Sentences with phrase «by the insurer of»

The discovery by an insurer of any notice requiring an insured person to be examined under Section 42.

In a typical spinal cord injury claim, the claimant's fees are paid by the insurer of the entity that recorded the accident.

(6) The insurer shall begin payment of attendant care benefits within 10 business days after receiving the assessment of attendant care needs and, pending receipt by the insurer of the report of any examination under section 44 required by the insurer, shall calculate the amount of the benefits based on the assessment of attendant care needs.

«Justice Labrosse found that the Superior Court did not have jurisdiction to entertain this claim, but that was not self - evident on the face of the statement of claim, so the issue required adjudication by the court,» said Stephen Cavanagh of Cavanagh LLP, an Ottawa firm retained by the insurer of KISS.

The delivery by an insurer of any notice requiring an insured person to be examined under section 42.

Instead, this should be fully funded by the insurers of the person who caused the accident.

You might even be contacted by the insurer of the person who caused the crash «just to see how you're feeling.»

In a key mandate, Greenwood represented a firm of insurance brokers in a claim brought by the owner and operator of a waste recycling plant, which suffered a major fire that was not covered by the insurers of the plant; the claimants contended that the policy brokered by the client was not suitable.

The improper and wasteful expenditure by insurers of hundreds of millions of insurance premium dollars on medical reports to fight their own clients» legitimate claims.

Insofar as it relates to committal proceedings being brought by the insurers of a defendant to a personal injury claim, it appears to be the first of its kind.

Not exact matches

But sales of Praluent and a rival Amgen drug, with list prices of more than $ 14,000 a year before discounts, have been severely constrained by onerous roadblocks to patient access by insurers.

But sales of Praluent and a rival Amgen drug, with list prices of more than $ 14,000 a year before discounts, have been constrained by onerous roadblocks to patient access by insurers.

Last year, health insurer Anthem said it would set up its own pharmacy - benefits management unit, after earlier accusing Express Scripts of overcharging by billions of dollars.

If there is not more clarity by that point, it is likely that a large number of insurers will abandon the market and the 12.2 million Americans in the exchanges would be left with little choice for coverage in 2018.

According to a recent study from Kaiser, to make up for the loss of CSR payments, insurers would have to jack up the price of premiums by an average of 19 % more than the current projected increase for 2018.

According to an April study from Kaiser, to make up for the loss of CSR payments, insurers would have to raise premiums by an average of 19 % more than the current projected increase for 2018.

It's a marketplace handcuffed by certificate - of - need laws that limit the number of MRI centers and hospital beds in communities, granting providers regional monopolies, and preventing insurers from clinching discounts by offering to send patients to the providers willing to lower their rates in exchange for more business.

The insurers will launch the new program this summer, along with Quest Diagnostics and health insurance consultants at Multiplan, to see whether they can cut costs by sharing data and reduce the administrative burden of keeping lists accurate.

Sanger - Katz lays out eight questions that are on a lot of folks» minds after President Trump's latest efforts to undercut the Affordable Care Act — an executive order Thursday morning, followed by an announcement last evening that the government would stop making certain ACA - related payments to insurers — and answers them.

China Oceanwide Holdings Group has agreed to buy U.S. insurer Genworth Financial for $ 2.7 billion in cash, the latest in a series of moves by Chinese firms to buy overseas assets as their domestic economy slows and the yuan weakens.

BitSight is only working with seven out of the 10 largest insurers, but the majority of insurers that write cyber policies still assess a customer's risk by asking customers to fill out questionnaires about what types of data a company handles and its security protocols.

The average annual cost of nursing home living in Florida, at $ 91,000 for a single bedroom accommodation, looks like a deal compared to the $ 136,000 for New York, as calculated in research by insurer Genworth.

The goal is to remove the risk for treatment centers in purchasing, handling and waiting for reimbursement of expensive products, and to alleviate for insurers potential markup costs imposed by the treatment centers, Marrazzo said.

This shows up in our earnings results, in the trajectory of our membership growth, and also in the strength of our brand as we continue to make great strides in improving the experience of our members as evidenced by the increase in our NPS and also our top ranking among insurers in Temkin's customer satisfaction survey.

The Hobby Lobby decision allowed private businesses with religious objections to opt out of the ACA's contraception coverage requirement by filing a notice with insurers or the federal government.

