Examples of Designated Medical Condition in a sentence
I elect to make a claim for compensation for the Designated Medical Condition checked below.
With this Claim Form, I attach Product Identification Documentation to prove that I have or had Dow Corning Breast Implant(s), and Supporting Medical Documentation to prove that I suffer from the Designated Medical Condition checked below.
Then, you must also submit an Ongoing Claim Form, attached to the Agreement as Exhibit C-2, with the selected Designated Medical Condition checked and Supporting Medical Documentation to the Claims Administrator, postmarked on or before the Final Claim Deadline of .
The Licensed Medical Specialist diagnosing a Designated Medical Condition must be licensed in the specialty to which the Designated Medical Condition relates.
If the claimant’s Licensed Medical Specialist or licensed treating physician determines that her death or total disability is clearly and specifically caused by a disease or occurrence that is not a Designated Medical Condition, the claimant will not be eligible for placement in Category A.
You may make such a claim in addition to an Expedited Settlement Claim, but you may not make such a claim if you are making a claim for compensation for a Designated Medical Condition or for Rupture.
If you are not now suffering from a Designated Medical Condition but would like to preserve your rights to make a claim for compensation under this Agreement in the future, you must submit to the Claims Administrator a Claim Form with the Ongoing Claim option checked, post-marked on or before the Initial Claims Deadline of December 1, 2004.
To register to make an Ongoing Claim for compensation for a Designated Medical Condition that may arise before the Final Claim Deadline, you must complete and submit Sections 1 through 5 and 8 of the Registration & Claim Form and Product Identification Documentation to the Claims Administrator by the Registration and Claim Deadline of , and you must submit Sections 6 through 8 of the Registration & Claim Form and Supporting Medical Documentation to the Claims Administrator by the Final Claim Deadline of .
After the distribution of initial payments to Approved Ongoing Claimants, the Claims Administrator shall distribute any funds remaining among all claimants whose claims for compensation for a Designated Medical Condition were approved on a pro rata basis or in such other equitable manner as may be approved by the Quebec Court.
THE INFORMATION PROVIDED IN THIS FORM WILL REMAIN CONFIDENTIAL EXCEPT AS PROVIDED IN THE QUEBEC/ONTARIO DOW CORNING BREAST IMPLANT LITIGATION SETTLEMENT Please mail this form to the CLAIMS ADMINISTRATOR at: P.O. Box London, Ontario Refer to the Instructions for Settling Claimants for instructions regarding the attachment of the Supporting Documentation that is required if you choose to be compensated for a Designated Medical Condition.