Substantive issue means a matter that is integral to the determination of whether the insured is eligible for benefits under a policy and that involves information essential for the insurer to have prior to paying the claim. A substantive issue includes the issues generated by the items described in Sections 31(A)(1) through 31(A)(5). A substantive issue also includes information necessary to pay the claim that the insurer is unable to obtain because the provider refuses to provide it or because it is not available from sources other than the insured or the insured’s authorized representative.
Substantive issue means an issue where a substantive right, interest or privilege of any party is involved that may be prejudiced as opposed to a minor or mere procedural matters dealt with by the office of tax appeals.
Examples of Substantive issue in a sentence
Substantive issue: - Respondent’s case: In February 2006, the amount of overtime being claimed as against the lack of consequential increased production caused concern so NC instigated an investigation in to time keeping.
In Khumalo, this Court held that when deciding whether it is in the interests of justice to hear an appeal against an interlocutory ruling, a court must take into consideration various factors including, “the effect that upholding the exception may have upon the trial proceedings in the High Court” Substantive issue [17] Properly interpreted, Rule 16A is in my view permissive and allows for an amicus to adduce evidence.