Claims Payments. The Contractor shall only accept from providers the uniform claim forms approved by the Department and completed according to Department guidelines.
Claims Payments. Subject to the provisions of this Agreement, in exchange for its interest in Proceeds resulting from the Subject Claim pursuant to Section 7 of this Agreement, the Funder agrees to pay for the purpose of funding Fees and Expenses (defined below) regarding the Subject Claim (the “Claims Payments”) incrementally and at the Funder’s sole discretion in accordance with the Costs Plan as may be approved by the Funder from time to time.
Claims Payments. The review, payment, settlement or compromise of all claims and losses relating to the Coinsured Policies shall be handled by the Reinsurer, in its capacity as service provider, in accordance with the terms and conditions of the Administration Agreement. The Company shall have the right to make ultimate decisions regarding the contesting, compromise, or settlement of a claim with respect to a Coinsured Policy. The Reinsurer shall be bound by all such ultimate decisions of the Company, provided that: (i) the Company shall consult with the Reinsurer prior to the Company's exercise of its decision-making authority pursuant to this Section 9.3, (ii) all decisions of the Company made hereunder shall (w) comply with the terms of the Coinsured Policies, (x) comply with all material laws, regulations and orders applicable to the Company with respect to the Coinsured Policies and to the conduct of the activities contemplated hereby, (y) be consistent with prudent management practices in the life and health insurance industry generally, and (z) comply with the Standards of Performance as referenced and described in the Administration Agreement, and (iii) the Reinsurer shall have no liability for costs and expenses incurred hereunder that arise out of, are based on or related to any bad faith claims practices, willful misconduct, fraud or gross negligence of the Company or its Affiliates (without attributing to the Company or its Affiliates the actions of the Reinsurer or its Affiliates). In the event the Company intends to exercise its decision-making authority hereunder, it shall give prompt notice to the Reinsurer of such action, but in no event later than ten (10) Business Days prior to the date of such exercise of authority, or such lesser period as is commerically reasonable for the Company and the Reinsurer under the circumstances.
Claims Payments. 30. This settlement shall be a claims-made settlement. To be eligible for a Claim Payment under this settlement, a Settlement Class Member or his or her Legally Authorized Representative must timely submit a Claim Form or Electronic Claim Form and must not have submitted a request for exclusion. Allstate shall not be obligated to make any Claim Payments until after the Effective Date.
Claims Payments. The source or sources of payment under the Group Health Plan are to be only the assets of Employer, and Florida Blue will have no liability whatsoever for providing a source from which payments will be made under the Group Health Care Plan.
Claims Payments. NYLCare Mid-Atlantic is solely responsible for making payments for any and all claims for non-capitated Covered Services in cooperation with Doctors Health and otherwise in accordance with the procedures in this Section 3.4. Claims payments to Participating Providers for non-capitated Covered Services, processed and approved strictly in accordance with this Section 3.4, shall be made by NYLCare Mid-Atlantic and then deducted from the compensation due Doctors Health under Section 6.1 of this Agreement subject to all of the conditions set forth in subparagraph 3.4.3 below.
Claims Payments. For Claim payments under this Reinsurance Agreement both before and after the Transition Date for any such Claim, on a monthly basis the Reinsured shall seek reimbursement from the Reinsurer of Ultimate Net Loss for amounts paid by providing to the Reinsurer within fifteen (15) calendar days following the end of each calendar month a loss bordereau with Ultimate Net Loss payment activity for each Claim separately. For the avoidance of doubt, payment for such Ultimate Net Loss shall be processed by withdrawing amounts due from the Trust Account pursuant to the terms of the Trust Agreement. Any such withdrawal shall not create any immediate obligation of the Reinsurer to contribute assets to the Trust Account, which shall only be required pursuant to the procedures set forth in Article XIII.
Claims Payments. 12 Section 12.2
Claims Payments. The parties acknowledge and agree that Hartford Fire, as the issuing company, has certain legal obligations with respect to the Reinsured Contracts. As a consequence, in the event of any disagreement between Endurance and Hartford Fire with respect to the payment of any Serviced Claim, the following procedures shall apply:
Claims Payments. In addition to Direct Payments, Settlement Class Members may also be eligible for a Claims Payment of up to a maximum of Ten Thousand Dollars ($10,000) from a fund of Thirty-Five Million Dollars ($35,000,000)--only if they submit a timely and valid Claim Form. To submit a timely and valid Claim Form, Settlement Class Members must submit no later than [date] a Claim Form in which they declare and, where applicable, provide documentary proof, that he or she has paid business expenses necessary to meet one or more of the Smart Office Standards during the Settlement Class Period. The maximum Claims Payment to any Settlement Class Member, regardless of the amount claimed, cannot exceed $10,000. The maximum amount of the Claims Payment may be less, however, depending on how many Settlement Class Members submit claims and the amounts these claims represent, as well as the amount of attorneys’ fees and costs the Court awards from this portion of the Settlement. The sum total of the Claims Payments cannot exceed $35,000,000. A Claim Form is included at the end ofthis Notice and can also be found at the Settlement Website www.[ ].com. Keep in mind that you will not receive a Claims Payment unless you submit a timely and valid Claim Form. You cannot receive a Claims Payment if you timely request exclusion from the Settlement. Systemic and Contract Changes: The Settlement further provides that Defendants will make certain systemic changes and a Settlement Class Members’ AAAs and CAAAs will be amended unless he or she timely requests exclusion from the Settlement by the exclusion deadline. The contract amendments will:
