{"component": "definition", "props": {"groups": [{"samples": [{"hash": "kwXbtAxRWjC", "uri": "/contracts/kwXbtAxRWjC#claims-procedures", "label": "Individual Enrollment Agreement for a Qualified Health Plan", "score": 27.7968845367, "published": true}, {"hash": "cczS1UHbTwh", "uri": "/contracts/cczS1UHbTwh#claims-procedures", "label": "In Network Individual Enrollment Agreement", "score": 27.7968845367, "published": true}, {"hash": "babm5PodbUa", "uri": "/contracts/babm5PodbUa#claims-procedures", "label": "Individual Enrollment Agreement", "score": 27.7968845367, "published": true}], "size": 14, "snippet_links": [{"key": "the-procedures", "type": "definition", "offset": [21, 35]}, {"key": "benefit-claims", "type": "clause", "offset": [60, 74]}, {"key": "notification-of-benefit", "type": "clause", "offset": [76, 99]}, {"key": "appeals-of-adverse-benefit-determinations", "type": "clause", "offset": [135, 176]}, {"key": "for-members", "type": "clause", "offset": [177, 188]}], "snippet": "means, collectively, the procedures governing the filing of benefit claims, Notification of benefit determinations, and Grievances and Appeals of Adverse Benefit Determinations for Members.", "hash": "87a41c239de2e48ee88ce31233a63fc7", "id": 1}, {"samples": [{"hash": "f5rxV0lIyra", "uri": "https://www.eminifxreceivership.com/cases/eminifx/dkt%20444%2022-cv-3822%202024%20annual%20status%20report%20(11th)%202025-01-31.pdf", "label": "www.eminifxreceivership.com", "score": 20.080163157, "published": false}, {"hash": "c4KmZBhQ8WO", "uri": "https://www.eminifxreceivership.com/cases/eminifx/eminifx%20motion%20in%20support%20of%20distribution%20plan%202024-08-09.pdf", "label": "www.eminifxreceivership.com", "score": 17.568901062, "published": false}, {"hash": "bAm9P3pAvJb", "uri": "https://www.eminifxreceivership.com/cases/EminiFX/EminiFX%20Proposed%20Distribution%20Plan%20-%20Dkt%20383-1%20filed%202024-08-09.pdf", "label": "www.eminifxreceivership.com", "score": 17.3575515747, "published": false}], "size": 3, "snippet_links": [{"key": "this-court", "type": "definition", "offset": [6, 16]}, {"key": "contributions-to", "type": "clause", "offset": [79, 95]}, {"key": "bar-date", "type": "definition", "offset": [141, 149]}, {"key": "notice-procedures", "type": "definition", "offset": [204, 221]}, {"key": "granting-related-relief", "type": "clause", "offset": [232, 255]}, {"key": "the-procedures", "type": "definition", "offset": [289, 303]}, {"key": "from-time-to-time", "type": "clause", "offset": [357, 374]}], "snippet": "means this Court\u2019s Order (I) Approving Procedures for the Verification of User Contributions to and Withdrawals from EminiFX, (II) Setting a Bar Date for the Filing of Non-User Claims, (III) Establishing Notice Procedures, and (IV) Granting Related Relief, entered on August 29, 2023, and the procedures approved thereby, as those procedures may be amended from time to time [Dkt. 228].", "hash": "cde4a601f518f547171b61a5c9f0061a", "id": 2}, {"samples": 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agreed upon procedures to be performed in accordance with the Agreed Upon Procedures Standards of the American Institute of Certified Public Accountants, pursuant to the Claims Reviewer Agreement on each Proof of Loss Claim, Reduced Extension Spread Statement and True-Up Interest Statement.", "hash": "7a8ab68a81b354022c11d2ad4076e041", "id": 4}, {"samples": [{"hash": "cfB8oY5TXx6", "uri": "/contracts/cfB8oY5TXx6#claims-procedures", "label": "Tire & Wheel Road Hazard Protection Agreement", "score": 27.7941455841, "published": true}, {"hash": "lKkfV3NyJKC", "uri": "/contracts/lKkfV3NyJKC#claims-procedures", "label": "Tire & Wheel Road Hazard Protection Agreement", "score": 25.9282779694, "published": true}], "size": 2, "snippet_links": [{"key": "refer-to-the", "type": "definition", "offset": [7, 19]}], "snippet": "Please refer to the section entitled, \"CLAIMS PROCEDURES.\"", "hash": "1552115692d5ff0ad49aa3c93291da85", "id": 5}, {"samples": [{"hash": "4AA6pN2TlxU", "uri": "/contracts/4AA6pN2TlxU#claims-procedures", "label": "Service Agreement", "score": 30.742980957, "published": true}, {"hash": "lLazHBp0PiG", "uri": "/contracts/lLazHBp0PiG#claims-procedures", "label": "Rv Technical Assistance Agreement", "score": 26.7275829315, "published": true}], "size": 2, "snippet_links": [{"key": "to-assist", "type": "clause", "offset": [136, 145]}, {"key": "covered-service", "type": "definition", "offset": [153, 168]}, {"key": "motor-club", "type": "definition", "offset": [298, 308]}], "snippet": "This is not a reimbursement service. You must call Our toll- free number to obtain assistance. In the unlikely event that We are unable to assist with a covered service, You may send Your original paid receipts for reimbursement consideration. Please send as soon as reasonably possible to: Nation Motor Club, LLC. at \u2587\u2587\u2587 \u2587\u2587\u2587\u2587\u2587\u2587 \u2587\u2587\u2587\u2587, \u2587\u2587\u2587\u2587\u2587 \u2587\u2587\u2587, \u2587\u2587\u2587\u2587 \u2587\u2587\u2587\u2587\u2587, \u2587\u2587\u2587\u2587\u2587\u2587\u2587 \u2587\u2587\u2587\u2587\u2587, Attention: Claims. Qualifying submissions will be reimbursed up to $300.", "hash": "3515a9bb46cc94e233ae633acc17be59", "id": 6}, {"samples": [{"hash": "bYg0WUQB4nx", "uri": "/contracts/bYg0WUQB4nx#claims-procedures", "label": "Reinsurance Agreement (Ameritas Variable Separate Account V)", "score": 36.3100624084, "published": true}], "size": 2, "snippet_links": [{"key": "confidential-information", "type": "clause", "offset": [50, 74]}, {"key": "customer-information", "type": "definition", "offset": [93, 113]}, {"key": "contestable-claim", "type": "definition", "offset": [176, 193]}, {"key": "information-concerning", "type": "clause", "offset": [311, 333]}, {"key": "related-to", "type": "clause", "offset": [337, 347]}, {"key": "issued-by", "type": "clause", "offset": [445, 454]}, {"key": "the-ceding-company", "type": "clause", "offset": [455, 473]}, {"key": "effective-date", "type": "definition", "offset": [537, 551]}, {"key": "article-18", "type": "definition", "offset": [646, 656]}], "snippet": "shall have the meaning set forth in Section 10.2. Confidential Information \u2013 Proprietary and Customer Information hereinafter together referred to as Confidential Information. Contestable Claim \u2013 shall have the meaning set forth in Section 10.4. Customer Information \u2013 is medical, financial, and other personal information concerning or related to proposed, current, and former policy owners, insureds, applicants, and beneficiaries of Policies issued by the Ceding Company. Discloser \u2013 shall have the meaning set forth in Section 21.3. Effective Date \u2013 shall have the meaning set forth in Article 25. Error \u2013 shall have the meaning set forth in Article 18. Laws \u2013 shall have the meaning set forth in Section 1.2.", "hash": "b2f2a0c34ff6e12fe6c619772998d770", "id": 7}, {"samples": [{"hash": "dpIAalXQhxA", "uri": "/contracts/dpIAalXQhxA#claims-procedures", "label": "Reinsurance Agreement (Nationwide Vli Separate Account 4)", "score": 30.6317596436, "published": true}], "size": 1, "snippet_links": [{"key": "life-insurance", "type": "clause", "offset": [75, 89]}, {"key": "confidential-information", "type": "clause", "offset": [90, 114]}, {"key": "contestable-claim", "type": "definition", "offset": [165, 182]}, {"key": "section-103", "type": "clause", "offset": [221, 233]}, {"key": "customer-information", "type": "definition", "offset": [235, 255]}, {"key": "effective-date", "type": "definition", "offset": [306, 