Common use of Coverage Issues Clause in Contracts

Coverage Issues. General Agent may refer any coverage question, denial of liability, or Policy limit demand to Company for final determination by Company concerning such issues. General Agent shall notify and provide a copy of any applicable claim file to Company within 30 days of determination that a claim has: (a) the potential to exceed the authority limit set forth in Article 21.2 of this Agreement; (b) a coverage dispute, or any unusual circumstances or large loss possibilities or any issues that would be required to be reported to Reinsurers under the Affiliated Reinsurance Agreements, Quota Share Reinsurance Agreement, or Excess of Loss Reinsurance Agreement; (c) a demand in excess of Policy limits; (d) allegations of bad faith, violations of any deceptive trade practice acts, or any other Regulation; (e) resulted in a legal action being instituted against General Agent, an Agent, a Broker or Company; (f) arisen from or caused a complaint to be filed with any regulatory authority; (g) arisen from or caused an inquiry from any regulatory authority, including, but not limited to, any insurance department, with respect to any loss, even if the inquiry does not arise from a complaint; Managing General Agency Agreement Effective July 1, 2006 (h) a significant coverage dispute that may be denied; (j) been open for more than six months or involves an allegation of extra contractual damages;