Eligible Claims definition
Examples of Eligible Claims in a sentence
Alliant agrees to make an Aggregate Accommodation payment to the Insured at any time during the Policy Year when the Eligible Claims Expenses paid from the first day of the Policy Year, in the aggregate, exceeds (i) the estimated Aggregate Stop Loss Amount per month accumulated since the first day of the Policy Year, less (ii) any Aggregate Accommodation payments previously paid and not repaid.
If, at the end of any Policy Month, the sum of Aggregate Accommodation payments paid to the Insured during the Policy Year exceeds (i) the Eligible Claims Expenses paid from the first day of the Policy Year, less (ii) the estimated Aggregate Stop Loss Amount per month accumulated since the first day of the Policy Year, this amount shall be repaid to Alliant within 30 days after Alliant requests such repayment.
For Program Participants who are determined by the Claims Administrator to have Eligible Claims and whose Claims are submitted to the PCRC pursuant to Sections 3.05(B) and 3.06, but who are determined by the PCRC not to be entitled to any compensation under the Program, Organon may file the Stipulation of Dismissal at any time after the Program Participant is so notified.
With the exception of claims based upon fraudulent misrepresentation or claims for breach of the covenants set forth in Sections 8.10(a) or 8.10(b), the maximum aggregate amount payable by an indemnifying party pursuant to all Eligible Claims payable by such indemnifying party shall in no event exceed [***].
At such time as the aggregate Losses with respect to Eligible Claims exceed $75,000.00 (the "Threshold Amount"), the Indemnitors shall be obligated to indemnify the Indemnitees for all Losses in excess of the Threshold Amount, notwithstanding the amount of any Indemnification Claim.