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17 Jun 2012, 10:31 am
The pertinent parts of the policy are as follows: PART II - EXPENSE FOR MEDICAL SERVICES Coverage C - Medical Payments. [read post]
8 May 2012, 4:50 am
Florida Statute 627.736(5)(b)(1) provides that: An insurer or insured is not required to pay a claim or charges: a.? [read post]
22 Mar 2013, 4:58 am
Engaged in fraudulent conduct; or c. [read post]
12 Nov 2021, 3:17 am
If there were a series of acts, A, B and C it was not enough that act A caused claim A, act B caused claim B, and act C caused Claim C. [read post]
13 Nov 2023, 11:34 am
(c) Notwithstanding subdivisions (a) and (b) of this section or section 25.6(e)(4) of this Part, a public adjuster shall not receive any compensation, either directly or indirectly, for a referral described in section 25.6(e)(2) of this Part.Section 25.8 Insured’s right to cancel(a) The insured may cancel any compensation agreem [read post]
21 Nov 2011, 7:23 am
"Indeed.Of course, there's a twist here:"[T]he American Jewish Committee, the Anti-Defamation League, B'nai B'rith and the World Jewish Congress ... argued at a 2010 congressional hearing that the International Commission on Holocaust Era Insurance Claims was created to address worldwide claims, and that re-engaging in court could unrealistically raise the expectations of survivors. [read post]
9 Aug 2023, 9:18 am
Code tit. 50, §919.80(b)(2). [read post]
2 Aug 2012, 8:40 am
Water .... (4) Water under the ground surface pressing on, or flowing or seeping through: (a) Foundations, walls, floors or paved surfaces; (b) Basements, whether paved or not; or (c) Doors, windows or other openings. .... 2. [read post]
27 Oct 2009, 6:07 am
Insurance Law § 3426(b) reads as follows: (b) During the first sixty days a covered policy is initially in effect, except for the bases for cancellation set forth in paragraph one, two or three of subsection (c) of this section, no cancellation shall become effective until twenty days after written notice is mailed or delivered to the first-named insured at the mailing address shown in the policy and to such… [read post]
15 Oct 2020, 2:00 am
Once again this year, employers and insurers were given an extra month to comply with the upcoming Affordable Care Act (ACA) requirements to furnish 1095-B and -C reports to individuals. [read post]
14 Nov 2012, 6:50 am
§2510.3-3(b) and (c) (every ERISA plan must cover at least one common law employee). [read post]
11 Aug 2006, 6:59 pm
The notice and consent requirements that must be met before the policy is issued are that the employee: (A) is notified in writing that the applicable policyholder intends to insure the employee's life and the maximum face amount for which the employee could be insured at the time the contract was issued, (B) provides written consent to being insured under the contract and that such coverage may continue after the insured terminates employment, and… [read post]
4 Feb 2011, 5:45 am
(Confusingly, this is often called "open enrollment," since insurers must accept everyone during the eligibility period; I'll call it "limited enrollment" b/c I think that's clearer.) [read post]
10 Jan 2013, 1:21 pm
Code Section 4376(b)(1) requires that the plan sponsor of a self-insured health plan pay the required fee for self-insured health plans imposed by Section 4376(a). [read post]
16 Oct 2010, 7:02 am
These three requirements are found in Section 551.002(c). [read post]
14 Jun 2015, 8:09 am
This is found in Section 541.154(c). [read post]
15 May 2008, 12:18 pm
(C) 'Property of the insured' as used in subsection (a) of this Code section means t [read post]
19 Jan 2021, 8:33 am
” CHIRA also carved out certain coordinated activities that remain exempt from federal antitrust law even if performed by health or dental insurers, including: (A) the collection/compilation/dissemination of historical loss data; (B) the determination of a loss development factor applicable to historical loss data; (C) the performance of actuarial services that do not involve a “restraint of trade”; and (D) the development of standard policy forms, as… [read post]
18 Apr 2012, 7:00 am
Last week I noted that there have been a relatively large number of recent opinions in insurance class actions, and provided updates on a number of significant recent P&C decisions. [read post]
10 Oct 2019, 10:00 pm
Trademark rights allow (a) the owner the right to build goodwill with the mark and (b) consumer identification of goods and services from a particular source. [read post]
