Common use of Reporting of Claims Clause in Contracts

Reporting of Claims. Weekly Indemnity claims must be submitted and received by the Company’s designated Benefits Adjudicator on the required claim form no later than sixty (60) days following the date of the first day of absence from work giving rise to a claim for WI benefits or denial of a WSIB claim. Pay advice and requests for supplemental medical information will be mailed by the designated adjudicator directly to the employee’s home. Applications for Long Term Disability benefits must be submitted and received by the Company’s designated Benefits Adjudicator on the required claim form no later than sixty (60) days following the completion of the max‑ imum period for WI benefits. The employee will pay for any initial medical report re‑ quired. The Company will ensure that the employee is reimbursed for any medical report required subsequent to the initial report, pertaining to that claim. The initial med‑ ical report (form) required as well as subsequent reports (forms) will be mutually agreed upon by the Employer and the Union. Life Insurance and Accidental Death and Dismemberment claims must be reported to the Corporate Office Benefits Department as soon as reasonably possible and filed with the insurance company within 90 days after the date of loss. Claims for Hospital Benefits, Major Medical Expense Benefits and Dental Expense Benefits must be submitted to the insurance company on the appropriate insurance forms and received by the insurance company by the end of the calendar year following the year in which the ex‑ pense was incurred.

Appears in 2 contracts

Samples: Agreement, Agreement

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Reporting of Claims. Weekly Indemnity claims must be submitted and received by the Company’s designated Benefits Adjudicator on the required claim form no later than sixty (60) days following the date of the first day of absence from work giving rise to a claim for WI benefits or denial of a WSIB claim. Pay advice and requests for supplemental medical information will be mailed by the designated adjudicator directly to the employee’s home. Applications for Long Term Disability benefits must be submitted and received by the Company’s designated Benefits Adjudicator on the required claim form no later than sixty (60) days following the completion of the max‑ max- imum period for WI benefits. The employee will pay for any initial medical report re‑ re- quired. The Company will ensure that the employee is reimbursed for any medical report required subsequent to the initial report, pertaining to that claim. The initial med‑ med- ical report (form) required as well as subsequent reports (forms) will be mutually agreed upon by the Employer and the Union. Life Insurance and Accidental Death and Dismemberment claims must be reported to the Corporate Office Benefits Department as soon as reasonably possible and filed with the insurance company within 90 days after the date of loss. Claims for Hospital Benefits, Major Medical Expense Benefits and Dental Expense Benefits must be submitted to the insurance company on the appropriate insurance forms and received by the insurance company by the end of the calendar year following the year in which the ex‑ ex- pense was incurred.

Appears in 2 contracts

Samples: Agreement, Agreement

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