Substantive issue definition

Substantive issue means a matter that is integral to the determination of whether the insured is eligible for benefits under a policy and that involves information essential for the insurer to have prior to paying the claim. A substantive issue includes the issues generated by the items described in Sections 31(A)(1) through 31(A)(5). A substantive issue also includes information necessary to pay the claim that the insurer is unable to obtain because the provider refuses to provide it or because it is not available from sources other than the insured or the insured’s authorized representative.
Substantive issue means an issue where a substantive right, interest or privilege of any party is involved that may be prejudiced as opposed to a minor or mere procedural matters dealt with by the office of tax appeals.

Examples of Substantive issue in a sentence

  • For example: Substantive issue: On paper, there appears to be an adequate number of clinical sites; however, review of clinical placements for the past 2 cohorts indicated that more than 25% of each cohort did not have all 4 of the program’s required clinical experiences.

  • Substantive issue If the Board found that the determination was valid, the matter for the Board to consider was whether the Taxpayer had a Hong Kong source employment or a non-Hong Kong source employment.

  • In Khumalo, this Court held that when deciding whether it is in the interests of justice to hear an appeal against an interlocutory ruling, a court must take into consideration various factors including, “the effect that upholding the exception may have upon the trial proceedings in the High Court” Substantive issue [17] Properly interpreted, Rule 16A is in my view permissive and allows for an amicus to adduce evidence.

  • Substantive issue The appropriate range of sentences for offenders who persistently appear before the courts for offences unders.

  • On the first Substantive issue Petitioners invoke their constitutional right to information on matters of public concern, as provided in Section 7, Article III on the Bill of Rights: Sec.

  • Substantive issue such as organization pattern, style of management, appropriate structure and manpower implication or the centralized Vs decentralized system are not dealt with in depth.

  • While some former agricultural areas started to be afforested (and some were afforested by the owners) during the 1990s, in the light of rising agricultural direct payments there was pressure to start producing crops.

  • CESCR, General comment No.15(2002), Substantive issue arising in the Implementation of the International Covenant on Economic, Social and Cultural Rights, UN committee on Economic, Social and Cultural Rights, para.1, 5 General Assembly Adopts Resolution(2010) recognizing access to clean water, sanitation as human right, by recording vote of 22 in favor, none against ,41 abstentions6 WHO/UNICEF (2004), Meeting the MDG Drinking Water and sanitations Targetedacross the sphere.

  • Substantive issue: - Respondent’s case: In February 2006, the amount of overtime being claimed as against the lack of consequential increased production caused concern so NC instigated an investigation in to time keeping.

  • Russian Federation (Decision adopted on 23 July 2012, 105th session)*Submitted by: V.A. (not represented by counsel) Alleged victim: The author’s son, D.A. State party: The Russian Federation Date of communication: 3 March 2006 (initial submission) Subject matter: Refusal by the authorities to grant citizenship and issue identity documents Procedural issue: Exhaustion of the domestic remedies Substantive issue: - Articles of the Covenant: 2; 8, para.

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