Obligations of the Insurer. The Insurer shall:
Obligations of the Insurer. Article 16. The Insurer is bound to enable the Insured to exercise his/her rights provided under the Agreement on voluntary health insurance, as well as the rights defined in these General Terms and Conditions and Special Terms and Conditions. In line with the Insurance Agreement, i.e. Policy and Special Terms and Conditions, the Insurer is required to compensate a healthcare service provider or the Insured for treatment costs or a part thereof incurred due to exercising the rights under the contracted voluntary health insurance, as well as the agreed amount of pecuniary compensation, within 14 days as of the date when received complete documentation based on which the indisputable existence and scope of liability can be established. The Sum Insured specified in the Policy represents the top limit of the Insurer's obligation under the Insurance Agreement. The Insurer is entitled to request from the Insured, Policyholder or any other legal or physical entity to provide additional explanations or additional documentation in order to establish important circumstances relevant for the reported Insured Event. The Insurer is entitled to refer the Insured to a control medical examination or additional medical evaluation, by which necessary circumstances relevant for the reported insured event would be established. The costs of such evaluations are borne by the Insurer.
Obligations of the Insurer. 1. The Insurer agrees to notify the Reinsurer of, and immediately to consult with the Reinsurer about, an amendment to the clauses, terms, scope or nature of the export credit transaction or of the contractual arrangements relating thereto which could affect the nature of the risks covered by the Policy.
Obligations of the Insurer. 1. The Insurer undertakes to pay to the Reinsurer, within 30 Business Days following receipt of the premium due under the Policy, either: i. 90 % of a sum equal to that proportion of the premium which the Reinsurance Percentage bears to the value of the Policy, or ii. such other sum as may be agreed between the Credit Insurers to represent sufficient premium to cover the risk as assessed by the Reinsurer.
Obligations of the Insurer. 1. The investigations and surveys necessary to admit the claim and to evaluate the damage should be carried out by the insurer with the appropriate promptness, otherwise it may be held liable for loss and damage.
Obligations of the Insurer. 10.1.1. To inform the Insured about the terms of the Agreement and Rules (such information may be provided by posting the Agreement and Rules on the Insurer's website and providing a link to them in this Agreement);
Obligations of the Insurer. 6.1.1. Familiarize the Policyholder with the Insurance Rules and Terms by providing free access to them, specifically by posting them on the Insurer's website at: xxxxx://xxxx.xxxxxx/wp-content/uploads/documents/terms_insurance_flight_delay_or_cancellation_EN_15.08.2023. pdf;
6.1.2. Within 5 (five) business days from the receipt of the Policyholder's claim for insurance compensation, take measures to complete all necessary documents for timely payment of the insurance compensation;
6.1.3. Make the insurance payment in accordance with the terms of the Insurance Agreement and within the specified timeframe in the event of an insurance event. The Insurer shall bear financial liability for untimely payment of the insurance compensation by paying the Policyholder a penalty of 0.01% of the amount due for each day of delay, but not exceeding 10% of the insurance compensation amount;
6.1.4. If there are justified reasons, notify the Policyholder in writing of the refusal to make the insurance payment within 5 business days after making the decision.
Obligations of the Insurer. Article 16. The insurer is obligated to enable the Insured to exercise his/her rights provided under the Agreement on voluntary health insurance, as well as the rights defined in these General Terms and Conditions and Special Terms and Conditions. In line with the Insurance Agreement, i.e. Policy, and Special Terms and Conditions, the Insurer is required to compensate a healthcare service provider or the Insured for treatment costs or a part thereof incurred due to exercising the rights under the contracted voluntary health insurance, as well as the agreed amount of financial compensation, within 14 days as of the date of receival of complete documentation based on which the indisputable existence and scope of liability can be established. The insurer is obliged to timely provide the insured under the volun- tary health insurance with all the information, as well as the necessary documentation, which are related to the implementation of voluntary health insurance and which are important for exercising the rights aris- ing from voluntary health insurance, as well as information with which health care providers can exercise rights from voluntary health insur- ance, except for information that present a trade secret. The Insured Sum specified in the Policy represents the top limit of the Insurer’s obligation under the Insurance Agreement. The Insurer is entitled to request from the Insured, Policyholder or any other legal or physical entity to provide additional explanation or ad- ditional documentation in order to establish important circumstances relevant for the reported Insured Event. The Insurer is entitled to refer the Insured to a control medical examina- tion or additional medical evaluation, by which necessary circumstanc- es relevant for the reported insured event would be established. The costs of such examination are borne by the Insurer.
Obligations of the Insurer. Article 8 The Insurer shall issue the Policy or other certificates in a timely manner after the establishment of an insurance contract. The Insurer shall arrange its reinsurance placements according to theInsurance Law ofthe lhpuo'bCifRPe sp coina.
Obligations of the Insurer. Provision XIV The Insurer shall issue insurance policy or other certificates of insurance to the Applicant in a timely manner upon the execution of this contract. Provision XV The Insurer shall make verifications in a timely manner upon receipt of the Insured’s claims. Further verifications may be taken by the Insurer as reasonably necessary to deal with the complicated situations. And such various ways of making compensations as set forth when applying for the insurance shall be performed by the Insurer seriously. Provision XVI The Insurer shall have the Applicant and the Insured notified collectively and in a timely manner as of any missing and/or incomplete claim evidences and materials, which should have been submitted by the Insured hereunder. Provision XVII The Insurer shall pay in advance the amount that can be determined by the existing evidences or materials if the compensation amount cannot be determined within 60 days upon the date of receiving the notice of claim and related evidences and materials. The differences shall be made up for after the Insurer finally determines the compensation amount. Obligations of the Applicant and the Insured Provision XVIII Upon establishment hereof, the Applicant shall be obliged to providing the faithful data when completing the Insurance Application and clarifying such relevant inquiries as raised by the Insurer. If the Applicant conceals facts deliberately or fails to perform the duty of disclosure due to gross negligence that would be enough to affect the Insurer from making the decision of whether or not to agree to accept the insurance or to raise the premium rate, the Insurer has the right to terminate the contract. If the Applicant deliberately refuses to perform the duty of disclosure, the Insurer shall not undertake to pay indemnity or insurance money for insured accident that occurs before the contract is terminated and shall not return the insurance premium. If the Applicant fails to perform the duty of disclosure due to gross negligence, thereby seriously affecting the occurrence of insured accident, the Insurer shall not undertake to pay indemnity or insurance money for the insured accident that occurs before the contract is terminated but shall return the insurance premium. The Insurer shall not cancel this Contract if it’s been aware, upon establishment hereof, of any such conditions as not having been faithfully disclosed by the Applicant; in the event of any insured accident, the Insurer shall...
