Sentences with phrase «insured under benefit»

Not exact matches

The insured applied for coverage of the medical cannabis under his health benefits plan.

This Act mandated that insurers provide written notice to policyowners, if an insured is 60 or older or is known by the insurer to be terminally or chronically ill, and if a policy owner requests to surrender the policy, request an accelerated death benefit under the policy, or when an insurer sends notice to the owner that the policy may lapse, that there are options to lapse or surrender available to them.

Regulations issued late last month clearly exempt self - insured employers from the requirement to provide Essential Health Benefits under ACA.

Before the establishment of survivors» benefits, needy widowed mothers with children had to rely on state - run Mother's Pension programs.56 These programs scrutinized beneficiaries closely and were often administered to deny aid to women of color or women with objectionable morals or lifestyles.57 In contrast to discretionary (and often discriminatory) mother's pensions, survivors» benefits uniformly extended coverage to widows of insured workers who were caring for a child under the age of 18.58 There was no requirement of economic need.

3) Bharti AXA Life Premium Waiver Rider (UIN: 130B005V03): Under this rider in case of the unfortunate event of death, Total Permanent Disability or critical illness (in case of Policyholder) and Critical Illness (in case of Life Insured) the future premiums are waived off and the benefits under the policy will contUnder this rider in case of the unfortunate event of death, Total Permanent Disability or critical illness (in case of Policyholder) and Critical Illness (in case of Life Insured) the future premiums are waived off and the benefits under the policy will contunder the policy will continue.

An additional insured is a person that enjoys the benefits of being insured under an insurance policy, in addition to whoever originally purchased the insurance policy.

Generally, if you receive the proceeds under a life insurance contract as a beneficiary due to the death of the insured person, the benefits are not includable in gross income and do not have to be reported; any interest you receive is taxable and you should report it just like any other interest received.

Apart from all these benefit SBI life Smart Money Back plan offers a free look period of 15 days under which the insured can cancel the policy if he / she is dissatisfied with the terms and condition of the policy.

These plans provide coverage under Medicaid once the plan's benefit period has been exhausted but do not require the insured to spend down their assets to qualify for standard Medicaid eligibility.

(8) for an educational benefit overpayment or loan made, insured or guaranteed by a governmental unit, or made under any program funded in whole or in part by a governmental unit or nonprofit institution, or for an obligation to repay funds received as an educational benefit, scholarship or stipend, unless excepting such debt from discharge under this paragraph will impose an undue hardship on the debtor and the debtor's dependents;

an educational benefit overpayment or loan made, insured, or guaranteed by a governmental unit, or made under any program funded in whole or in part by a governmental unit or nonprofit institution; or

This Act mandated that insurers provide written notice to policyowners, if an insured is 60 or older or is known by the insurer to be terminally or chronically ill, and if a policy owner requests to surrender the policy, request an accelerated death benefit under the policy, or when an insurer sends notice to the owner that the policy may lapse, that there are options to lapse or surrender available to them.

(A)(i) an educational benefit overpayment or loan made, insured, or guaranteed by a governmental unit, or made under any program funded in whole or in part by a governmental unit or nonprofit institution; or

Maturity Benefit: Sum Assured on Maturity, which is the Sum Assured applicable under the Policy, is paid if the Life Insured survives till the Maturity of the Policy and the policy is in force.

Depending on your relationship with us (for example, as a consumer policyholder; insured person benefiting under another policyholder's policy, or claimant; witness; commercial broker or appointed representative; or other person relating to our business), Personal Information collected about you and your dependents may include:

~ The Insurance Act's provisions excluding subrogation in cases where the insured receives income continuation or replacement payments apply where the party paying the benefits is an insurer under an insurance contract, but do not extend to employers ~

Areas of law: Insurance law; Subrogation; Income replacement plan; Statutory exceptions ~ The Insurance Act's provisions excluding subrogation in cases where the insured receives income continuation or replacement payments apply where the party paying the benefits is an insurer under an insurance contract, but do not extend to employers ~

If the settlement provides for the payment of a lump sum in an amount offered by the insurer and, with respect to a benefit under the Statutory Accident Benefits Schedule that is not a lump sum benefit, the settlement contains a restriction on the insured person's right to mediate, litigate, arbitrate, appeal or apply to vary an order as provided in section 280 to 284 of the Act, a statement of the insurer's estimate of the commuted value of the benefit and an explanation of hoe the insurer determined the commuted value.

Entitlement under s. 80 and revival under s. 86 (intervening alternate insurance benefits): the insured person receives TTDs under s. 80, then receives private insurance benefits for more than 104 weeks, before reviving Part 7 benefits under s. 86.

A description of the benefits that may be available to the insured person under the Statutory Accident Benefits Schedule and any other benefits that may be available to the insured person under a contract of automobile inbenefits that may be available to the insured person under the Statutory Accident Benefits Schedule and any other benefits that may be available to the insured person under a contract of automobile inBenefits Schedule and any other benefits that may be available to the insured person under a contract of automobile inbenefits that may be available to the insured person under a contract of automobile insurance.

However, someone who does not have their own policy could be entitled to claim accident benefits as an unnamed insured through another policy.7 The classic example is a college or university student who lives at home with a parent and would be insured under their policy.

9.1 (1) In this section, «settlement» means an agreement between an insurer and in insured person that finally disposes of a claim or dispute in respect of the insured person's entitlement to one or more benefits under the Statutory Accident Benefits Sbenefits under the Statutory Accident Benefits SBenefits Schedule.

