GVHR » Topics » ALAE (Allocated Loss Adjustment Expense)

These excerpts taken from the GVHR 10-K filed Mar 16, 2009.

ALAE (Allocated Loss Adjustment Expense)

 

Loss adjustment expenses that are assignable or allocated to specific claims.  “Allocated Loss Expenses”  or “ALAE” will include, but are not limited to, all fees for service of process and court costs and court expenses; pre- and post-judgment interest; attorney’s fees; cost of undercover operative and detective services; costs of employing experts; costs for legal transcripts, copies of any public records and costs of depositions and court-reported or recorded statements; costs and expenses of subrogation; and any similar fee, cost or expense reasonably chargeable to the investigation, negotiation, settlement or defense of a loss or a claim or suit against you, or to the protection and perfection of either your or our subrogation rights.  ALAE also includes medical management Fees which may include medical bill audit fees, utilization management fees, network access fees and case management fees.

 

ALAE will not include loss adjustment expenses explicitly included in the premium calculation formula or otherwise explicitly included in the rating values, nor the salary, employee benefits, or overhead of any of our employees, nor the fees of any attorney who is our employee or under our permanent retainer; nor the fees of any attorney we retain to provide counsel to us about our obligations, if any, under any policy issued by us or our affiliated companies, with respect to a claim or suit against you.

 

ALAE
(Allocated Loss Adjustment Expense)



 



Loss adjustment
expenses that are assignable or allocated to specific claims.  “Allocated Loss Expenses”  or “ALAE” will
include, but are not limited to, all fees for service of process and court
costs and court expenses; pre- and post-judgment interest; attorney’s fees;
cost of undercover operative and detective services; costs of employing
experts; costs for legal transcripts, copies of any public records and costs of
depositions and court-reported or recorded statements; costs and expenses of
subrogation; and any similar fee, cost or expense reasonably chargeable to the
investigation, negotiation, settlement or defense of a loss or a claim or suit
against you, or to the protection and perfection of either your or our
subrogation rights.  ALAE also includes
medical management Fees which may include medical bill audit fees, utilization
management fees, network access fees and case management fees.



 



ALAE will not
include loss adjustment expenses explicitly included in the premium calculation
formula or otherwise explicitly included in the rating values, nor the salary,
employee benefits, or overhead of any of our employees, nor the fees of any
attorney who is our employee or under our permanent retainer; nor the fees of
any attorney we retain to provide counsel to us about our obligations, if any,
under any policy issued by us or our affiliated companies, with respect to a
claim or suit against you.



 



ALAE
(Allocated Loss Adjustment Expense)



 



Loss adjustment
expenses that are assignable or allocated to specific claims.  “Allocated Loss Expenses”  or “ALAE” will
include, but are not limited to, all fees for service of process and court
costs and court expenses; pre- and post-judgment interest; attorney’s fees;
cost of undercover operative and detective services; costs of employing
experts; costs for legal transcripts, copies of any public records and costs of
depositions and court-reported or recorded statements; costs and expenses of
subrogation; and any similar fee, cost or expense reasonably chargeable to the
investigation, negotiation, settlement or defense of a loss or a claim or suit
against you, or to the protection and perfection of either your or our
subrogation rights.  ALAE also includes
medical management Fees which may include medical bill audit fees, utilization
management fees, network access fees and case management fees.



 



ALAE will not
include loss adjustment expenses explicitly included in the premium calculation
formula or otherwise explicitly included in the rating values, nor the salary,
employee benefits, or overhead of any of our employees, nor the fees of any
attorney who is our employee or under our permanent retainer; nor the fees of
any attorney we retain to provide counsel to us about our obligations, if any,
under any policy issued by us or our affiliated companies, with respect to a
claim or suit against you.



 



EXCERPTS ON THIS PAGE:

10-K (3 sections)
Mar 16, 2009
Wikinvest © 2006, 2007, 2008, 2009, 2010, 2011, 2012. Use of this site is subject to express Terms of Service, Privacy Policy, and Disclaimer. By continuing past this page, you agree to abide by these terms. Any information provided by Wikinvest, including but not limited to company data, competitors, business analysis, market share, sales revenues and other operating metrics, earnings call analysis, conference call transcripts, industry information, or price targets should not be construed as research, trading tips or recommendations, or investment advice and is provided with no warrants as to its accuracy. Stock market data, including US and International equity symbols, stock quotes, share prices, earnings ratios, and other fundamental data is provided by data partners. Stock market quotes delayed at least 15 minutes for NASDAQ, 20 mins for NYSE and AMEX. Market data by Xignite. See data providers for more details. Company names, products, services and branding cited herein may be trademarks or registered trademarks of their respective owners. The use of trademarks or service marks of another is not a representation that the other is affiliated with, sponsors, is sponsored by, endorses, or is endorsed by Wikinvest.
Powered by MediaWiki