Common use of Processing a Claim Clause in Contracts

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. ) 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.