Reasonable proof definition

Reasonable proof in sub. (1) means that amount of information that is sufficient to allow a reasonable insurer to conclude that it may not be responsible for payment of a claim. Generally, reasonable proof is equated with whether coverage is consid- ered “fairly debatable.” An insurer should not have been penalized for exercising its right to litigate when policy language was ambiguous, the court of appeals was divided on the question of coverage, the issue of coverage was one of 1st impression in this state, and administrative rules were subsequently modified to clarify required coverage. Froedtert Memorial Lutheran Hospital, Inc. v. National States Insurance Company, 2009 WI 33, 317 Wis. 2d 54, 765 N.W.2d 251, 07−0934.

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Reasonable proof means itemized medical bills or other medical records necessary to determine specific patient information, dates of treatment, a specific diagnosis, the specific services rendered and the specific charges for each of the services rendered. If an insurer requests information in addition to the proof submitted, they must specifically identify the additional information needed and why it is needed.

Reasonable proof in sub. (1) means that amount of information that is sufficient to allow a reasonable insurer to conclude that it may not be responsible for payment of a claim. Generally, reasonable proof is equated with whether coverage is consid- ered “fairly debatable.” An insurer should not have been penalized for exercising its right to litigate when policy language was ambiguous, the court of appeals was divided on the question of coverage, the issue of coverage was one of 1st impression in this state, and administrative rules were subsequently modified to clarify required

Examples of Reasonable proof in a sentence

• Reasonable proof of costs so incurred is to be provided to the employer by the employee.

• Reasonable proof will mean that if past employment records are not obtainable, the Union records, income tax records, or other similar documents will be acceptable.

• The estimated Force Majeure Period, Reasonable proof of the nature of such delay or failure and its anticipated effect upon the time for performance and the nature of and the extent to which, performance of any of its obligations under the Contract is affected by the Force Majeure.

• Reasonable proof of costs so incurred is to be provided to the Employer by the Employee.

• Reasonable proof has been presented that an applicant has qualifications deserving a starting rate of pay higher than the midpoint of the pay range.

• Reasonable proof of identity may include verification of a signature, inclusion of an identifier generally known only to the user, or similar appropriate identification.

• Reasonable proof will mean that if past employment records are not obtainable, the Union records, Income Tax records, or other similar documents will be acceptable.

• Reasonable proof of additional expenses shall be submitted for reimbursement.

• Reasonable proof has been presented that an applicant has qualifications deserving a starting salary higher than the midpoint of the salary range.

• Reasonable proof of illness including a Doctor's Certificate may be required by the Employer.

More Definitions of Reasonable proof

Reasonable proof means (1) written notice of assignment signed by

Reasonable proof for the purpose of clause 10.7.3 means — inter alia a birth certificate; medical certificate; certificate from a registered traditional healer; death certificate or an affidavit confirming the eventuality for which leave is requested.

Reasonable proof in sub. (1) means that amount of information that is sufficient to allow a reasonable insurer to conclude that it may not be responsible for payment of a claim. Generally, reasonable proof is equated with whether coverage is consid- ered “fairly debatable.” An insurer should not have been penalized for exercising its