Lost Time Claims definition

Lost Time Claims. : shall mean any timely reported workers’ compensation accident or claim where the injured employee will likely be entitled to medical benefits and has lost or may lose time from work or will submit or has submitted a claim for indemnity benefits. Claims shall be identified as Lost Time Claims when PMAMC initiates investigation of any kind to resolve issues regarding compensability without regard to:
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Lost Time Claims or "LT" shall mean: (i) any reported workers’ compensation accident or claim with respect to which the injured worker will not only be entitled to medical benefits but in addition has lost or appears likely to lose time from work or submit or has submitted a claim for indemnity benefits, including any claim originally classified as a Medical-Only Claim which becomes a Lost-Time Claim because the injured worker claims or becomes eligible for indemnity benefits; ( ii ) any claim in litigation; ( iii ) claims which would otherwise be classified as Medical-Only Claims involving an injured worker who has returned to work on alternate duty due to restrictions from the work-related injury, but follow-up by a claims representative will be needed to facilitate to return to full duty; and ( iv ) claims which merit investigation by a claims representative or private investigator due to questions regarding compensability.
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Examples of Lost Time Claims in a sentence

  • All costs associated with the Lost Time Claims, including the amounts paid on Valid Claims and administration costs, shall be paid exclusively out of the Settlement Fund.

  • In the event that the aggregate amount of all Documented Loss Payments and payments for the CMIS exceeds the total amount of the Net Settlement Fund, then no payments for Lost Time Claims will be made, and the value of the Documented Loss Payment to be paid to each Class Member shall be reduced, on a pro rata basis, such that the aggregate value of all Documented Loss Payments and payments due for CMIS does not exceed the Net Settlement Fund.

  • After the distribution of attorneys’ fees, Class Counsel’s litigation expenses, Administrative Fees, Service Award, Out-of- Pocket Expense Claims, and Lost Time Claims (each of which is defined below in this Section), the Settlement Administrator will make a $50 cash payment to each Class Member who submits a claim.

  • Lost Time Claims: $ 794 each Medical Only Claims (TPA Administered: $ 145 each Medical Plus Claims (City Administered): $ 30 each Record Only Claims (City Administered): $ 30 each Administration Fee: $ 8,295 annual Administration Fee will be due and payable at contract inception.

  • Lost Time Claims for reimbursement of $25.00 per hour up to 4 hours (for a total of $100) with an attestation on the Claim Form that the activities performed were related to the Security Incident.

  • Employer agrees to report all Medical Only and Lost Time Claims to SFM Risk.

  • Lost Time Claims for reimbursement of $25.00 per hour up to 3 hours (for a total of $75) with a brief description of the activities engaged in and the time spent on each such activity and an attestation on the Claim Form that the activities performed were related to the Data Incident.

Related to Lost Time Claims

  • Rejection Damages Claim means any Claim on account of the rejection of an Executory Contract or Unexpired Lease pursuant to section 365 of the Bankruptcy Code or the repudiation of such contract.

  • Claims means all actions, suits, claims, demands, investigations and proceedings of any kind, open, pending or threatened, whether mature, unmatured, contingent, known or unknown, at law or in equity, in any forum.

  • Intercompany Claims means, collectively, any Claim held by a Debtor against another Debtor.

  • Causes of Action means any claims, interests, damages, remedies, causes of action, demands, rights, actions, suits, obligations, liabilities, accounts, defenses, offsets, powers, privileges, licenses, liens, indemnities, guaranties, and franchises of any kind or character whatsoever, whether known or unknown, foreseen or unforeseen, existing or hereinafter arising, contingent or non-contingent, liquidated or unliquidated, secured or unsecured, assertable, directly or derivatively, matured or unmatured, suspected or unsuspected, in contract, tort, law, equity, or otherwise. Causes of Action also include: (a) all rights of setoff, counterclaim, or recoupment and claims under contracts or for breaches of duties imposed by law; (b) the right to object to or otherwise contest Claims or Interests; (c) claims pursuant to sections 362, 510, 542, 543, 544 through 550, or 553 of the Bankruptcy Code; and (d) such claims and defenses as fraud, mistake, duress, and usury, and any other defenses set forth in section 558 of the Bankruptcy Code.

  • Released Plaintiffs’ Claims means any and all manner of claims, demands, rights, liabilities, losses, obligations, duties, damages, costs, debts, expenses, interest, penalties, sanctions, fees, attorneys’ fees, actions, potential actions, causes of action, suits, agreements, judgments, decrees, matters, issues and controversies of any kind, nature or description whatsoever, whether known or unknown, disclosed or undisclosed, accrued or unaccrued, apparent or not apparent, foreseen or unforeseen, matured or not matured, suspected or unsuspected, liquidated or not liquidated, fixed or contingent, including Unknown Claims (defined below), that Plaintiffs asserted against the Released Defendant Parties in the complaints filed in the Action, or that Freeport could have asserted directly, or that Plaintiffs or any other Freeport Stockholder could have asserted derivatively on behalf of Freeport against the Released Defendant Parties, in any court, tribunal, forum or proceeding, whether based on state, local, foreign, federal, statutory, regulatory, common or other rule of law, based upon, arising out of, relating to, or concerning (which phrases are intended to be construed as broadly as permitted under applicable Delaware law as to the scope of releases provided in consideration for settlement of derivative claims): (i) Freeport’s decision to acquire and acquisition of MMR, which transaction was announced December 5, 2012 and closed June 3, 2013, (ii) Freeport’s decision to acquire and acquisition of Plains, which transaction was announced December 5, 2012 and closed May 31, 2013, or (iii) the actions, inactions, conduct, deliberations, discussion, decisions, votes or any other conduct of any kind of the Freeport officers or directors relating to the Transactions or the Freeport Board’s approval of the Transactions, but excluding (a) any claims Freeport may have against Credit Suisse arising from Credit Suisse’s bad faith, gross negligence, willful misconduct or fraud, as those terms are used in the Engagement Letter between Freeport and Credit Suisse dated September 20, 2012, in connection with its engagement to act as lead financial advisor to the Special Committee of the Freeport Board with respect to Freeport’s decision to acquire and acquisition of MMR and Plains, and (b) any claims relating to the enforcement of the Settlement. For the avoidance of doubt, Released Plaintiffs’ Claims do not include any direct claims belonging to Freeport Stockholders, and such claims are not released by this Settlement.