initial enrollment in Advantage and may change their plan administrator election only during the annual open enrollment and when permitted under Section 5. Dependents must be enrolled through the same plan administrator as the employee.

  • Settlement Administrator 116. The Settlement Administrator shall administer various aspects of the Settlement as described in the next paragraph and perform such other functions as are specified for the Settlement Administrator elsewhere in this Agreement, including, but not limited to, providing Notice to Members of the Settlement Classes, processing Claim Forms, and distributing payments from the Settlement Fund.

  • Claims Review Population A description of the Population subject to the Claims Review.

  • Claims Submission We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim. Your insurance benefit is a contract between you and your insurance company; we are not party to that contract.

  • Claims Review The IRO shall perform the Claims Review annually to cover each of the five Reporting Periods. The IRO shall perform all components of each Claims Review.

  • Claims Review Methodology a. C laims Review Population. A description of the Population subject to the Quarterly Claims Review.‌

  • Claims Review Report The IRO shall prepare a Claims Review Report as described in this Appendix for each Claims Review performed. The following information shall be included in the Claims Review Report for each Discovery Sample and Full Sample (if applicable).

  • Medical Benefits - Prescription Drugs Administered by a Provider (other than a pharmacist) This plan covers prescription drugs as a medical benefit, referred to as “medical prescription drugs”, when the prescription drug requires administration (or the FDA approved recommendation is administration) by a licensed healthcare provider (other than a pharmacist). Please note: Specialty prescription drugs meeting these requirements or recommendations are covered as a pharmacy benefit and not a medical benefit. These medical prescription drugs include, but are not limited to, medications administered by infusion, injection, or inhalation, as well as nasal, topical or transdermal administered medications. For some of these medical prescription drugs, the cost of the prescription drug is included in the allowance for the medical service being provided, and is not separately reimbursed.

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