Validity of Claims Clause Samples
The 'Validity of Claims' clause defines the conditions under which claims made under a contract are considered legitimate and enforceable. Typically, this clause outlines requirements such as time limits for submitting claims, necessary documentation, and the process for review or approval. For example, it may specify that claims must be filed within a certain number of days after an event occurs and supported by relevant evidence. The core function of this clause is to ensure that only timely and properly substantiated claims are recognized, thereby reducing disputes and providing clarity for both parties regarding their rights and obligations.
POPULAR SAMPLE Copied 1 times
Validity of Claims. 2.7.1 The Claims Administrator, in its sole discretion to be reasonably exercised, will determine whether:
(1) the claimant is a Settlement Class Member; (2) the claimant has provided all information needed to complete the Claim Form, including any documentation that may be necessary to reasonably support a claim for Out-of-Pocket Expenses, pursuant to ¶¶ 2.7.2 and 2.7.3; and (3) the information submitted could lead a reasonable person to conclude that more likely than not the claimant has suffered the claimed expenses as a result of the Data Incident. Subject to ¶¶ 2.7.2 and 2.7.3, the Claims Administrator may, at any time, request from the claimant, in writing, additional information as the Claims Administrator may reasonably require in order to evaluate the claim, e.g., documentation requested on the Claim Form, information regarding the claimed expenses, and claims previously made for identity theft and the resolution thereof.
2.7.2 Upon receipt of an incomplete or unsigned Claim Form the Claims Administrator shall request additional information and give the claimant thirty (30) days to cure the defect before rejecting the claim. If the defect is not cured to the satisfaction of the Claims Administrator, then the claim will be deemed invalid, there shall be no obligation to pay the defective claim, and the claim shall not be considered a Valid Claim.
2.7.3 For a Claim Form for an Out-of-Pocket Expense that is not accompanied by sufficient documentation to support the claimed expenses, within thirty (30) days from the Claims Deadline, the Claims Administrator shall request additional information and give the claimant thirty (30) days to cure the defect before rejecting the claim, in whole or in part. If the defect is not cured to the satisfaction of the Claims Administrator, then any claim for Out-of- Pocket Expenses under section ¶ 2.3.1 will be deemed invalid to the extent the documentation does not support the claim and as a Valid Claim to the extent the documentation supports the claim. Following receipt of additional information requested by the Claims Administrator, the Claims Administrator shall have thirty (30) days to accept, in whole or lesser amount, or reject each claim. To the extent the claim is deemed invalid by the Claims Administrator, there will be no obligation to pay the claim and it will not be considered a Valid Claim. Notwithstanding the foregoing, if a claim for reimbursement of Out-of-Pocket Expenses under section ¶ 2.3.1 (i) in...
Validity of Claims. The Administrator, in its sole discretion to be reasonably exercised, will determine whether a claim is valid. To constitute a “Valid Claim,” a claim must meet the following conditions: (a) the claim must be submitted by the Claims Deadline and may be submitted online, via the website established by the Administrator, or mailed. Claim forms submitted by mail shall be deemed as submitted within the Claims Deadline so long as said forms are postmarked within the Claims Deadline and actually received by the Administrator within 10 days of the end of the Claims Deadline; (b) a Valid Claim must be submitted by completing a Claim Form, which shall be made available to potential Settlement Class Members by the Administrator upon written request or on the dedicated website established by the Administrator. The potential Settlement Class Member will state in the Claim Form that he or she received a notification from HMHD relating to cyberattack against HMHD’s computer systems that occurred in May 2018. The potential Settlement Class Member shall be asked to state as much of the following information as the potential Class Member knows: (1) his or her name; (2) address; (3) phone number; and (4) type(s) of expenses that are being requested. The potential Class Member shall attest in writing or electronically to the truth of the above statements. A claim is not valid if:
(1) the claims form is post-marked after the Claims Deadline; (2) it is materially incomplete or otherwise does not contain sufficient information for the Administrator to determine its validity;
Validity of Claims. Claims are valid for submission and settlement for three (3) months after the date of the last treatment. Incomplete claims cannot be processed. A claim requires a fully completed claim form, accompanied by all supporting documents. Initial claims assessments and adjudications are carried out by claims administrators. After the initial assessment the member may be requested to provide further information relating to the circumstances of the medical condition and/or treatment and/or other costs claimed. Claims are adjudicated on the strength of the information provided and according to the adjudicator’s interpretation of the applicable benefits of membership to Multimed. Claim queries should be addressed to ▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇.▇▇▇ for the reassessment of rejected or disputed claims the member must follow the standard complaints procedure outlined at the beginning of this document.
Validity of Claims. In the event a claim submitted by a Class member does not
Validity of Claims. A claim shall be valid only if, in relation to the Mortgage Loan for which the Primary Mortgage Lender is claiming,:
a) the Mortgage Debtor has defaulted on its obligations to make payment of the Mortgage Loan and such default is continuing;
b) the Primary Mortgage Lender has complied with all its servicing obligations and delinquency management process set out in the RSF Manual;
c) the Primary Mortgage Lender has issued a Statutory Notice to Sell to the Mortgage Debtor;
d) the Primary Mortgage Lender must not be in breach of the covenants and undertakings in Schedule D; e) the Conditions Precedent set out in Schedule E have been met;
Validity of Claims. It is expressly agreed by and between the Parties that Escrow Agent shall not be required to make any determinations with regard to the validity of any claims that may be asserted by the Parties hereunder. The sole obligation of Escrow Agent shall be to receive, hold and disburse the Proceeds.
Validity of Claims a) Requests for reimbursement of “minerval” or/and registration fees incurred during a school year are therefore to be submitted within 3 months following the last school day of the reference school year.
b) Other reimbursable expenses shall be submitted within 3 months following the quarterly expenditure.