Fraudulent Claims definition

Fraudulent Claims means any Claim Form(s) that the Settlement Administrator, in conjunction with the Parties, determines in good faith contain indicia of fraud or deceit, including but not limited to, any attempts to bypass the terms and limitations set out in this Settlement Agreement regarding Claim Forms, Claimants, Settlement Class Members and Settlement Benefits.
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Fraudulent Claims means any Claim Forms the Claims Administrator determines in good faith contain indicia of fraud, deceit or other invalidity, including but not limited to any attempts to bypass the terms and limitations set out in this Agreement regarding Claim Forms, Claimants, Class Members and Class Benefits.
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Fraudulent Claims shall include the unauthorized, illegal, or wrongful use of any identification card issued to any Covered Individual, and the wrongful use of any identification card that is lost or stolen.
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Examples of Fraudulent Claims in a sentence

  • The Settlement Administrator shall use good faith and appropriate procedures to prevent, detect, and reject the payment of Fraudulent Claims and ensure payment of only legitimate claims.

  • Fraudulent Claims If You or any other person acting on Your behalf submits any claim under this Policy through concealment, misstatement or deliberative provision of false information, We shall be under no liability to make payment in respect of such claim and You must pay back any benefit, indemnity or expense that We have already paid that was subject to the concealment.

  • The following provisions of the NCSBT Errors & Omissions/General Liability Trust Fund Coverage Agreement are incorporated herein by reference: Coverage Period; Definitions of Automobile, Claim, Contaminant, Coverage Period, Drone, Employee, Fund, Member, Member School District, and Student; Cancellation and/or Revisions; Complete Agreement; Conflicting Statutes; Fraudulent Claims; Inspection, Audit, and Verification of Underwriting Information; Litigation against the Fund; and Subrogation.

  • Fraudulent Claims by an Employee or Member of the Council Where any such cases are identified, the Investigation & Visiting Manager will immediately report the matter to the Audit Partnership Manager and in the case of an employee the Head of Personnel and Development or for a Member of the Council the Chief Executive and Monitoring Officer.

  • Fraudulent Claims will be prosecuted to the fullest extent of the law.

  • Fraudulent Claims Clauses cannot therefore be used in Australian policies.


More Definitions of Fraudulent Claims

Fraudulent Claims means any Claim Forms that the Settlement Administrator determines in good faith contain indicia of fraud, deceit, or other invalidity, including but not limited to any attempts to bypass the terms and limitations set out in this Agreement regarding Claim Forms, the Settlement Class, or Proof of Purchase.
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Fraudulent Claims means any claim which is fraudulent, exaggerated or dishonest.
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Fraudulent Claims shall include: (i) the unauthorized, illegal or wrongful use of any card issued by AMS to any of AMS's Plan Participants, and (ii) the wrongful use of any card that is lost or stolen until notification is received by PROVANTAGE. AMS acknowledges that the Participating Pharmacies have been chosen by PROVANTAGE solely based on their willingness to provide pharmacy services to the Plan Participants. PROVANTAGE has not performed any investigation or review of any Participating Pharmacy's operations. In addition, and without limiting the generality of the foregoing, each party agrees to indemnify and hold harmless the other party and its directors, officers and employees acting in the scope and course of their employment and not as Plan Participants against all claims, lawsuits, settlements, judgments, costs, penalties and expenses, including attorney's fees, with respect to this Agreement and the acts of the indemnifying party or its employees, acting alone or in collusion with others, if it determined that the indemnified party's liability therefor was the direct consequence of negligence, criminal conduct or fraud on the part of the indemnifying party's directors, officers or employees.
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Fraudulent Claims shall include: (i) the unauthorized, illegal or wrongful use of any card issued by AMS to any of AMS' Plan Participants, and (ii) the wrongful use of any card that is lost or stolen until notification is received by PROVANTAGE. AMS acknowledges that the Participating Pharmacies have been chosen by PROVANTAGE based on their willingness to provide pharmacy services to the Plan Participants. In addition, PROVANTAGE has contractually required that the Participating Pharmacies have met the following minimum required enrollment criteria: U. State and federal pharmacy licenses;
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Fraudulent Claims means any Claim Forms the Settlement Administrator
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Fraudulent Claims means any Claim Forms the Settlement Administrator
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Related to Fraudulent Claims

  • fraudulent practice means a misrepresentation of facts in order to influence a procurement process or the execution of a contract to the detriment of the Procuring Entity, and includes collusive practices among Bidders (prior to or after bid submission) designed to establish bid prices at artificial, non-competitive levels and to deprive the Procuring Entity of the benefits of free and open competition.

  • fraudulent practices which means any act or omission, including a misrepresentation, that knowingly or recklessly misleads, or attempts to mislead, a party to obtain a financial or other benefit or to avoid an obligation; and

  • Dishonest or Fraudulent Act means any dishonest or fraudulent act, including “larceny and embezzlement” as defined in Section 37 of the Investment Company Act of 1940, committed with the conscious manifest intent (1) to cause the Insured to sustain a loss and (2) to obtain financial benefit for the perpetrator or any other person (other than salaries, commissions, fees, bonuses, awards, profit sharing, pensions or other employee benefits). A Dishonest or Fraudulent Act does not mean or include a reckless act, a negligent act, or a grossly negligent act.

  • Corrupt and Fraudulent Practices means either one or any combination of the practices given below;

  • Violent act means behavior that resulted in homicide,

  • Violent crime means a forcible felony, as defined in Iowa Code section 702.11, and includes any other felony or aggravated misdemeanor which involved the actual or threatened infliction of physical or emotional injury on one or more persons.

  • Violent felony means any offense that, if committed by an adult, would constitute a felony and:

  • Licensed health care practitioner means a physician, as defined in Section 1861(r)(1) of the Social Security Act, a registered professional nurse, licensed social worker or other individual who meets requirements prescribed by the Secretary of the Treasury.

  • Other health impairment means having limited strength, vitality, or alertness, including a heightened alertness to environmental stimuli, that results in limited alertness with respect to the educational environment, that:

  • Bankruptcy Code means the United States Bankruptcy Code, as amended from time to time, any successor statute or rule promulgated thereto.

  • Consumer debtor means a debtor in a consumer transaction.

  • Violent student means a student under the age of 21 who: