Common use of Claims Handling Clause in Contracts

Claims Handling. Unless it has been agreed that the Client will deal with claims directly with insurers, WTW will provide claims handling services for the period of its appointment. These services can be continued beyond that point by mutual agreement but will be subject to additional remuneration. WTW’s claims handling service includes, upon receiving the required information from the Client, the notification of the claim or circumstances to insurers. It will also involve the ongoing provision of information and arranging the collection and/or settlement of the claim in accordance with market practice and the terms and conditions of the policy. Unless agreed otherwise, WTW’s claims handling services do not include the services provided by WTW’s insurance claims advocates (see below). Where the complexities of cover or the technical nature of the subject matter cause difficulty in progressing a claim, WTW has a team of insurance claims advocates who are experienced in negotiating complex claims and managing the settlement process. WTW reserves the right to charge additional remuneration if the Client requests the services of these claims advocates. In relation to marine claims, and in line with long-standing practice of the marine insurance market, WTW may earn additional remuneration by way of claims collecting commission of up to 1% on all amounts WTW collects from insurers as consideration for additional support provided in the negotiation and settlement of a loss. WTW will not charge claims collecting commission where the Client agrees to pay for the services of WTW’s insurance claims advocates. Where WTW collects claims payments, these will be remitted to the Client as soon as possible. However, WTW will not remit claims monies to the Client before WTW has received them from insurers. Where WTW has been granted authority by insurers to settle claims on the Client’s insurance, for example under a binding authority, managing general agency or a lineslip agreement, WTW will do so within the terms and conditions of the authority granted and the Client’s contract. When exercising delegated authority, it is WTW’s policy to refer claims to insurers for settlement decision where WTW is not able to settle the claim on a 100% basis.

