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CLAIMSMADEPOLICY THISISACLAIMSMADEANDREPORTEDPOLICY.SUBJECTTOITSTERMS,THISPOLICY APPLIESONLYTOACLAIMFIRSTMADEDURINGTHEPERIODOFINSURANCE.AMOUNTS INCURREDASDEFENCECOSTSSHALLREDUCEANDMAYEXHAUSTTHELIMITOF LIABILITYANDARESUBJECTTOTHEAPPLICABLEDEDUCTIBLES.THISPOLICYDOESNOT ...
Occurrence Coverage Two basic types of medical professional liability coverage are available: occurrence and claims-made. The concept of occurrence coverage is relatively straightforward: occurrence policies cover a physician (ie, the insurer will defend the physician and pay out, if necessary, on ...
made policies only) What constitutes a claim? Usually defined in the policy to include lawsuits, written demands; arbitration demands; certain types of administrative proceedings; formal investigations What constitutes a circumstance? Usually a circumstance reasonably expected to give rise to a ...
Insurance Policy and Coverage Analysis Coverage analysis & recommendations Claims Made and Occurrence Based Policies Coverage Declinations and Reservation of Rights Excess Letters Dietary Supplement/Nutraceutical Liability Medical Product Liability Natural Products Liability ...
Secured Claimsmeans Claims held by “secured creditors” as defined in the CCAA, including Construction Lien Claims, to the extent of the Allocated Value of the Property securing such Claim, with the balance of the Claim being a Deficiency Claim, and amounts subject to section 6(6) of the ...
There is so much that needs to be done in the world of claims. Operations need fixing, technology needs improving and a futures need to be defined. For some reason however, we are all really good at talking about it and not so good about doing anything about it. The industry needs to...
Secured Claims means Claims held by “secured creditors” as defined in the CCAA, including Construction Lien Claims, to the extent of the Allocated Value of the Property securing such Claim, with the balance of the Claim being a Deficiency Claim, and amounts subject to section 6(6) of the...
A clean claim is defined in the law as one "that has no defect or impropriety, including any lack of any required substantiating documentation, or particular circumstance requiring special treatment that prevents timely payment from being made." Clean claims that are not paid or denied within the...