Policy Administration. 1 The policyholder undertakes that he/she will advise all eligible employees immediately if any reason this agreement should not be renewed or this agreement should be terminated in accordance with the provision of Article 23 above so that such eligible employees are made aware that all cover has ceased and that benefits will not be payable in respect of eligible employees or family members 2 As the purpose of the agreement is to provide cover for eligible employees and dependants, the policyholder undertakes to ensure that any revised policy wording or benefit schedule sent by the insurer to the policyholder, or any notice sent by the insurer to the policyholder relating to the cover, are issued without delay to all eligible employees 3 The policyholder shall notify group members of any change in the terms and conditions of this group policy and any endorsements The policyholder shall also notify group members of the changes in the terms and conditions of this group policy with those of any previously held policy 4 The policyholder hereby indemnifies the insurer from and against any and all costs, losses and expenses incurred by the insurer consequent upon any failure by the policyholder to discharge its obligations under this agreement 5 The policyholder shall designate a responsible person (the policy administrator) to administer this agreement in accordance with its terms and any guidance issued by the insurer from time to time and shall notify the insurer in writing, of any change in the person designated 6 The policyholder shall remain responsible for ensuring its obligations under this agreement are fully discharged notwithstanding that all or any part of those obligations are delegated to an intermediary or agent who shall be deemed to be the agent of the company 7 The policyholder shall advise the insurer immediately if it goes into liquidation or becomes bankrupt, or if an administrator or receiver or an administrative receiver is appointed in respect of all or any part of the business or assets of the company 8 The policyholder must write and inform the insurer if the insured person changes their address or occupation 9 When expense occurred for the medical condition caused by another party who is liable for the incident, and the insurer paid the claim for such expense to the insured person, thereafter the insurer exercise the subrogation right to claim against the other party for remuneration of the amount paid, and the insured person shall provide the insurer with necessary documents and all relevant information known Should the insured person successfully recover compensation from the third party, that amount shall be deducted from the eligible benefits of the claim settlement paid by the insurer If the insured person obtains any compensation from the other party after receiving payment from the insurer, the insured person should repay that compensation to the insurer within 21 days of receipt, while the repayment does not exceed the settlement of the claim When a medical condition is caused by another party, should the insured person waive the right to recover compensation from the other party before the claim is paid by the insurer, the insurer shall not be responsible for the claim; should the insured person waive the right to recover compensation from the other party without a consent from the insurer after the claim is paid by the insurer, such waiver is invalid; should any intension or negligence on the part of the insured person result in the insurer unable to exercise subrogation right for recovery, the insurer may deduct the settlement paid from other eligible benefits or demand a refund of the settlement
Appears in 2 contracts
Sources: Insurance Policy, Insurance Policy
Policy Administration. 1 1. The policyholder undertakes that he/she will advise all eligible employees insured members immediately if for any reason this agreement should not be renewed or this agreement should be terminated in accordance with the provision of Article 23 above so that such eligible employees insured are made aware that all cover has ceased and that benefits will not be payable in respect of eligible employees insured or family members 2 members.
2. As the purpose of the agreement is to provide cover for eligible employees insured and dependants, the policyholder undertakes to ensure that any revised policy wording or benefit schedule sent by the insurer to the policyholder, or any notice sent by the insurer to the policyholder relating to the cover, are issued without delay to all eligible employees 3 insured.
3. The policyholder shall notify group members of insured persons any change in the terms and conditions of this group policy and any endorsements endorsements. The policyholder shall also notify group members insured persons of the changes in the terms and conditions of this group policy with those of any previously held policy 4 policy.
4. The policyholder hereby indemnifies the insurer from and against any and all costs, losses and expenses incurred by the insurer consequent upon any failure by the policyholder to discharge its obligations under this agreement 5 agreement.
5. The policyholder shall designate a responsible person (the policy administrator) to administer this agreement in accordance with its terms and any guidance issued by the insurer from time to time and shall notify the insurer in writing, of any change in the person designated 6 designated.
6. The policyholder shall remain responsible for ensuring its obligations under this agreement are fully discharged notwithstanding that all or any part of those obligations are delegated to an intermediary or agent who shall be deemed to be the agent of the company 7 company.
7. The policyholder shall advise the insurer immediately if it goes into liquidation or he/she becomes bankrupt, or if an administrator or receiver or an administrative receiver is appointed in respect of all or any part of the business or assets of the company 8 policyholder.
8. The policyholder must write and inform the insurer Insurer if the insured person changes their address or occupation 9 occupation.
9. When expense occurred for the medical condition caused by another party who is liable for the incident, and the insurer paid the claim for such expense to the insured person, thereafter the insurer exercise the subrogation right to claim against the other party for remuneration of the amount paid, and the insured person shall provide the insurer with necessary documents and all relevant information known known. Should the insured person successfully recover compensation from the third party, that amount shall be deducted from the eligible benefits of the claim settlement paid by the insurer insurer. If the insured person obtains any compensation from the other party after receiving payment from the insurer, the insured person should repay that compensation to the insurer within 21 days of receipt, while the repayment does not exceed the settlement of the claim claim. When a medical condition is caused by another party, should the insured person waive the right to recover compensation from the other party before the claim is paid by the insurer, the insurer shall not be responsible for the claim; should the insured person waive the right to recover compensation from the other party without a consent from the insurer after the claim is paid by the insurer, such waiver is invalid; should any intension or negligence on the part of the insured person result in the insurer unable to exercise subrogation right for recovery, the insurer may deduct the settlement paid from other eligible benefits or demand a refund of the settlement.
Appears in 2 contracts
Policy Administration. 1 1. The policyholder undertakes that he/she will advise all eligible employees immediately if any reason this agreement should not be renewed or this agreement should be terminated in accordance with the provision of Article 23 above so that such eligible employees are made aware that all cover has ceased and that benefits will not be payable in respect of eligible employees or family members 2 members.
