Fraudulent Claims Clause Examples

Fraudulent Claims. If the Insured or anyone acting on its behalf makes a fraudulent claim under this Policy, the Insurer: a) is not liable to pay the claim; b) may recover any part of the claim already paid from the relevant Insured; and c) may by notice to the Insured treat this Policy as having been terminated with effect from the time of the first fraudulent act, in which case the Insurer is not liable to that Insured in respect of a relevant event occurring after that time and may retain any premium. These remedies shall not be available against any other entity insured under this Policy that was not implicated in the fraud.

Fraudulent Claims. If you make a fraudulent claim under this insurance contract, then we:

Fraudulent Claims. Fraudulent actions automatically preclude employees from receiving injury leave benefits and if any benefits are paid pursuant to a fraudulent claim, they shall be repaid immediately and/or may be withheld from an employee's final pay upon termination. Fraudulent actions are subject to disciplinary action where appropriate.

Fraudulent Claims. If the claim should be, in any respect, fraudulent or if any fraudulent means or devices were used by the Policyholder/Insured Person or anyone acting on his/her behalf to obtain any benefit under this Policy, all benefits in respect of such claims shall be forfeited, and this Policy shall be cancelled immediately, without any pro-rata return of premiums.

Fraudulent Claims. Any claim for benefits under the policy which is based on false or incorrect information on an application, claim form or other documents required to verify benefits will result in the benefits being denied or the liability assumed by the Beneficiary if the benefit has already been provided or performed.

Fraudulent Claims. If any claim is found to be fraudulent, or if any false declaration is made, or if any fraudulent devices are used by You or the Insured Person or anyone acting on their behalf to obtain any benefit under this Policy then this Policy shall be void and all claims being processed shall be forfeited for all Insured Persons. All sums paid under this Policy shall be repaid to Us by You on behalf of all Insured Persons who shall be jointly liable for such repayment.

Fraudulent Claims. 6.10.1 If you or anyone acting on your behalf makes a fraudulent claim under this policy, we: a) are not liable to pay the claim; b) may recover any part of the claim already paid from the relevant insured; and c) may by notice to you treat this policy as having been terminated with effect from the time of the first fraudulent act, in which case we are not liable to that insured in respect of a relevant event occurring after that time and may retain any premium. 6.10.2 These remedies shall not be available against any other entity insured under this policy that was not implicated in the fraud.

Fraudulent Claims. If the Insured Person, or anyone acting on his behalf use any fraudulent means or devices to obtain any benefit, then any amount payable in respect of such claim shall be forfeited.

Fraudulent Claims. If a claim contains information that is false or misleading in any material respect and you either know that it is false or misleading or consciously disregard whether it is false or misleading, or a claim is otherwise fraudulent in any respect, (“Fraudulent Claim”), we shall be entitled to: (a) refuse to pay the claim; and (b) terminate the Policy by written notice in which case cover under the Policy shall be treated as having terminated with effect from the date on which the Fraudulent Claim was submitted. In such circumstances of termination we shall refuse all liability to you under the Policy in respect of any claim made after the date of submission of the Fraudulent Claim (but not in respect of any claim(s) made before submission of the Fraudulent Claim) and we need not return any of the premiums paid under the Policy.