File Reviews Clause Samples
File Reviews. During the year, certain stakeholders of BSU including management, treaty reinsurance partners and various state insurance departments may, and as respects treaty reinsurance partners, will, conduct file reviews to measure compliance with state laws, guidelines, treaty terms and letters of authority. As such, underwriting files should be clear, organized, complete and available upon request. All referral and exception authorizations must be in the file and in writing. Ø Application relied upon for underwriting. Bowhead Application if received after quoting should be reviewed to ensure consistency of information with original application and included in file as well as any supporting information attached to the application or relied upon for quoting Ø Financial Information or other product critical information as applicable Ø Rating worksheet or system generated summary Ø Underwriting support documents Ø Underwriters workup with analysis and summary Ø Loss runs Ø Bowhead Claim information Ø Quote Letters Ø Binder Ø Policy with all endorsements Ø Underwriting Correspondence / emails Ø Referral documentation if applicable Ø Accounting Invoice and other issues Casualty Underwriting Guidelines The Casualty Lines Department (CLD) of Bowhead Specialty Underwriters (BSU) was formed in November 2020 by hiring experienced casualty experts with a proven track record of building a portfolio from scratch and creating consistent underwriting profits throughout the market cycle. Excess Casualty coverage will be written for a broad variety of commercial entities but will initially focus on the construction and manufacturing segments where current pricing conditions and capacity restrictions have created a significant opportunity. CLD will institute a collaborative underwriting culture, utilizing underwriting roundtables to discuss individual risks. Each underwriter in CLD will be granted authority over time, as set forth in the Letter of Authority (LOA) issued to that underwriter. CLD’s focus will always be on profits versus premium; this concept is rooted in BSU’s DNA. Product and coverage The goal of CLD is to provide a solution-based Excess Casualty product to commercial insureds and brokers across the country. As a general matter, Excess Casualty policies provide coverage for catastrophic Commercial General Liability and Automobile exposures of an insured. Though the coverage may also apply above other exposures (e.g., liquor liability in hospitality risks), these oth...
File Reviews. Vendor shall give Health Plan access, upon request, to Vendor’s files for Health Plan’s review. Such files may exclude bona fide confidential peer review files. At least annually, or more frequently if deemed necessary by Health Plan representatives, Vendor or Vendor Provider, as applicable, will permit Health Plan to perform on-site performance compliance review, including without limitation review of any verification and re-verification files, upon not less than ten (10) days written notification by Health Plan. Upon request, Vendor shall provide copies of requested files (i) promptly following Health Plan’s request if the request is made during such on-site review, and (ii) upon not less than ten (10) days following Health Plan’s request if the request is made outside of any such on-site review.
File Reviews. 4.7.1. The Client will not pay for file reviews, unless:
4.7.1.1. they are prompted by a legal or factual development, such as the receipt of correspondence or a telephone call; and
4.7.1.2. they result in the creation of actual work product, such as a strategy note, a strategy plan, a letter, a report, or a telephone call.
4.7.2. Where a file is to be reviewed because of a change of fee earner or the current unavailability of the previous fee earner, the time spent reading in by new personnel will not be allowed.
4.7.3. Where, however, the file transfer is occasioned by a cause or causes beyond the control of the Law Firm, such time will be allowed provided this is appropriately noted on the relevant draft invoice, including the specific cause or causes of the file transfer.
File Reviews. By October 1, 2024, the College will review its response to each report of discrimination and/or harassment on the basis of shared ancestry for the 2023-2024 school year, to ensure that the College made a determination regarding whether the alleged conduct created a hostile environment, even where the conduct occurred off campus or on social media. If the College’s review reveals that it did not complete a determination for any of the reports made during the 2023-2024 school year, the College will promptly make a determination regarding whether the alleged conduct created a hostile environment, and will provide the parties with notice of its determination. For each incident, the College will make a legal determination of whether the alleged conduct was unwelcome based on the totality of the circumstances, both subjectively and objectively offensive, and so severe or pervasive that it limited or denied a student’s ability to participate in or benefit from the College’s program or activity.
File Reviews. A. By March 1, 2025, OEO will review the University’s response to each report of discrimination and/or harassment on the basis of shared ancestry that the University received for the 2022-2023 and 2023-2024 school years. As part of this review, OEO will determine, to the extent it has not done so already, whether the University made a prompt and effective response, including determining whether any conduct created a hostile environment in a University program or activity based on race, color, or national origin, including based on shared ancestry, including when the conduct occurred off campus or on social media, was verbal, involved multiple or unidentified harassers, or was directed at a group or class rather than a specific person. If the University’s review reveals that it did not complete a determination or promptly and effectively respond to any of the reports made during the 2022-2023 or 2023-2024 school years, the University will promptly investigate and make a determination regarding whether the alleged conduct occurred and if so whether it created a hostile environment and will notify the relevant parties of its determination and offer services or support to remedy the effects of any harassment for the impacted individual(s) and take any other steps reasonably calculated to prevent recurrence, including disciplinary action when appropriate. The offer of services or support will be made in writing and the individual(s) will have at least 30 days to accept any offer of services. Students and employees who are identified as complainants or respondents in any complaint being investigated will be afforded rights pursuant to the applicable University rule, policy, employment agreement, or collective bargaining agreement.
B. By June 15, 2025, and June 15, 2026, the University will provide OCR with an electronic sortable spreadsheet or other file of the University’s response to all reports alleging discrimination, including harassment, on the basis of shared ancestry, during the preceding academic year. At a minimum, the spreadsheet will include separate fields for:
1. The date of receipt of the written or oral report.
2. The name and relationship of the reporter, if applicable (e.g., self, faculty, employee, eyewitness, colleague) to the allegedly injured person(s).
3. The name of the individual or group who was allegedly discriminated against/▇▇▇▇▇▇▇▇ (complainant) and relationship to the University (e.g., student, student organization, faculty, employ...
File Reviews. 8.2(1) A new Repair Certifier’s first 30 certification files will be subjected to a File Review process by RepairCert NZ (see Note 1 below).
File Reviews. Annually, or as needed, Provider shall give Health Plan access, upon request, to credentialing and recredentialing files for remote review, excluding any confidential peer review files. Provider agrees to obtain from each Credentialed Provider the appropriate consent and authorization for the release of credentialing and recredentialing information to Health Plan. All credentialing and recredentialing files will contain appropriate consent and authorization for the release of credentialing and recredentialing information not more than six months old at the time of Provider credentialing committee approval. At least annually, or more frequently, and by type (e.g., desk audit, on-site visit) as deemed necessary by Health Plan representatives, Provider will permit Health Plan to perform performance compliance review, including without limitation review of any credentialing and recredentialing files, upon not less than 10 days written notification by Health Plan. Upon request from NCQA to Health Plan and Health Plan’s subsequent notification of the NCQA request to the Provider, Provider shall provide copies of requested files in accordance with the NCQA’s designated time frame.