Notice and Proof of Claim Sample Clauses

Notice and Proof of Claim. You or a person insured, or a beneficiary entitled to make a claim, or the agent of any of them, shall,

Notice and Proof of Claim. Written notice of claim must be given to the Insurer as soon as reasonably possible after a claim occurs, but in all events provided within 90 days from the date on which loss occurred. Failure to provide notice or furnish proof of claim within the time prescribed herein does not invalidate the claim if the notice or proof is given or furnished as soon as reasonably possible, and in no event later than 1 year from the date a claim arises hereunder, if it is shown that it was not reasonably possible to give notice or furnish proof within the time so prescribed. If the notice or proof is given or furnished after 1 year, Your claim will not be paid.

Notice and Proof of Claim. You or a beneficiary entitled to make a claim, or the agent of either, shall: (a) give written notice of claim to us, (i) by delivery thereof, or by sending it by registered mail to your broker in the Province, or (ii) by delivery thereof to an authorized agent of ours in the Province, not later than thirty days from the date a claim arises under the Policy on account of an accident or disability. (b) within ninety days from the date a claim arises under the Policy on account of an accident, furnish to us such proof as is reasonably possible in the circumstances of the happening of the accident and, the loss occasioned thereby, the right of the claimant to receive payment, his or her agent and agent of the beneficiary if relevant; and (c) if so required by us, furnish a satisfactory certificate as to the cause or nature of the accident for which a claim may be made under the Policy and as to the duration of such disability.

Notice and Proof of Claim. Subject to the Diagnostic and Treatment Protocols Regulation, the insured person or the insured person’s agent, or the person otherwise entitled to make a claim or that person’s agent, shall (a) deliver personally, (b) mail, (c) fax, or (d) send by e-mail if both parties have agreed to this method of sending and receiving notices and other documents, a properly completed prescribed claim form, containing at least the information referred to in provision (3.1), to the chief agency or head office of the Insurer in Alberta within 30 days of the accident, or if giving notice within 30 days is not reasonable, as soon as practicable after that.

Notice and Proof of Claim. Written notice of each Illness or Injury for which benefits are claimed should be given to SHL within twenty (20) days of the date any healthcare services are received. Failure to furnish notice within twenty (20) days will not invalidate or reduce any claim if it is shown that notice was provided as soon as was reasonably possible. SHL, upon receipt of such notice, will furnish to the Insured within fifteen (15) days forms for filing the proof of claim. If such forms are not furnished within fifteen (15) days, the Insured shall be deemed to have complied with the requirements of this Plan as to proof of loss upon submitting, within fifteen (15) days, written proof covering the occurrence, the character and the extent of the loss for which the claim is being made. SHL agrees to: (a) Provide claim forms to the Insured for submitting claims to SHL; (b) Receive claims and claims documentation; (c) Correspond with Insureds and Providers of services if additional information is deemed by SHL to be necessary to complete the processing of claims; (d) Coordinate benefits payable under the Plan with other benefit plans, if any; (e) Determine the amount of benefits payable under the Plan; and (f) Pay the amount of benefits determined to be payable under the Plan. When seeking reimbursement from SHL for expenses incurred in connection with services received, the Insured must complete a claim form and submit it to the SHL Claims Department with copies of all of the medical records, bills and/or receipts from the Provider. Additional claim forms can be obtained by calling the Member Services Department at 000-000-0000. If the Insured receives a xxxx for Covered Services, the Insured may request that SHL pay the Provider directly by sending the xxxx, with copies of all medical records and a signed completed claim form to the SHL Claims Department. SHL shall approve or deny a claim within thirty (30) days after receipt of the claim. If the claim is approved, the claim shall be paid within thirty (30) days from the date it was approved.

Notice and Proof of Claim. The employee or their agent or a beneficiary entitled to make a claim or their agent, shall: (i) give written notice of claim to the Insurance Company: (a) by delivery thereof, or by sending it by registered mail, to the Head Office of chief agency of the Insurance Company in the Province, or (b) by delivery thereof to an authorized agent of the Insurance Company in the province, not later than thirty days from the date of the accident; (ii) within ninety days from the date of the accident for which the claim is made, furnish to the Insurance Company such proof of claim as is reasonably possible in the circumstances of the happening of the accident and the loss occasioned thereby; and (iii) if so required by the Insurance Company, furnish a certificate as to the cause and nature of the accident for which the claim is made and as to the duration of the disability caused thereby, from a medical practitioner legally qualified to practice in the province. Failure to give notice of claim or furnish proof of claim within the time prescribed will not invalidate the claim if the notice or proof is given or furnished as soon as reasonably possible and in no event later than one year from the date of the accident and if it is shown that it was not reasonably possible to give notice or furnish proof within the time so prescribed. The repatriation benefit is subject to the maximum coverage amount of $10,000. The rehabilitation benefit is subject to a maximum of $10,000. The occupational training benefit is subject to a maximum coverage amount of $5,000. These amounts are subject to change and the Union will be notified in the event of such change.

Notice and Proof of Claim. Written notice of each Illness or Injury for which benefits are claimed should be given to SHL within twenty (20) days of the date any healthcare services are received. Failure to furnish notice within twenty (20) days will not invalidate or reduce any claim if it is shown that notice was provided as soon as was reasonably possible. SHL, upon receipt of such notice, will furnish to the Insured within fifteen (15) days, forms for filing the proof of claim. If such forms are not furnished within fifteen (15) days, the Insured shall be deemed to have complied with the requirements of this Certificate as to proof of loss upon submitting, within fifteen (15) days, written proof covering the occurrence, the character and the extent of the loss for which the claim is being made. SHL agrees to: (a) provide claim forms to the Group for submitting claims to SHL; (b). receive claims and claims documentation;

Notice and Proof of Claim. The insured or a person insured, or a beneficiary entitled to make a claim, or the agent of any of them, shall:

Notice and Proof of Claim. In the event of a request for payment, the participant or the insured person must present his or her claim to the insurer while coverage is in force, accompanied by all the supporting documentation considered necessary by the insurer, within the 12 months following the date that the expenses were incurred. Eligible expenses are reimbursed or paid out within 30 days after receipt of the claim accompanied by all the necessary supporting documentation. (new x-ray, photos, study models should be sent before treatment is rendered) The participant or the insured person who disagrees with a decision of the insurer may request a review within 30 days following this decision by sending a written request to the insurer and adding any new supporting documentation. No request for a review will be considered if it is received more than 12 months after the insurer’s original decision. We must receive your claim within 90 days of the date your coverage or policy ended. We will not pay for any claims received by us more than 90 days after the date your policy ended, regardless of when the eligible expense was incurred.

Notice and Proof of Claim. The employee or his agent, or a beneficiary entitled to make a claim or his agent, shall a) by delivery thereof, or by sending it by registered mail, to the Head Office or chief agency of the Insurance Company in the province, or b) by delivery thereof to an authorized agent of the Insurance Company in the province, not later than thirty days from the date of the accident;