The chain, a unit of Walgreens Boots Alliance (wba), on Monday is launching a marketing campaign to burnish its health and wellness credentials at a time archival CVS Health (cvs) looks to get stronger by buying health insurer Aetna (aet) in a new $ 69 billion deal, and Amazon.com (amzn) is believed to looking into getting into the pharmacy business.

McConnell's latest version aimed to satisfy both camps, by incorporating language by Sen. Ted Cruz of Texas allowing insurers to sell skimpy plans alongside more robust ones, and by adding billions to treat opioid addiction and to defray consumer costs.

After all, the blueprint contains a host of policies long sought by conservatives, including nixing Obamacare's Medicaid expansion, an expansion of health savings accounts that individuals can contribute to, rolling back the health law's various mandates and taxes, and dismantling the essential health benefits package that insurers had to provide under Obamacare.

«But remember that you're only compensated [by the insurer] for the cost of the item,» says Lowy.

UnitedHealth Group remains the largest insurer by membership, yet through acquisitions it has built a data analytics and pharmacy benefits business under its Optum division that is the driving force of its growth.

The point of the last piece, the subsidies, is to keep enough people in the pool of insured to avoid triggering a so - called death spiral of declining enrollment, a growing proportion of less healthy people and premium increases by insurers.

One of the neatest new deals has been created by a couple of the largest U.S. auto insurers.

Viola, based in Herzliya, Israel, said its fintech fund is backed by a number of international banks, including Scotiabank and Bank Hapoalim, as well as insurer The Travelers Companies.

The algorithm, which is likely to be adopted by hospitals, insurers, and pharmaceutical firms, could become a go - to resource for reducing the likelihood of advanced renal disease.

A certain portion of your monthly paycheck is deducted by your employer, which pays your premium to the public insurer.

While research from the American Medical Association showed that 7.1 percent of all claims paid by insurers in 2013 contained a mistake, patient advocates and other professionals who review medical claims for accuracy put the frequency of billing errors at more like 80 percent or even 90 percent.

That's because under the rules of the exchange, a patient can go up to three months without paying premiums and still not get their coverage formally dropped by an insurers — but the insurer isn't obligated to pay claims incurred during the second and third month if that person isn't paying their premiums for that time, Jackson said.

The suit alleges that the health insurer received excess Medicare payments by providing misleading and inaccurate information about the health status and associated costs of plan holders.

And that is a trend that keeps snowballing, thanks primarily to the activities of two groups: first, the pension funds, insurers, and other large investors that continue to accelerate their investments in growth companies; and second, the investment - world professionals, who are responding to the deluge of money by continually setting up new funds.

Three years ago, when four of the major health insurers rushed to partner on large - scale mergers, the deals were blocked by the Department of Justice, and ultimately rejected by the courts on anti-trust grounds.

This coverage, which is available from private insurers, helps pay for the up to 50 percent of medical costs not covered by Medicare Parts A and B in exchange for premiums of around $ 150 a month.

23 %: The average additional level of premium increase requested by Idaho's PacificSource Health Plans (on top of a regularly planned 23 % hike), due to threats to cut off insurer payments.

Applying the ratio of entities that meet the SBA size standards to the number of affected entities, based on the methodology described at greater length in the RIA of the Fiduciary Rule, the Department estimates that the number of small entities affected by this final rule is 2,438 BDs, 16,521 Registered Investment Advisors, 496 insurers, and 3,358 other ERISA service providers.

«The sharing of data by big US insurers is part of their attempts to better manage utilisation, health behaviour and outcomes of the insured,» he said.

A claim by the Opposition Leader Bill Shorten that private insurers held $ 6 billion in excess capital was misleading because most of the excess was held by non-profit funds, analysts said.

The comments, made at a conference organized by a leading U.S. health insurer lobbying group, stoked speculation over what steps the administration of U.S. President Donald Trump may take to rein in lofty prescription drug costs.

The company focuses on cancer drug research and has a platform for so - called «real - world» data, which can be used to assess the economic value of medicines and is sought after by drug makers looking to justify their prices to health insurers.

Partly in response to that, real estate developers and others who needed to borrow large amounts of money began turning to insurers, which rapidly expanded their financial activities and raised the money to do so by selling a wide array of often speculative investment products.

They are not issued generally by professional insurers but by other types of finanancial institutions that were very lax in acutairial supervision and don't have the funding set aside to pay out the swaps as insurers generally do for their insured items.

Cinelli said that the policies are underwritten by «a couple of the largest insurers and re-insurers,» but did not name them due to the proprietary nature of the structures.