Common use of Second Appeal Clause in Contracts

Second Appeal. If You disagree with Our decision in the first appeal, You may request a second review. This request must be made within thirty (30) days of the date of the First Appeal decision communication. An impartial Medical Director selected by the Company, or its authorized administrator, who has not been a part of Your Pet’s veterinary team previously, who has not been part of the First Appeal; and who has not been involved in the Claim process, will conduct the second review. The Company or its authorized administrator will provide the decision to the named insured within five (5) business days of receiving the second review report.

Appears in 4 contracts

Samples: Pet Insurance Policy, Pet Insurance Policy, Pet Insurance Policy

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Second Appeal. If You disagree with Our decision in the first appeal, You may request a second an external review. This request must be made within thirty (30) days of the date of the First Appeal decision communication. An impartial Medical Director Veterinary Provider selected by the Company, Company or its authorized administrator, who is independent of the Company or its authorized administrator and the Insured, who is not controlled by Us, and who has not been a part of Your Pet’s veterinary team previously, who has not been part of the First Appeal; and who has not been involved in the Claim process, will conduct the second an external review. The Company or its authorized administrator will provide the decision to the named insured You within five (5) business days of receiving the second review independent Veterinary Provider’s report.

Appears in 3 contracts

Samples: Insurance Policy, Insurance Policy, Insurance Policy

Second Appeal. If You you disagree with Our our decision in the first appeal, You you may request a second an external review. This request must be made within thirty (30) days of the date of the First Appeal decision communication. An impartial Medical Director Veterinarian selected by the Company, Company or its authorized administrator, who is independent of the Company or its authorized administrator and the Insured, who is not controlled by us, and who has not been a part of Your your Pet’s veterinary team previously, who has not been part of the First Appeal; and who has not been involved in the Claim process, will conduct the second an external review. The Company or its authorized administrator will provide the decision to the named insured within five three (53) business days of receiving the second review independent Veterinarian’s report.

Appears in 1 contract

Samples: Pet Insurance Policy

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Second Appeal. If You you disagree with Our our decision in the first appeal, You you may request a second appeal via an external review. This A request for a Second Appeal must be made within thirty (30) days of the date of the issuance of our First Appeal decision communicationto you. An impartial Medical Director Veterinarian selected by Embrace, who is independent of Embrace and the CompanyNamed Insured, or its authorized administratorwho is not controlled by us, and who has not been a part of Your your Pet’s veterinary team previously, who has not been part of the First Appeal; and who has not been involved in the Claim process, will conduct the second an external review. The Company or its authorized administrator Embrace will provide the decision to the named insured Named Insured within five three (53) business days of receiving the second review independent Veterinarian’s report.

Appears in 1 contract

Samples: Pet Health Insurance Policy

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