Claims Conditions Sample Clauses

Claims Conditions a. In the event You incur a loss You must notify Us by providing the following: i. A completed claim form with Us, as soon as practicable. ii. Invoices from Your treating Veterinarian listing the services performed, products provided and the itemized charges for Treatment, including packages and/or discounts. iii. A payment receipt when submitting a handwritten invoice. If payment receipt is not provided the invoice will be verified with Your Veterinarian prior to claim processing. b. We reserve the right to ask for information from any Veterinarian that has ever seen Your Pet(s) in order to assess its health. c. We, at Our expense, have the right to have any covered Pet(s) examined by a Veterinarian of Our choice as often as reasonably necessary while a claim is pending. d. If You disagree with the decision made by Us, You have the right to an appeal. Any claim submitted for reconsideration must be submitted within sixty days (60), or as soon as reasonably practicable, of the decision and must be in writing on a Claims Redetermination Request Form. If the appeal is regarding a disagreement over medical facts, rather than Policy coverage or terms, We may, at Our own discretion, consult with an impartial Veterinarian selected by Us, who is independent and not controlled by Us, to conduct a review. Any such redetermination by the impartial Veterinarian will be binding on Us. e. If We pay a claim contrary to this Policy’s terms and conditions, that payment does not waive Our rights to apply those terms and conditions to any paid or any future claim. We also have the right to stop payment or recover from You any claim amount paid incorrectly. f. If You or anyone acting on Your behalf submits a fraudulent claim, all pending and future benefits under the Policy will be lost with respect to the Policy. g. No action can be taken against Us unless You have complied with all of the terms and conditions of this Policy, and ninety-one
AutoNDA by SimpleDocs
Claims Conditions. In the event of any loss or damage, which may give rise to a claim the Insured or their legal personal representative must at their own expense:
Claims Conditions. You must comply with the following instructions to have the full protection of Your policy. If You do not comply with them, We may at Our option cancel the policy or refuse to deal with Your claim.
Claims Conditions. The following Claims Condition applies additionally to this Optional Benefit
Claims Conditions a) An inspection of the Vehicle will be undertaken by an independent and certified company appointed by LeasePlan to determine if any damage incurred might be subject to an AnyW ear Cover credit. If the damage noted in the inspection exceeds the Lease Termination Fee, a credit will be processed by LeasePlan by deducting the Lease Termination Fee and any Exclusions from the assessed chargeable damage, per Vehicle, to a maximum of the Maximum Cover. b) The maximum AnyW ear Cover credit will therefore be $3,200.00 (plus GST).
Claims Conditions. In the event of any circumstance which could give rise to a claim the Insured shall:
AutoNDA by SimpleDocs
Claims Conditions. The Insured Person shall as soon as possible after the occurrence of any Accidental Bodily Injury:
Claims Conditions. You must comply with the following instructions to have the full protection of Your policy. If You do not comply with them, We may at Our option cancel the policy or refuse to deal with Your claim. – You must report Your claim to the Administrator within 30 days following the Incident; – Your Vehicle must be located within the Territorial Limits at time of repair; – You must use all reasonable care to maintain Your Vehicle in a roadworthy condition and take all reasonable precautions to prevent or minimise loss or damage; – You must give the Administrator true and complete information; – You must agree to comply with the – You must follow the prescribed claims procedure as explained in this document or by the Administrator’s claims staff; – You must advise the Repairer of any non-original finish areas on Your Vehicle. In the case of incompatibility with a non-original finish We have the right to decline a claim or void this policy; – You must inform the Administrator if any of the details on the Validation Certificate are incorrect or have changed.
Claims Conditions a. In the event you incur a loss you must notify us by providing the following: i. A completed claim form with us as soon as practicable; but not later than one hundred eighty (180) days after the first date of treatment. Claims filed after 180 days will be denied. ii. Invoices from your treating veterinarian listing the services performed, products provided and the itemized charges for treatment, including packages and/or discounts.
Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!