Claims Handling. Unless it has been agreed that the Client will deal with claims directly with insurers, WTW ▇▇▇▇▇▇ will provide claims handling services for the period of its appointment. These services can be continued beyond that point by mutual agreement but will be subject to additional remuneration. WTW’s ▇▇▇▇▇▇’ claims handling service includes, upon receiving the required information from the Client, the notification of the claim or circumstances to insurers. It will also involve the ongoing provision of information and arranging the collection and/or settlement of the claim in accordance with market practice and the terms and conditions of the policy. Unless agreed otherwise, WTW’s ▇▇▇▇▇▇’ claims handling services do not include the services provided by WTW’s ▇▇▇▇▇▇’ insurance claims advocates (see below). Where the complexities of cover or the technical nature of the subject matter cause difficulty in progressing a claim, WTW ▇▇▇▇▇▇ has a team of insurance claims advocates who are experienced in negotiating complex claims and managing the settlement process. WTW ▇▇▇▇▇▇ reserves the right to charge additional remuneration if the Client requests the services of these claims advocates. In relation to marine claims, and in line with long-standing practice of the marine insurance market, WTW may ▇▇▇▇▇▇ ▇▇▇ earn additional remuneration by way of claims collecting commission of up to 1% on all amounts WTW ▇▇▇▇▇▇ collects from insurers as consideration for additional support provided in the negotiation and settlement of a loss. WTW ▇▇▇▇▇▇ will not charge claims collecting commission where the Client agrees to pay for the services of WTW’s ▇▇▇▇▇▇’ insurance claims advocates. Where WTW ▇▇▇▇▇▇ collects claims payments, these will be remitted to the Client as soon as possible. However, WTW ▇▇▇▇▇▇ will not remit claims monies to the Client before WTW ▇▇▇▇▇▇ has received them from insurers. Where WTW ▇▇▇▇▇▇ has been granted authority by insurers to settle claims on the Client’s insurance, for example under a binding authority, managing general agency or a lineslip agreement, WTW ▇▇▇▇▇▇ will do so within the terms and conditions of the authority granted and the Client’s contract. When exercising delegated authority, it is WTW’s ▇▇▇▇▇▇’ policy to refer claims to insurers for settlement decision where WTW ▇▇▇▇▇▇ is not able to settle the claim on a 100% basis. ▇▇▇▇▇▇’ remuneration for the services provided to the Client will be one or more of: brokerage, which is a percentage of the insurance premium paid by the Client and allowed to ▇▇▇▇▇▇ by the insurer; a fee agreed with the Client; and/or Market Derived Income as more fully explained in the linked addendum to this document. Unless the Parties have expressly agreed in writing to the contrary, on multi-year appointments, the remuneration payable to ▇▇▇▇▇▇ for services provided to the Client shall be increased annually, on each anniversary of the ‘Effective Date’ (date on which the Agreement is expressed to take effect), with each such anniversary date being a ‘Relevant Anniversary Date’. This increase shall be in accordance with the most recent edition at the time of use of the Consumer Price Index. Brokerage and fees are earned for the period of the contract at inception and ▇▇▇▇▇▇ will retain all fees and brokerage in respect of the full period of the contracts placed by ▇▇▇▇▇▇ including in circumstances where an insurance contract has been terminated and the Client’s insurers have returned prorated net premium. Consistent with long-established market practice, ▇▇▇▇▇▇ will deduct ▇▇▇▇▇▇’ brokerage and other commissions from the premium once received. ▇▇▇▇▇▇ will disclose the form of compensation it will earn before insurance is purchased. It may, at times, be appropriate (and for the Client’s benefit) for ▇▇▇▇▇▇ to use other parties such as sub-brokers, wholesale brokers, excess and surplus lines brokers, underwriting managers, managing general agents or reinsurance intermediaries. These parties may also earn and retain commissions for their role in providing products and services for the Client. If any such parties are ▇▇▇▇▇▇ Companies, ▇▇▇▇▇▇ will disclose the form of compensation those ▇▇▇▇▇▇ Companies will earn before insurance is purchased upon request. Insurers may use certain digital platforms operated on an arm’s length basis by ▇▇▇▇▇▇ Companies in order to facilitate the placement of Client risks. Where applicable, ▇▇▇▇▇▇ Companies will earn a services fee from insurers for operating those platforms, which may be calculated as a percentage of the insurance premium. ▇▇▇▇▇▇ will disclose the rate of compensation upon request. ▇▇▇▇▇▇ may also at times place reinsurance on behalf of insurer clients and in such instance, ▇▇▇▇▇▇ shall receive remuneration in the ordinary course of placing and servicing such reinsurance. The Client may also choose to use a premium finance company or other service provider in connection with the insurance ▇▇▇▇▇▇ places for it or the services ▇▇▇▇▇▇ provides. If ▇▇▇▇▇▇ receives any remuneration from any such service provider by reason of the Client’s use of their service, ▇▇▇▇▇▇ will disclose to the Client the amount of that remuneration.

Claims Handling. Unless it has been agreed that the Client will deal with claims directly with insurers, WTW will provide claims handling services for the period of its appointment. These services can be continued beyond that point by mutual agreement but will be subject to additional remuneration. WTW’s claims handling service includes, upon receiving the required information from the Client, the notification of the claim or circumstances to insurers. It will also involve the ongoing provision of information and arranging the collection and/or settlement of the claim in accordance with market practice and the terms and conditions of the policy. Unless agreed otherwise, WTW’s claims handling services do not include the services provided by WTW’s insurance claims advocates (see below). Where the complexities of cover or the technical nature of the subject matter cause difficulty in progressing a claim, WTW has a team of insurance claims advocates who are experienced in negotiating complex claims and managing the settlement process. WTW reserves the right to charge additional remuneration if the Client requests the services of these claims advocates. In relation to marine claims, and in line with long-standing practice of the marine insurance market, WTW may earn additional remuneration by way of claims collecting commission of up to 1% on all amounts WTW collects from insurers as consideration for additional support provided in the negotiation and settlement of a loss. WTW will not charge claims collecting commission where the Client agrees to pay for the services of WTW’s insurance claims advocates. Where WTW collects claims payments, these will be remitted to the Client as soon as possible. However, WTW will not remit claims monies to the Client before WTW has received them from insurers. Where WTW has been granted authority by insurers to settle claims on the Client’s insurance, for example under a binding authority, managing general agency or a lineslip agreement, WTW will do so within the terms and conditions of the authority granted and the Client’s contract. When exercising delegated authority, it is WTW’s policy to refer claims to insurers for settlement decision where WTW is not able to settle the claim on a 100% basis.