320]}, {"key": "article-18", "type": "definition", "offset": [415, 425]}, {"key": "jumbo-limit", "type": "definition", "offset": [427, 438]}, {"key": "section-31", "type": "definition", "offset": [480, 491]}], "snippet": "shall have the meaning set forth in Section 10.4. COLI \u2013 Corporation Owned Life Insurance Confidential Information \u2013 shall have the meaning set forth in Article 21. Contestable Claim \u2013 shall have the meaning set forth in Section 10.3. Customer Information \u2013 shall have the meaning set forth in Article 21. Effective Date \u2013 shall have the meaning set forth in Article 25. Error \u2013 shall have the meaning set forth in Article 18. Jumbo Limit \u2013 shall have the meaning as set forth in Section 3.1 Laws \u2013 shall have the meaning set forth in Section 1.2.", "hash": "fe5574fe32a5b544e4c29a973c805802", "id": 8}, {"samples": [{"hash": "3HoyPfAkIsH", "uri": "/contracts/3HoyPfAkIsH#claims-procedures", "label": "Reinsurance Agreement (Ameritas Variable Separate Account V)", "score": 19.1498966217, "published": true}], "size": 1, "snippet_links": [{"key": "confidential-information", "type": "clause", "offset": [50, 74]}, {"key": "customer-information", "type": "definition", "offset": [93, 113]}, {"key": "contestable-claim", "type": "definition", "offset": [176, 193]}, {"key": "section-103", "type": "clause", "offset": [232, 244]}, {"key": "information-concerning", "type": "clause", "offset": [311, 333]}, {"key": "related-to", "type": "clause", "offset": [337, 347]}, {"key": "issued-by", "type": "clause", "offset": [445, 454]}, {"key": "the-ceding-company", "type": "clause", "offset": [455, 473]}], "snippet": "shall have the meaning set forth in Section 10.5. CONFIDENTIAL INFORMATION - Proprietary and Customer Information hereinafter together referred to as Confidential Information. CONTESTABLE CLAIM - shall have the meaning set forth in Section 10.3. CUSTOMER INFORMATION - is medical, financial, and other personal information concerning or related to proposed, current, and former policy owners, insureds, applicants, and beneficiaries of Policies issued by the Ceding Company. DISCLOSER - shall have the meaning set forth in Section 21.3.", "hash": "c96b6e3ab37305ced8f5df2aff66b221", "id": 9}, {"samples": [{"hash": "7W8GGI2VKy4", "uri": "/contracts/7W8GGI2VKy4#claims-procedures", "label": "Claim Participation Agreement", "score": 26.9082813263, "published": true}], "size": 1, "snippet_links": [{"key": "by-seller", "type": "clause", "offset": [52, 61]}, {"key": "prior-to", "type": "definition", "offset": [104, 112]}, {"key": "return-to", "type": "definition", "offset": [139, 148]}, {"key": "at-the-time", "type": "clause", "offset": [216, 227]}, {"key": "use-commercially-reasonable-efforts", "type": "clause", "offset": [288, 323]}, {"key": "ability-to", "type": "definition", "offset": [353, 363]}, {"key": "the-notice", "type": "clause", "offset": [408, 418]}, {"key": "the-block", "type": "definition", "offset": [515, 524]}, {"key": "days-after", "type": "definition", "offset": [669, 679]}, {"key": "proceeds-account", "type": "definition", "offset": [724, 740]}], "snippet": "means procedures to be established and administered by Seller or its agent, which must be complied with prior to payment of the Investment Return to Avalanche address(es) holding ILO Tokens or Transferred ILO Tokens at the time the Investment Return is received. Seller or its agent will use commercially reasonable efforts to notify investors of their ability to claim their Investment Return by publishing the notice on reputable news outlets that focus on cryptocurrency, e.g.,Coindesk (\u2587\u2587\u2587\u2587\u2587://\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587.\u2587\u2587\u2587) or The Block (\u2587\u2587\u2587\u2587\u2587://\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587.