Commencement of Legal Action Sample Clauses

Commencement of Legal Action. Any suit or action to recover benefits under this Agreement, or damages concerning the provision of coverage or benefits, the processing of claims, or any other matter arising out of this Agreement, shall be commenced no later than two (2) years after the date of coverage for benefits in question were first denied, unless a shorter period of limi- tations otherwise applies. Utilization Review State law requires that health plans disclose to Subscribers and health plan providers the process used to authorize or deny health care services un- der the plan. Blue Shield of California has com- pleted documentation of this process (“Utilization Review”), as required under Sec- tion 1363.5 of the California Health and Safety Code. To request a copy of the document describ- ing this Utilization Review process, call the Cus- tomer Service Department at 0-000-000-0000.
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Commencement of Legal Action. County shall not commence any legal proceeding on OAG’s behalf without OAG’s express written consent.
Sample 1
Commencement of Legal Action. Any suit or action to recover benefits under this Contract, or damages concerning the provision of coverage or benefits, the processing of claims, or any other matter arising out of this Contract, shall be commenced no later than two (2) years after the coverage for benefits in question were first denied, unless a shorter period of limitations otherwise applies.
Sample 1
Commencement of Legal Action. 6.11.1. County shall not commence any legal proceeding on GAG's behalf outside the scope of the Agreement Services without GAG's express written consent. GAG shall not commence any legal proceedings on County's behalf without County's express written consent.
Sample 1
Commencement of Legal Action. Licensee, as sole licensing agent for the Patents, shall have the right, but not the obligation, to institute legal action concerning alleged infringement of the Patents, with or without the consent of Licensor.
Sample 1

Related to Commencement of Legal Action

  • Notice of Legal Actions The Contractor must notify the Department of any legal actions filed against it for a violation of any laws, rules, codes, ordinances or licensing requirements within 30 days of the action being filed. The Contractor must notify the Department of any legal actions filed against it for a breach of a contract of similar size and scope to this Contract within 30 days of the action being filed. Failure to notify the Department of a legal action within 30 days of the action will be grounds for termination for cause of the Contract.

  • Legal Action If you are dissatisfied with the determination of your claim, and have complied with applicable state and federal law, you are entitled to seek judicial review. This review will take place in an appropriate court of law. Under state law, you may not begin court proceedings prior to the expiration of sixty (60) days after the date you filed your claim. In no event may legal action be taken against us later than three (3) years from the date you were required to file the claim. For members covered by a group (employer sponsored) health plan, your plan may be subject to the Employee Retirement Income Security Act of 1974 (ERISA), as amended. Under federal law, if your plan is subject to ERISA you may have the right to bring legal action under section 502(a) of ERISA after you have exhausted all appeals available under the plan. That means, for both medical and administrative appeals, federal law requires that you pursue a final decision from the plan, prior to filing suit under section 502(a) of ERISA. For a medical appeal, that final decision is the determination of the appeal. You are not required to submit your claim to external review prior to filing a suit under section 502(a) of ERISA. Consult your employer to determine whether this applies to you and what your rights and obligations may be. If you are dissatisfied with the decision on your claim, and have complied with applicable state and federal law, you are entitled to seek judicial review. This review will take place in an appropriate court of law.

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