O-2002-2546 - Laserfiche WebLink

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CONFORMITY WITH STATE STATUTES If any provision of this Policy or its Effective Date conflicts with any applicable law, the provision will be deemed to conform with the minimum requirements of such law. ASSIGNMENT Your interest under this Policy is not assignable and any attempt to assign Your interest shall be null and void. NON-PARTICIPATING You are not entitled to share in Our surplus earnings. NOTICE OF POTENTIAL CLAIM You shall give Us a written notice of any potential claim within thirty days of the date You become aware of the existence of facts which would reasonably suggest the possibility that expenses covered under the Plan will be Incurred for which benefits may be payable unuer this Policy, and is equivalent to or exceeds fifty percent of the Specific DeductIble .A.mOlL'1t. This notice shall include: 1. name of the Covered Person; 2. date of accident or onset of sickness; 3. nature of injury or sickness; and 4. estimated total cost of claim. Your failure to furnish written notice of a potential claim within thirty days shall not invalidate or reduce the claim if it was not reasonably possible to give such notice within such time; provided that written notice is furnished to Us as soon as reasonably possible. CLAIMS We shall have the sole authority to payor deny claims which exceed any Aggregate Attachment Point or Specific DeductIble Amount. Claims shall be administered by Us or Our authorized representative. Claims must be submitted within thirty days after You have paid EligIble Expenses on behalf of any Covered Person. Weare not obligated to reimburse a claim submitted after such period. However, We will reimburse such claim in the event You show that timely submission was not possible, and You made the submission as soon as possible. In no event will We reimburse claims submitted more than one year after proof of the claim was othenvise due. All benefits \\ril1 be paid to You as they become payable under this Policy. Any objection, notice of legal action, or complaint, which is received on a claim processed by You or Your Administrator and on which it reasonably appears that benefits will be payable under this Policy, shall be brought to Our immediate attention. SL-2001 16 (6/01)