\u2587\u2587\u2587), and will publish the instructions for these procedures at \u2587\u2587\u2587\u2587\u2587://\u2587\u2587\u2587.\u2587\u2587\u2587\u2587\u2587\u2587\u2587\u2587.\u2587\u2587/apothio, no later fourteen (14) days after the Investment Return is deposited into the Proceeds Account.", "hash": "7f37b3533123cc2409e804a072ec2553", "id": 10}], "next_curs": "Cl4SWGoVc35sYXdpbnNpZGVyY29udHJhY3RzcjoLEhpEZWZpbml0aW9uU25pcHBldEdyb3VwX3Y1NiIaY2xhaW1zLXByb2NlZHVyZXMjMDAwMDAwMGEMogECZW4YACAA", "definition": {"size": 35, "title": "Claims Procedures", "snippet": "means, collectively, the procedures governing the filing of benefit claims, Notification of benefit determinations, and Grievances and Appeals of Adverse Benefit Determinations for Members.", "id": "claims-procedures", "examples": ["As a condition of reinsurance and prior to commencing any loss adjustment activity, the Company agrees to comply with all provisions of FCIC\u2019s Large <strong>Claims Procedures</strong>, as applicable.", "In addition, the parties agree that BCBSM shall have the responsibility for ensuring that its <strong>claims procedures</strong> comply with the Department of Labor&#x27;s <strong>Claims Procedures</strong> described in 29 C.F.R. Part 2560 and for handling all levels of appeal.", "In addition, the parties agree that BCN shall have the responsibility for ensuring that its <strong>claims procedures</strong> comply with the Department of Labor&#x27;s <strong>Claims Procedures</strong> described in 29 C.F.R. Part 2560 and for handling all levels of appeal.", "The following terms shall have the meaning ascribed to such terms whenever such terms are used in these <strong>Claims Procedures</strong>.", "<strong>Claims Procedures</strong>: You, or Your Traveling Companion or Family Member must obtain itemized receipts of services and costs from the authorities who seek payment, as well as documentation from the resort at the Trip destination.", "These <strong>Claims Procedures</strong> contain administrative processes and safeguards designed to ensure and to verify that benefit claim determinations and Adverse Benefit Determinations are made in accordance with governing Plan documents and, where appropriate, Plan provisions have been applied consistently with respect to similarly situated Members.", "Company retains sole discretion for Vendor Selection and <strong>Claims Procedures</strong>.", "The Plan\u2019s <strong>Claims Procedures</strong> were developed in accordance with Section 503 of the Employee Retirement Income Security Act of 1974 (ERISA or the Act), 29 U.S.C. 1133, 1135, which sets forth minimum requirements for employee benefit plan procedures pertaining to Claims For Benefits by Members.", "These <strong>Claims Procedures</strong> do not preclude a Member\u2019s Representative or Health Care Provider acting on behalf of a Member from acting on behalf of such Member in pursuing a Claim for Benefits, Grievance or Appeal of an Adverse Benefit Determination, or a Complaint to the Maryland Insurance Commissioner.", "These procedures govern the filing of benefit claims, Notification of benefit determinations, and Appeals and Grievances of Adverse Benefit Determinations (hereinafter collectively referred to as <strong>Claims Procedures</strong>) for Members."], "related": [["aml-kyc-procedures", "AML/KYC Procedures", "AML/KYC Procedures"], ["claims-process", "Claims Process", "Claims Process"], ["operation-procedures", "Operation Procedures", "Operation Procedures"], ["settlement-procedures", "Settlement Procedures", "Settlement Procedures"], ["dispute-resolution-procedures", "Dispute Resolution Procedures", "Dispute Resolution Procedures"]], "related_snippets": [], "updated": "2025-07-18T05:45:24+00:00"}, "json": true, "cursor": ""}}