Program Reviews. (a) Review the anomalies identified by FCIC, or its designee, that suggest abnormal or unusual underwriting or loss performance and conduct reviews of eligible livestock price insurance contracts for which the anomalies appear, not to exceed 3 percent of indemnified eligible livestock price insurance contracts for the crop year, unless information from the review or other information received by FCIC leads FCIC to require the Company review additional contracts to address particular program integrity concerns. (b) Review eligible livestock price insurance contracts identified in subparagraph (a) in order to determine whether or not such contracts are in compliance with all applicable program requirements. Eligible livestock price insurance contracts may be selected based on various underwriting or loss criteria, but the Company will perform a review to determine if the information used to establish coverage and pay claims is complete and accurate. (c) A review will be considered acceptable if there is sufficient documentation to determine the accuracy of the original underwriting or claim information and may include field inspections, file reviews, and obtaining documentation from third parties as necessary.
Appears in 5 contracts
Samples: Appendix to an Insurance Agreement, Appendix, Appendix