(3) A second party insurer under a policy insuring a heavy commercial vehicle is obligated under section 275 of the Act to indemnify a first party insurer unless the person receiving statutory accident benefits first party insurer is claiming them under a policy insuring a heavy commercial vehicle.

The application judge undertook a discussion of the latest revisions to the SABS, which, under s. 3 (7) of the SABS included a preclusion of a member of the insured's family, who was not ordinarily an income earner, from profiting from the attendant care benefit.

To this end, Part 7 also includes rehabilitation benefits under s. 88, including the provision of funds for various one - time expenses that are likely to promote the person's recovery (for vocational training, for example, or alterations to the insured's residence to improve accessibility), and funds for medical treatments and rehabilitative therapies.

Entitlement and revival under s. 86: the insured person receives 104 weeks of benefits under s. 80, transitions to benefits under s. 86, then returns to work for a period before again returning to total disability.

Acceptance of this offer would in effect result in no benefit to the insured from proceeding with the application since RSA had not denied coverage under the mother's homeowner's policy.

On a duty to defend application, the insurer's breach is the central issue: the insured is forced to litigate in order to gain benefit of a conflict free defence under the policy.

If the ATV was exempt from being insured, it could not qualify as an automobile under the Schedule and the applicant would have no entitlement to accident benefits.

Many of the benefits from insuring lawyers individually under the primary Law Society program are only possible because LAWPRO provides the insurance for all lawyers called and in private practice in Ontario.

At that time Mr. MacIvor was insured under his company's Manulife group benefit policy.

The notice must inform the insured person that he or she is free to choose from whom the insured person prefers to receive the goods and services, or by whom the insured person prefers to be assessed or examined, in accordance with this Regulation, and that doing so will not prejudice or adversely affect the insured person's entitlement to benefits under this Regulation.

(a) the insurer shall continue to pay attendant care benefits to the insured person during the period before the insurer makes a determination under this section; and

(c) the insurer has received the report of the examination under section 44, if the insurer required an examination under that section, and has determined that the insured person is not entitled to the benefit;

(1) For the purposes of assisting an insurer to determine if an insured person is or continues to be entitled to a benefit under this Regulation for which an application is made, but not more often than is reasonably necessary, an insurer may require an insured person to be examined under this section by one or more persons chosen by the insurer who are regulated health professionals or who have expertise in vocational rehabilitation.

(1) This section applies to a claim for a medical or rehabilitation benefit or an application for approval of an assessment or examination under section 38 if the insurer gives the insured person a notice informing the insured person that the insurer will pay the expenses without the submission of a treatment and assessment plan under that section.

(10) If a new assessment of attendant care needs indicates that it is appropriate to increase the amount of the attendant care benefits and the insurer has not already advised the insured person that the insurer requires an examination under section 44, the insurer may give a notice to the insured person advising that the insurer requires an examination under that section.

(c) if the insured person is eligible to receive and has elected under section 35 to receive either an income replacement benefit or a caregiver benefit under this Part.

(7) If, after the stoppage of benefits under subsection (5), the insured person subsequently complies with subsection (2), the insurer shall resume payment of the benefit for periods after the insured person complied.

On request, the insurer shall provide a copy of this Regulation without charge to a named insured or a person entitled to benefits under this Regulation.

281 (1) After the Licence Appeal Tribunal issues a decision, the insurer shall not reduce benefits to the insured person on the basis of an alleged change of circumstances, alleged new evidence or an alleged error except as provided under this section.

(5) Despite subsection (4), if a person is a named insured under a contract evidenced by a motor vehicle liability policy or the person is the spouse or a dependant, as defined in the Statutory Accident Benefits Schedule, of a named insured, the person shall claim statutory accident benefits against the insurer under thatBenefits Schedule, of a named insured, the person shall claim statutory accident benefits against the insurer under thatbenefits against the insurer under that policy.

(5) If at least 10 business days have elapsed after a notice is given under subsection (4) and the insured person has not complied with subsection (2), the insurer may stop payment of the benefit.

(1) The insurer is not required to pay benefits described in this Regulation in respect of any insured person who, as a result of an accident, is entitled to receive benefits under the Workplace Safety and Insurance Act, 1997 or any other workers» compensation law or plan.

The weekly amount of any income replacement or non-earner benefit payable under this Regulation, determined without regard to any other income replacement assistance, within the meaning of subsection 4 (1), that is received by the insured person.

(a) the insured person is or may be entitled under section 20 to receive attendant care benefits more than 104 weeks after the accident; and

The Statutory Accident Benefits, also known as no - fault benefits, specifically say that payment of a medical, rehabilitation or attendant care benefit is not required for that portion of any expense for which payment is reasonably available to the insured person under any insurance planBenefits, also known as no - fault benefits, specifically say that payment of a medical, rehabilitation or attendant care benefit is not required for that portion of any expense for which payment is reasonably available to the insured person under any insurance planbenefits, specifically say that payment of a medical, rehabilitation or attendant care benefit is not required for that portion of any expense for which payment is reasonably available to the insured person under any insurance plan or law.

(4) If an application is made under this section not more than 104 weeks after the accident and, immediately before the application was made, the insured person was receiving attendant care benefits,

(7) If goods or services available under the Minor Injury Guideline are not provided within the times specified in that Guideline, the insured person shall submit a treatment and assessment plan under section 38 if he or she wishes to obtain medical or rehabilitation benefits to which the Minor Injury Guideline would otherwise apply.

(12) If more than 104 weeks have elapsed since the accident, the insurer shall not require an examination under section 44 to determine the insured person's entitlement to attendant care benefits and the insured person shall not submit nor be required to submit an assessment of attendant care needs to the insurer unless,