Claims Handling. Unless it has been agreed that the Client will deal with claims directly with insurers, WTW will provide claims handling services for the period of its appointment. These services can be continued beyond that point by mutual agreement but will be subject to additional remuneration. WTW’s claims handling service includes, upon receiving the required information from the Client, the notification of the claim or circumstances to insurers. It will also involve the ongoing provision of information and arranging the collection and/or settlement of the claim in accordance with market practice and the terms and conditions of the policy. Unless agreed otherwise, WTW’s claims handling services do not include the services provided by WTW’s insurance claims advocates (see below). Where the complexities of cover or the technical nature of the subject matter cause difficulty in progressing a claim, WTW has a team of insurance claims advocates who are experienced in negotiating complex claims and managing the settlement process. WTW reserves the right to charge additional remuneration if the Client requests the services of these claims advocates. In relation to marine claims, and in line with long-standing practice of the marine insurance market, WTW may earn additional remuneration by way of claims collecting commission of up to 1% on all amounts WTW collects from insurers as consideration for additional support provided in the negotiation and settlement of a loss. WTW will not charge claims collecting commission where the Client agrees to pay for the services of WTW’s insurance claims advocates. Where WTW collects claims payments, these will be remitted to the Client as soon as possible. However, WTW will not remit claims monies to the Client before WTW has received them from insurers. Where WTW has been granted authority by insurers to settle claims on the Client’s insurance, for example under a binding authority, managing general agency or a lineslip agreement, WTW will do so within the terms and conditions of the authority granted and the Client’s contract. When exercising delegated authority, it is WTW’s policy to refer claims to insurers for settlement decision where WTW is not able to settle the claim on a 100% basis.

Claims Handling. Unless it has been agreed that the Client will deal with claims directly with insurers, WTW will provide claims handling services for the period of its appointment. These services can be continued beyond that point by mutual agreement but will be subject to additional remuneration. WTW’s claims handling service includes, upon receiving the required information from the Client, the notification of the claim or circumstances to insurers. It will also involve the ongoing provision of information and arranging the collection and/or settlement of the claim in accordance with market practice and the terms and conditions of the policy. Unless agreed otherwise, WTW’s claims handling services do not include the services provided by WTW’s insurance claims advocates (see below). Where the complexities of cover or the technical nature of the subject matter cause difficulty in progressing a claim, WTW has a team of insurance claims advocates who are experienced in negotiating complex claims and managing the settlement process. WTW reserves the right to charge additional remuneration if the Client requests the services of these claims advocates. In relation to marine claims, and in line with long-standing practice of the marine insurance market, WTW Companies outside of Denmark may earn additional remuneration by way of claims collecting commission of up to 1% on all amounts WTW Companies outside of Denmark collects from insurers as consideration for additional support provided in the negotiation and settlement of a loss. WTW will not charge claims collecting commission where the Client agrees to pay for the services of WTW’s insurance claims advocates. Where WTW collects claims payments, these will be remitted to the Client as soon as possible. However, WTW will not remit claims monies to the Client before WTW has received them from insurers. Where WTW has been granted authority by insurers to settle claims on the Client’s insurance, for example under a binding authority, managing general agency or a lineslip agreement, WTW will do so within the terms and conditions of the authority granted and the Client’s contract. When exercising delegated authority, it is WTW’s policy to refer claims to insurers for settlement decision where WTW is not able to settle the claim on a 100% basis.