Recovering Overpayments Sample Clauses

Recovering Overpayments. Whenever payments have been made for allowable expenses in a total amount that exceeds the maximum payment necessary, the Insurer has the right to recover by any available legal means, such benefit overpayments from any person to who or for whom payments were made or from an Insurance company or other organization.
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Recovering Overpayments. In the event of an overpayment in wages made in error, the employee shall be notified and reasonable terms agreed upon for repayment of the overpayment. The recovery period for overpayment will be limited to thirty (30) days prior to the date of notification to the employee.
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Recovering Overpayments. Deductions from an employee's wages, to recover overpayments made in error, will not be made unless the employee is notified prior to the end of the month following the month in which the check in question was delivered to the employee. The Company and the employee will agree upon a schedule for re-payment.
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Recovering Overpayments. Financial has the right to recover any overpayment of benefits from the person or organization who received the overpayment. If the overpayment cannot be recovered directly, Manulife Financial has the right to reduce future benefit payments to that person until overpayment has been recovered in full. If you have a legal claim against a third party for causing your sickness or injury and if Manulife provides payments or benefits under this Contract as a result of that sickness or injury, Manulife Financial will the right to recover the amount it paid from that third party. Manulife Financial may also initiate legal action in your name in order to enforce that right. Any release from liability which you sign prior to experiencing a loss related to that sickness or injury will not affect your right, or Manulife Financial's right, to pursue the legal claim, when there is no law preventing pursuit of that claim. Manulife Financial may release to or obtain from any insurance company, organization or individual, any information which it considers necessary to administer this provision. Manulife Financial has the right to make any payments which it considers necessary to satisfy the requirements of this provision. Any payment Manulife Financial makes will be considered to be a benefit paid and will satisfy Manulife Financial's obligation to the extent of that payment. When the net amount recovered, after deducting the cost of recovery, does not cover complete reimbursement of the loss the amount recovered will be divided between Manulife Financial and you to the portion of the loss which each party has assumed. No legal action for the recovery of any claim may be brought against Manulife Financial until days have elapsed from the date written proof of loss has been furnished to Manulife Financial. Any such action must be brought within one year after written proof of loss.
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Recovering Overpayments. Liberty Health has the right to recover any overpayment of benefits from the person or organization who received the overpayment. If the overpayment cannot be recovered directly, Liberty Health has the right to reduce future benefit payments to that person until the overpayment has been recovered in full. THIRD PARTY CLAIM RECOVERY If you have a legal claim against a third party for causing your sickness or injury and if Liberty Health provides payments or benefits under this Contract as a result of that sickness or injury, Liberty Health have the right to recover the amount it paid from that third party. Liberty Health may also initiate legal action in your name in order to enforce that right. Any release from liability which you sign prior to experiencing a loss related to that sickness or injury will not affect your right, or Liberty Health's right, to pursue the legal claim, when there is no law preventing pursuit of that claim. Liberty Health may release to or obtain from any insurance company, organization or individual, any information which it considers necessary to administer this provision. Liberty Health has the right to make any payments which it considers necessary to satisfy the requirements of this provision. Any payment Liberty Health makes will be considered to be a benefit paid and will satisfy Liberty Health's obligation to the extent of that payment. When the net amount recovered, after deducting the cost of recovery, does not cover complete reimbursement of the loss or damages, the amount recovered will be divided between Liberty Health and you according to the portion of the loss which each party has assumed. No legal action for the recovery of any claim may be brought against Liberty Health until days have elapsed from the date written proof of loss has been furnished to Liberty Health. Any such action must be brought within one year after filing written proof of loss. RIGHTS OF LIBERTY HEALTH AND THE CLAIMANT Liberty Health will have the right and opportunity, at its own expense, to have a Covered Person examined by one or more Physicians designated by Liberty Health when that person’s injury or sickness is the basis of a claim. These examinations will be conducted when and as often as Liberty Health may reasonably require during the time that a claim for that person is pending under this Benefit Plan. Liberty Health will also have the right and opportunity to have an autopsy performed in the event of the death of a Covered Person, ...
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Related to Recovering Overpayments

  • Overpayments Contractor promptly shall refund to Purchaser the full amount of any erroneous payment or overpayment. Such refunds shall occur within thirty (30) calendar days of written notice to Contractor; Provided, however, that Purchaser shall have the right to elect to have either direct payments or written credit memos issued. If Contractor fails to make timely refunds of overpayment(s) (either directly or by credit memo), Contractor shall pay Purchaser interest at the rate of one percent (1%) per month on the amount overdue thirty (30) calendar days after notice to Contractor.

  • Refunds and Overpayments A. At its sole discretion, the System Agency may (i) withhold all or part of any payments to Grantee to offset overpayments, unallowable or ineligible costs made to the Grantee, or if any required financial status report(s) is not submitted by the due date(s); or (ii) require Grantee to promptly refund or credit - within thirty (30) calendar days of written notice – to System Agency any funds erroneously paid by System Agency which are not expressly authorized under the Grant Agreement.

  • Recovery of Overpayments On occasion a payment will be made to You when You are not covered, for a service that is not Covered, or which is more than is proper. When this happens We will explain the problem to You and You must return the amount of the overpayment to Us within 60 days after receiving notification from Us. However, We shall not initiate overpayment recovery efforts more than 24 months after the original payment was made unless We have a reasonable belief of fraud or other intentional misconduct.

