Processing a Claim Clause Samples
Processing a Claim. 1. Where the agency of one Contracting State receives a claim of a person, who has completed periods of coverage under the legislation of the other or both Contracting States, this agency shall send the claim through the liaison agency to the agency of the other Contracting State, indicating the date on which the claim has been received. Along with the claim, it will also transmit to the agency of the other Contracting State: - any available documentation that may be necessary for the agency of the other Contracting State to establish the claimant’s eligibility for the benefit, - form which will indicate, in particular, the periods of coverage completed under the legislation of the first Contracting State, - and, eventually, a copy of its own decision on benefit if it has been taken on.
2. The agency of the other Contracting State subsequently determines the claimant’s eligibility and notifies through the liaison agency its decision to the agency of the first Contracting State. Along with its decision, it will also transmit, if necessary or upon the request, to the agency of the first Contracting State: - any available documentation that may be necessary for the agency of the first Contracting State to establish the claimant’s eligibility for the benefit, - form which will indicate, in particular, the periods of coverage completed under the legislation which it applies.
3. The agency of the Contracting State with which a claim for benefits has been filed shall verify the information pertaining to the claimant and his family members. The type of information to be verified shall be agreed upon by the liaison agencies of the two Contracting States.
Processing a Claim. 1. Where the institution of one Contracting State receives a claim of a person, who has completed periods of insurance under the legislation of the other or both Contracting States, this institution shall send the claim through liaison bodies to the competent institution of the other Contracting State, indicating the date on which the claim has been received. Along with the claim, it will also transmit to the competent institution of the other Contracting State: - any available documentation that may be necessary for the competent institution of the other Contracting State to establish the claimant’s eligibility for the benefit, - form which will indicate, in particular, the periods of insurance completed under the legislation of the first Contracting State, - and, eventually, a copy of its own decision on benefit if it has been taken on.
2. The competent institution of the other Contracting State subsequently determines the claimant’s eligibility and notifies through the liaison bodies its decision to the competent institution of the first Contracting State. Along with its decision, it will also transmit, if necessary or upon the request, to the competent institution of the first Contracting State: - any available documentation that may be necessary for the competent institution of the first Contracting State to establish the claimant’s eligibility for the benefit, - form which will indicate, in particular, the periods of insurance completed under the legislation which it applies.
3. The personal information regarding an individual contained in the claim shall be certified by the competent institutions which will confirm that the information is corroborated by documentary evidence. Certification of this information on the form releases the competent institutions from sending the original documents. The competent institutions will agree on the type of information that will be confirmed by this manner.
Processing a Claim. 1. If the competent institution of a Party receives a claim for a benefit under the legislation of the other Party, it will, without delay, send the claim, through its liaison agency, to the liaison agency of the other Party, indicating the date on which the claim has been received. Along with the claim, it will also transmit any available documentation which may be necessary for the competent institution of the other Party to establish the claimant’s eligibility for the benefit.
2. The personal information regarding an individual contained in the claim will be certified by the competent institution of the Czech Republic or the liaison agency of Canada, as the case may require, which will confirm that the information is corroborated by documentary evidence; the transmission of the form so certified will exempt them from sending the corroboratory documents. They will agree on the type of information to which this paragraph applies.
3. In addition to the claim and documentation referred to in paragraph 1, the competent institution of the first Party will send, through its liaison agency, to the liaison agency of the other Party, a form which will indicate, in particular, the creditable periods under the legislation of the first Party.
4. The competent institution of the other Party will subsequently determine the claimant’s eligibility and, through its liaison agency, notify the liaison agency of the first Party of its decision.
Processing a Claim. 1. When the liaison agency or competent institution receives a claim for a benefit under the legislation administered by the other liaison agency or competent institution, it will, without delay, send the claim to the other liaison agency or competent institution, indicating the date of the claim.
2. Along with the claim, the first liaison agency or competent institution will also transmit any documentation available to it which is necessary for the other liaison agency or competent institution to establish the claimant’s eligibility for the benefit.
3. The information contained in the claim will be certified by the first liaison agency or competent institution which will confirm that the information is supported by documentation. The transmission of the information so certified will exempt that liaison agency or competent institution from sending the supporting documents.
4. In addition to the claim and documentation referred to in subparagraphs 1 and 2 of this paragraph, the first liaison agency or competent institution will send to the other liaison agency or competent institution a form which will certify, in particular, the creditable periods under the legislation which it administers.
5. The liaison agencies and competent institutions will inform each other of the decision to grant or deny the right to a benefit.
Processing a Claim. 1. The competent institution of a Contracting Party which receives a claim for benefits payable under the legislation of the other Contracting Party shall note thereon the date of receipt of the claim and shall, without delay, send the claim form through the liaison agency, to the liaison agency of the other Contracting Party.
2. Along with the claim form, the liaison agency shall also transmit any documentation available to it which may be necessary for the competent institution of the other Contracting Party to establish the claimant’s entitlement to a benefit.
3. The personal data regarding an individual contained in the claim form shall be duly certified by theliaison agency. The transmission of the certified form regarding the personal data shall exempt the liaison agency from sending the original documents to the other Contracting Party.
4. Each competent institution shall subsequently determine the claimant’s eligibility to a benefit and notify the other institution, through the liaison agency, of its decision in respect of the claim.
Processing a Claim. 1. If the Competent Institution of one Contracting Party receives a claim for a benefit under the legislation of the other Contracting Party, it will send the claim to the Competent Institution of the other Contracting Party, indicating the date on which the claim was received.
2. Along with the claim, the Competent Institution of the first Contracting Party may, in exceptional cases, where indispensable, transmit any documentation available to it for the Competent Institution of the other Contracting Party to establish the claimant's eligibility for the benefit.
3. The personal data regarding a claimant and his/her family members contained in the claim will be verified by the Competent Institution of the first Contracting Party, which will confirm that the information is corroborated by documentary evidence.
4. In addition to the claim and documentation referred to in subparagraphs 1 and 2 of this Paragraph, the Competent Institution of the first Contracting Party will send to the Competent Institution of the other Contracting Party a liaison form which will indicate the period of insurance completed under the legislation of the first Contracting Party.
5. The Competent Institution of the other Contracting Party will subsequently determine the claimant's eligibility and notify the claimant and the Competent Institution of the first Contracting Party of its decision.