Claim Procedure definition

Claim Procedure means an insurer’s procedure for filing benefit claims, providing notice of benefit determinations and appealing adverse benefit determinations.
Sample 1
Claim Procedure. If you or your Beneficiary does not receive a benefit when due, you may file a claim in writing to Manager, Human Resources, Four Oaks Bank & Trust Company. For a copy of the Claim Procedure, please contact the Human Resources Manager at Four Oaks Bank & Trust Company. Signature Date Accepted by Four Oaks Bank & Trust Company Signature Date I, «Full_Name», hereby designate the following to receive amounts payable by reason of my death:
Sample 1
Claim Procedure. The Plan Administrator shall make all determinations as to the right of any person to a benefit under the Plan. In accordance with regulations of the Secretary of Labor issued under Section 503 of ERISA, the Plan Administrator shall provide adequate notice in writing to any Participant or Beneficiary whose claim for benefits under the Plan has been denied, setting forth the specific reasons for denial, written in a manner calculated to be understood by the Participant or Beneficiary, and afford a reasonable opportunity to any Participant or Beneficiary whose claim for benefits had been denied for a full and fair review by the Plan Administrator of the decisions denying the claim. A Participant or Beneficiary may claim any benefits due under the Plan by mailing to the last known address of the Plan Administrator a written application outlining to the best of the Participant's knowledge or ability, the nature, amount and form of such benefit.
Sample 1

Examples of Claim Procedure in a sentence

  • The Plan will reimburse You for Covered Services, less required Member payments, after You enroll and submit the Payment for Coverage, and submit a claim for those Covered Services as set forth in the Claim Procedure section of this EOC.

  • A claim filed by the Contractor shall follow the Contract Claim Procedure as set forth in Texas Administrative Code (TAC) Title 43, Part 1, Chapter 9, Subchapter A, Rule §9.2.

  • Compliance by the Contractor with TAC 43, §9.3 Contract Claim Procedure is a condition precedent to the filing of a contested case proceeding under Government Code Chapter 2001.

  • TERMS AND CONDITIONS OF WARRANTY, WARRANTY CLAIMSGeneral Conditions of Warranty and Definition of TermsAll Warranty Conditions stated here under determine Warranty Coverage and Warranty Claim Procedure.

  • TERMS AND CONDITIONS OF WARRANTY, WARRANTY CLAIMSGeneral Conditions of Warranty and Definition of TermsAll Warranty Conditions stated hereunder determine Warranty Coverage and Warranty Claim Procedure.

  • Claim Procedure Upon the death of the Insured during the Policy Term the death claim will be payable to the Claimant provided that: 2.1. We are given written notice within ninety (90) days of the occurrence of the death of the Insured during the Policy Term.

  • Submission of claims: Either you or your provider of Dental Care may submit claims to: Northeast Delta Dental PO Box 2002 Concord, NH 03302-2002 Claims Disputes: If your claim is denied in whole or in part and you disagree with the decision, you have the right to use the Disputed Claim Procedure and Disputed Claims Review Procedure, if necessary.

  • In case where neither the claim nor any counterclaim exceeds the sum of USD50,000 (or such other sum as the parties may agree) the arbitration shall be conducted in accordance with the LMAA Small Claim Procedure current at the time when the arbitration proceedings are commenced.

  • Subject to our sole discretion and satisfaction, in exceptional circumstances We may decide to waive all or any of the requirements set out in the Claim Procedure in Section (a) of Part F.

  • Having regard to the fact that the clothes shrink one or two sizes, a price reduction of 30% of the sales turnover is by all means reasonable.

Related to Claim Procedure

  • Dispute Resolution Procedure means the procedure for resolving disputes as set out in Clause 17 (Dispute Resolution);

  • Complaints Procedure means the School's procedure for handling complaints from parents, as amended from time to time for legal or other substantive reasons, or in order to assist the proper administration of the School. It does not form part of the contract between you and the School. A copy of the most up-to-date procedure is on the School's website and is otherwise available from the School at any time upon request;

  • Dispute Resolution Procedures means the procedures outlined in Annexure A of the MSA Determination.

  • Dispute Resolution Process means the process described in clause 9

  • Grievance Procedure is used in this Agreement, it shall be considered as including the arbitration procedure.

  • Settlement Procedures Timetable For offers to purchase Certificated Notes accepted by the Company, Settlement Procedures A through F set forth above shall be completed as soon as possible following the trade but not later than the respective times (New York City time) set forth below: Settlement Procedure Time ---------- ----

  • dispute resolution proceeding ’ means any process in which an alternative means of dispute resolution is used to resolve an issue in controversy in which a neutral is appointed and specified parties participate;

  • Procedure means one or more surgical procedures or medical therapy performed in a Center of Excellence.

  • Claims Process means the process for Settlement Class Members’ submission of Claims, as described in Section III.

  • Variation Procedure means the procedure for carrying out a Variation as set out in Clause 19.1 (Variation Procedure);

  • Expedited Dispute Timetable means the accelerated timetable for the resolution of disputes as set out in paragraph 2.6;

  • Claim Form or “Proof of Claim Form” means the form, substantially in the form attached hereto as Exhibit 2 to Exhibit A, that a Claimant or Settlement Class Member must complete and submit should that Claimant or Settlement Class Member seek to share in a distribution of the Net Settlement Fund.

  • Billing Dispute means the dispute of an invoice prepared by an Operator to the Other Operator which is made in good faith.

  • Dispute Resolution means the procedure set forth in this LGIP for resolution of a dispute between the Parties.

  • Claims Notice has the meaning set forth in Section 9.3(a).

  • Settlement Procedures means the Settlement Procedures attached hereto as Exhibit A.

  • Billing Dispute Notice means a formal, written notice submitted to HUGE by the Customer in terms of this Procedure.

  • Security procedure means a procedure employed for the purpose of verifying that an electronic signature, record, or performance is that of a specific person or for detecting changes or errors in the information in an electronic record. The term includes a procedure that requires the use of algorithms or other codes, identifying words or numbers, encryption, or callback or other acknowledgment procedures.

  • Mold remediation in accordance with professional standards means mold remediation of that

  • Claims Objection Bar Date means the deadline for objecting to a Claim, which shall be on the date that is the later of (a) 180 days after the Effective Date and (b) such other period of limitation as may be specifically fixed by the Debtors or the Reorganized Debtors, as applicable, or by an order of the Bankruptcy Court for objecting to Claims.

  • Direct Claim has the meaning set forth in Section 8.05(c).

  • Expedited review means an examination, in accordance with

  • Claims Bar Date means the applicable bar date by which Proofs of Claim must be Filed, as established by: (a) the Bar Date Order; (b) a Final Order of the Bankruptcy Court; or (c) the Plan.

  • Claim Notice has the meaning set forth in Section 8.4(a).

  • Data Protection Impact Assessment means an assessment by the Controller of the impact of the envisaged processing on the protection of Personal Data.

  • Rules of Procedure means the rules of procedure adopted by the Fund Council for the management of its own business, as originally adopted on July 16, 2010 and amended from time to time.