Reimbursement for Claims. Non-Plan Providers may require immediate payment for their services and supplies. When seeking reimbursement from HPN for expenses incurred in connection with services received from Non-Plan Providers, the Member must complete a Non-Plan Provider Claim Form and submit it to the HPN Claims Department with copies of all of the medical records, bills and/or receipts from the Provider. Non-Plan Provider Claim Forms can be obtained by calling the Member Services Department at 000-000-0000. If the Member receives a bill for Covered Services from a Non-Plan Provider, the Member may request that HPN pay the Provider directly by sending the bill, with copies of all medical records and a completed Non-Plan Provider Claim Form to the HPN Claims Department. HPN 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. If the approved claim is not paid within that thirty (30) day period, HPN shall pay interest on the claim at the rate set forth by applicable Nevada law. The interest will be calculated from thirty (30) days after the date on which the claim is approved until the date upon which the claim is paid. HPN may request additional information to determine whether to approve or deny the claim. HPN shall notify the Provider of its request for additional information within twenty (20) days after receipt of the claim. HPN will notify the Provider of the healthcare services of all the specific reasons for the delay in approving or denying the claim. HPN shall approve or deny the claim within thirty
Reimbursement for Claims. If employees are attacked or assaulted in the course of employment, or experience loss of personal property due to neglect of the Board (as determined by claims administrator), the Board will insure or otherwise reimburse such employees for any loss, damage or destruction of clothing, or personal property up to three hundred dollars ($300) per employee per school year upon verification to the principal/administrator, unless the employee is otherwise reimbursed. If an employee's vehicle is damaged while on Board property, the employee will be reimbursed for the damage not to exceed three hundred dollars ($300) when it is determined that the damage was caused on Board property. Such determination may be made by either a School Resource Officer, a School Security Specialist or an SIU investigator, witness testimony or apprehension of the person(s) responsible for the damage. A maximum of $4,500 dollars will be allocated to implement this Section. Reimbursement to affected individuals shall be in the amount of their automobile insurance deductible, not to exceed the maximum reimbursement of three hundred dollars ($300) dollars. Any individual submitting a fraudulent claim under this provision shall be subject to corrective action up to and including termination.
Reimbursement for Claims. Following delivery from Sellers of supporting documentation regarding claims made for general liability, workers compensation or employment practice claims, Purchaser will reimburse Sellers for out-of-pocket costs and expenses (including without limitation reasonable attorneys' fees) incurred by Sellers after the Closing for general liability, workers compensation or employment practice claims that result from, relate to, or arise out of the operation of the MS Division prior to the Closing; provided, however, that Purchaser's reimbursement obligation under this Section 5.15 shall (i) be limited to $750,000 in the aggregate, (ii) be limited to $50,000 per month, and (iii) expire on the second anniversary of the Closing Date.
Reimbursement for Claims. 4.1. In addition to the obligations set forth in Section 3.13(d), Employer shall reimburse KRS for, any expenses, losses, damages, legal fees, or costs arising out of or related to any civil or criminal claims, demands, causes of action, lawsuits, or governmental enforcement actions, whether brought by a third party or asserted by Employer, arising out of or related to Employer's actual or alleged acts and omissions (or those of its agents or subcontractors) associated with Employer's or its agents' or subcontractors' obligations under this Agreement or their use or disclosure of Personal Information. Such reimbursement shall include, but not be limited to, the payment of all reasonable attorney fees associated with any claim, demand, action, cause of action, or lawsuit arising out of or related to such acts or omissions.