2. As the purpose of the agreement is to provide cover for eligible employees and dependants, the policyholder undertakes to ensure that any revised policy wording or benefit schedule sent by the insurer to the policyholder, or any notice sent by the insurer to the policyholder relating to the cover, are issued without delay to all eligible employees 3 employees.
3. The policyholder shall notify group members of any change in the terms and conditions of this group policy and any endorsements endorsements. The policyholder shall also notify group members of the changes in the terms and conditions of this group policy with those of any previously held policy 4 policy.
4. The policyholder hereby indemnifies the insurer from and against any and all costs, losses and expenses incurred by the insurer consequent upon any failure by the policyholder to discharge its obligations under this agreement 5 agreement. If the policyholder is not able to perform the responsibilities of any clause under the Article 26 that causes the insurer to be claimed, the policyholder should indemnify the insurer for all the losses, including but not limited to the disputes resolution fees, claim amount, legal fee and others.
5. The policyholder shall designate a responsible person (the policy administrator) to administer this agreement in accordance with its terms and any guidance issued by the insurer from time to time and shall notify the insurer in writing, of any change in the person designated 6 designated.
6. The policyholder shall remain responsible for ensuring its obligations under this agreement are fully discharged notwithstanding that all or any part of those obligations are delegated to an intermediary or agent who shall be deemed to be the agent of the company 7 company.
7. The policyholder shall advise the insurer immediately if it goes into liquidation or becomes bankrupt, or if an administrator or receiver or an administrative receiver is appointed in respect of all or any part of the business or assets of the company 8 company.
8. The policyholder must write and inform the insurer if the insured person changes their address or occupation 9 occupation.
9. When expense occurred for the medical condition caused by another party who is liable for the incident, and the insurer paid the claim for such expense to the insured person, thereafter the insurer exercise the subrogation right to claim against the other party for remuneration of the amount paid, and the insured person shall provide the insurer with necessary documents and all relevant information known known. Should the insured person successfully recover compensation from the third party, that amount shall be deducted from the eligible benefits of the claim settlement paid by the insurer insurer. If the insured person obtains any compensation from the other party after receiving payment from the insurer, the insured person should repay that compensation to the insurer within 21 days of receipt, while the repayment does not exceed the settlement of the claim claim. When a medical condition is caused by another party, should the insured person waive the right to recover compensation from the other party before the claim is paid by the insurer, the insurer shall not be responsible for the claim; should the insured person waive the right to recover compensation from the other party without a consent from the insurer after the claim is paid by the insurer, such waiver is invalid; should any intension or negligence on the part of the insured person result in the insurer unable to exercise subrogation right for recovery, the insurer may deduct the settlement paid from other eligible benefits or demand a refund of the settlement.
Appears in 1 contract
Sources: Insurance Policy
Policy Administration. 1 1. The policyholder undertakes that he/she will advise all eligible employees immediately if any reason this agreement should not be renewed or this agreement should be terminated in accordance with the provision of Article 23 above so that such eligible employees are made aware that all cover has ceased and that benefits will not be payable in respect of eligible employees or family members 2 members.
2. As the purpose of the agreement is to provide cover for eligible employees and dependants, the policyholder undertakes to ensure that any revised policy wording or benefit schedule sent by the insurer to the policyholder, or any notice sent by the insurer to the policyholder relating to the cover, are issued without delay to all eligible employees 3 employees.
3. The policyholder shall notify group members of any change in the terms and conditions of this group policy and any endorsements endorsements. The policyholder shall also notify group members of the changes in the terms and conditions of this group policy with those of any previously held policy 4 policy.
4. The policyholder hereby indemnifies the insurer from and against any and all costs, losses and expenses incurred by the insurer consequent upon any failure by the policyholder to discharge its obligations under this agreement 5 agreement.
5. The policyholder shall designate a responsible person (the policy administrator) to administer this agreement in accordance with its terms and any guidance issued by the insurer from time to time and shall notify the insurer in writing, of any change in the person designated 6 designated.
6. The policyholder shall remain responsible for ensuring its obligations under this agreement are fully discharged notwithstanding that all or any part of those obligations are delegated to an intermediary or agent who shall be deemed to be the agent of the company 7 company.
7. The policyholder shall advise the insurer immediately if it goes into liquidation or becomes bankrupt, or if an administrator or receiver or an administrative receiver is appointed in respect of all or any part of the business or assets of the company 8 company.
8. The policyholder must write and inform the insurer if the insured person changes their address or occupation 9 occupation.
9. When expense occurred for the medical condition caused by another party who is liable for the incident, and the insurer paid the claim for such expense to the insured person, thereafter the insurer exercise the subrogation right to claim against the other party for remuneration of the amount paid, and the insured person shall provide the insurer with necessary documents and all relevant information known known. Should the insured person successfully recover compensation from the third party, that amount shall be deducted from the eligible benefits of the claim settlement paid by the insurer insurer. If the insured person obtains any compensation from the other party after receiving payment from the insurer, the insured person should repay that compensation to the insurer within 21 days of receipt, while the repayment does not exceed the settlement of the claim claim. When a medical condition is caused by another party, should the insured person waive the right to recover compensation from the other party before the claim is paid by the insurer, the insurer shall not be responsible for the claim; should the insured person waive the right to recover compensation from the other party without a consent from the insurer after the claim is paid by the insurer, such waiver is invalid; should any intension or negligence on the part of the insured person result in the insurer unable to exercise subrogation right for recovery, the insurer may deduct the settlement paid from other eligible benefits or demand a refund of the settlement.
Appears in 1 contract
Sources: Insurance Policy