Remedies if Process Clause Samples
The "Remedies if Process" clause defines the actions or solutions available to a party if legal proceedings, such as lawsuits or enforcement actions, are initiated against them in connection with the agreement. Typically, this clause outlines the steps the affected party can take, such as seeking indemnification, suspending performance, or terminating the contract if the legal process threatens their interests. Its core function is to provide a clear framework for addressing and mitigating the risks and disruptions caused by legal actions, ensuring that parties know their rights and remedies in such situations.
Remedies if Process. “Deemed Exhausted”
a. If we continue to deny the payment, coverage, or service requested or you do not receive a timely decision, you may be able to request an external review of your Claim by an independent third party, who will review the denial and issue a final decision. You may contact ▇▇▇▇▇’s Member Engagement Center at ▇-▇▇▇-▇▇▇-▇▇▇▇ with any questions on your rights to external review. Please understand that if you want to be informed about the legal remedies that may be available to you and whether they are a better option for you than seeking independent external review, you should consult a lawyer of your choice. AvMed cannot provide you with legal advice. We can only explain the procedures for obtaining independent external review.
b. If this Plan is subject to ERISA, please see the Addendum to this Group Medical and Hospital Service Contract. You also have the right to seek such legal remedies as may be available to you under ERISA Section 502 or state law.
Remedies if Process. “Deemed Exhausted”
a. If we continue to deny the payment, coverage, or service requested or you do not receive a timely decision, you may be able to request an external review of your Claim by an independent third party, who will review the denial and issue a final decision. You may contact ▇▇▇▇▇’s Member Engagement Center at ▇-▇▇▇-▇▇▇-▇▇▇▇ with any questions on your rights to external review. Please understand that if you want to be informed about the legal remedies that may be available to you and whether they are a better option for you than seeking independent external review, you should consult a lawyer of your choice. AvMed cannot provide you with legal advice. We can only explain the procedures for obtaining independent external review.
Remedies if Process. “Deemed Exhausted”
a. If we continue to deny the payment, coverage, or service requested or you do not receive a timely decision, you may be able to request an external review of your Claim by an independent third party, who will review the denial and issue a final decision. You may contact ▇▇▇▇▇’s Member Engagement Center at ▇-▇▇▇-▇▇▇-▇▇▇▇ with any questions on your rights to external review. Please understand that if you want to be informed about the legal remedies that may be available to you and whether they are a better option for you than seeking