Common use of Claim Determination Clause in Contracts

Claim Determination. The final determination of whether an insured employee qualifies for claim payments under Group Life insurance, Accidental Death and Dismemberment Insurance, the Group Hospital-Medical and Prescription Drug Plan, the Short Term Disability Program or the dental benefit plan, shall be made by the perspective carriers. Such determination may not be made the subject of a complaint under the General Labour Agreement and is not a proper matter for arbitration under such General Labour Agreement.