Common use of Claims Recoveries Clause in Contracts

Claims Recoveries. There may be circumstances in which the Company recovers amounts paid as claims expense from the provider of service, from the Insured or from a third party Such circumstances include rebates paid to the Company by pharmaceutical manufacturers based upon amounts of claims paid by the Company for certain specified pharmaceuticals, amounts recovered by the Company from health care providers or pharmaceutical manufactures through certain legal actions instituted by the Company relating to the claims expense of more than one Insured, recoveries by the Company of overpayments made to health care providers or to Insureds, and recoveries from other parties with whom the Company contracts or otherwise relies upon for payment or pricing of claims The following rules govern the Company's actions with respect to such recoveries:

Appears in 5 contracts

Samples: www.sclhealth.org, www.sclhealth.org, www.sclhealth.org

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