  • Overpayment Provider shall be liable to the GLO for any costs disallowed pursuant to financial and/or compliance audit(s) of funds received under this Contract. Provider shall reimburse such disallowed costs from funds other than those that Provider received under this Contract. Provider must refund disallowed costs and overpayments of funds received under this Contract to the GLO within 30 days after the GLO issues notice of overpayment to Provider.

  • Repayment of Overpayments a. If, at any time, Good Shepherd identifies any Overpayment, Good Shepherd shall repay the Overpayment to the appropriate payor (e.g., Medicare contractor) within 60 days after identification of the Overpayment and take remedial steps within 90 days after identification (or such additional time as may be agreed to by the payor) to correct the problem, including preventing the underlying problem and the Overpayment from recurring. If not yet quantified, within 60 days after identification, Good Shepherd shall notify the payor of its efforts to quantify the Overpayment amount along with a schedule of when such work is expected to be completed. Notification and repayment to the payor shall be done in accordance with the payor’s policies. b. Notwithstanding the above, notification and repayment of any Overpayment amount that routinely is reconciled or adjusted pursuant to policies and procedures established by the payor should be handled in accordance with such policies and procedures.

  • Recoveries (a) With respect to any Class of Certificates (other than the Class P Certificates) to which a Realized Loss has been allocated (including any such Class for which the related Class Principal Balance has been reduced to zero), the Class Principal Balance of such Class will be increased, up to the amount of related Non-PO Recoveries for such Distribution Date as follows: (i) first, the Class Principal Balance of each Class of Senior Certificates related to the Loan Group from which the Non-PO Recovery was collected, will be increased pro rata, up to the amount of Net Recovery Realized Losses for each such Class, and (ii) second, the Class Principal Balance of each Class of Group D-B Certificates (in the case of Non-PO Recoveries on Group 1 Mortgage Loans) or the Class Principal Balance of each Class of Group D-B Certificates (in the case of Non-PO Recoveries on Group 2 and Group 3 Mortgage Loans) will be increased in order of seniority, up to the amount of Net Recovery Realized Losses for each such Class. (b) Any increase in a Class Principal Balance on a Distribution Date pursuant to this Section 4.03 shall be made prior to giving effect to distributions on that Distribution Date. Any increase to the Class Principal Balance of a Class of Certificates shall increase the Certificate Balance of the related Class pro rata in accordance with each Certificate’s Percentage Interest.

  • Overpayments and Underpayments As a result of the uncertainty in the application of Section 280G of the Code, it is possible that Agreement Payments may have been made by the Company which should not have been made ("Overpayment") or that additional Agreement Payments which will have not been made by HUBCO could have been made ("Underpayment"), in each case, consistent with the calculation of the Reduced Amount hereunder. In the event that the Certified Public Accountants, based upon the assertion of a deficiency by the Internal Revenue Service against HUBCO or Executive which said Certified Public Accountants believe has a high probability of success, determines that an Overpayment has been made, any such Overpayment shall be treated for all purposes as a loan to Executive which Executive shall repay to HUBCO together with interest at the applicable Federal rate provided for in Section 7872(f)(2)(A) of the Code; provided, however, that no amount shall be payable by Executive to HUBCO in and to the extent such payment would not reduce the amount which is subject to taxation under Section 4999 of the Code. In the event that the Certified Public Accountants, based upon controlling precedent, determine that an Underpayment has occurred, any such Underpayment shall be promptly paid by the Company to or for the benefit of the Executive together with interest at the applicable Federal rate provided for in Section 7872(f)(2)(A) of the Code.

  • Salary Overpayment Recovery A. When the Employer has determined that an employee has been overpaid wages, the Employer will provide written notice, via certified mail, to the employee that will include the following items: 1. The amount of the overpayment; 2. The basis for the claim; and 3. The rights of the employee under the terms of this Agreement.

  • Notice of Overpayment If the Contractor receives a vendor overpayment notice or a letter communicating the existence of an overpayment from DSHS, the Contractor may protest the overpayment determination by requesting an adjudicative proceeding. The Contractor’s request for an adjudicative proceeding must: a. Be received by the Office of Financial Recovery (OFR) at Post Office Box 9501, Olympia, Washington 98507-9501, within twenty-eight (28) calendar days of service of the notice; b. Be sent by certified mail (return receipt) or other manner that proves OFR received the request; c. Include a statement as to why the Contractor thinks the notice is incorrect; and d. Include a copy of the overpayment notice. Timely and complete requests will be scheduled for a formal hearing by the Office of Administrative Hearings. The Contractor may be offered a pre-hearing or alternative dispute resolution conference in an attempt to resolve the overpayment dispute prior to the hearing. Failure to provide OFR with a written request for a hearing within twenty-eight (28) days of service of a vendor overpayment notice or other overpayment letter will result in an overpayment debt against the Contractor. DSHS may charge the Contractor interest and any costs associated with the collection of this overpayment. DSHS may collect an overpayment debt through lien, foreclosure, seizure and sale of the Contractor’s real or personal property; order to withhold and deliver; or any other collection action available to DSHS to satisfy the overpayment debt.

  • Underpayments (a) In the event the employee does not receive the wages or benefits to which the record/documentation has for all times indicated the Employer agreed the employee was entitled, the Agency shall notify the employee in writing of the underpayment. This notification will include information showing that an underpayment exists and the amount of wages and/or benefits to be repaid. The Agency shall correct any such underpayment made within a maximum of two (2) years before the modification. (b) This provision shall not apply to claims disputing eligibility for payments which result from this Agreement. Employees claiming eligibility for such things as leadwork, work out of classification pay or reclassification must pursue those claims pursuant to the timelines elsewhere in this Agreement.

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