Common use of Pre-requisite for admissibility of a Claim Clause in Contracts

Pre-requisite for admissibility of a Claim. Any claim being made by an Insured Person or attendant of Insured Person during Hospitalization on behalf of the Insured person, should comply with the following conditions: (i) The Condition Precedent Clause has to be fulfilled. (ii) The health damage caused, Medical Expenses incurred, subsequently the Claim being made, should be with respect to the Insured Person only. The Company will not be liable to indemnify the Insured Person for any loss other than the covered benefits and any other person who is not accepted by the Company as an Insured Person. (iii) The holding Insurance Policy should be in force at the event of the Claim. All the Policy Terms and Conditions, wait periods and exclusions are to be fulfilled including the realization of Premium by their respective due dates. (iv) All the required and supportive Claim related documents are to be furnished within the stipulated timelines. The Company may call for additional documents wherever required.

Appears in 3 contracts

Samples: Health Insurance Policy Agreement, Insurance Policy Agreement, Insurance Policy Agreement

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Pre-requisite for admissibility of a Claim. Any claim being made by an Insured Person or attendant of Insured Person during Hospitalization on behalf of the Insured person, should comply with the following conditions: (i) The Condition Precedent Clause has to be fulfilled. (ii) The health damage caused, Medical Expenses incurred, subsequently the Claim being made, should be with respect to the Insured Person only. The Company will not be liable to indemnify the Insured Person for any loss other than the covered benefits Benefits and any other person who is not accepted by the Company as an Insured Person. (iii) The holding Insurance Policy should be in force at the event of the Claim. All the Policy Terms and Conditions, wait periods and exclusions are to be fulfilled including the realization of Premium by their respective due dates. (iv) All the required and supportive Claim related documents are to be furnished within the stipulated timelines. The Company may call for additional documents wherever required.

Appears in 2 contracts

Samples: Insurance Agreement, Insurance Agreement

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