Late reported claims Clause Samples
Late reported claims. A claim where the Policyholder or Insured Person has failed to notify DAS of the insured incident within a reasonable time of it happening and where this failure adversely affects the Reasonable Prospects of a claim or DAS consider their position has been prejudiced.
Late reported claims. Upon Ceding Company recapture pursuant to the terms of this Article 5.5, the Reinsurer will be obligated to pay to the Ceding Company all claims attributable to the recaptured amounts that were eligible for coverage under the Agreement, incurred prior to the recapture effective date and reported to the Reinsurer within one hundred and eighty (180) calendar days of the recapture effective date. The Reinsurer shall have no liability with respect to claims incurred on or after the recapture effective date or claims reported to the Reinsurer after one hundred and eighty (180) calendar days from the recapture effective date regardless of the date on which such claims were incurred. (▇▇▇) ▇▇▇▇▇-▇▇-▇▇ 13 11/20/2025
Late reported claims. In no event shall Benetech, Inc. have any obligation or liability with respect to any Late Reported Claims resulting from the District’s untimely handling of said claim. However, Benetech, Inc. shall assume responsibility for any fines, penalties, or costs, including legal fees imposed by any regulatory body, agency, or third-party form errors omission, or non-compliance by the Benetech, Inc.
3.2. Benetech, Inc. shall prepare and issue indemnity payments to the District’s injured employees, subject to the Discretionary Authority Limit.
3.3. Benetech, Inc. shall provide the District with an explanation of services, claim reporting information and forms, and location coding schemes.
3.4. Benetech, Inc. shall complete all forms required to be used in the adjustment of Workers’ Compensation Claims by the New York Sate Workers’ Compensation Board (the “Board”) and the New York State Workers’ Compensation Act (the “Act”) with the exception of the Employer’s First Report of Injury, which shall be prepared by the District.
3.5. Benetech, Inc. shall be entitled to engage outside vendors when deemed necessary and by mutual consent with the District to handle or defend a claim.
Late reported claims. A claim reported to Us more than 120 days after the Date of Occurrence.