Page 153 - Binder2
P. 153
Claims Handling Authority
With regard to Clause 9 ‘Duties in the event of a claim or potential claim’ of this policy any reference
to the insurer shall be deemed to include any party authorised to handle claims on the insurer’s
behalf.
The insurer has authorised Gallagher Bassett International Limited to handle claims on the insurer’s
behalf in respect of this policy.
In-House Claims Handling Agreement including conditions and reporting requirements
The insurer has agreed that the public authority may handle claims that may be subject to an
indemnity under this policy but limited to:
Third Party Property Damage claims under Insured section B up to a Claims
Handling Limit of GBP any one insured event subject to a Notification
Threshold of GBP any one insured event
and is granted subject to the following provisions:
i) the extent of this In-House Claims Handling Agreement is limited to
(a) setting raising or amending appropriate reserves without the consent of the insurer to a
Maximum Value of no more than the Claims Handling Limit shown above in respect of all
claims relating to any one insured event provided that;
(1) no suit or legal proceedings have been filed against the insurer
(2) no policy liability question is involved;
(b) appointing any professional services which have been approved in writing by the insurer
prior to appointment in relation to claims which fall within the scope of item (a) above;
(c) handling and settling any claim falling within the scope of item (a) above without the consent
of the insurer to a Maximum Value of no more than the Claims Handling Limit shown above
in respect of all claims relating to any one insured event.
ii) Maximum Value relates to the total financial value of the claim making no deductions for liability,
contributory negligence, unsecured recoveries, deductible, excess or other form of self insured
retentions.
iii) all claims falling outside the extent of this In-House Claims Handling Agreement must be
reported in accordance with policy conditions.
iv) in any event as soon as the public authority has become aware
(a) of any claim where the Maximum Value reaches or exceeds any Notification Threshold
shown above
(b) that one of the following injury types has occurred
(1) a fatality
(2) an amputation of a major extremity
(3) any serious head injury (including skull fracture or loss of sight of either or both eyes)
(4) any injury to the spinal cord
(5) any disability where it appears reasonably likely that there will be a disability of more
than one year
(6) any second or third degree burn of 25% or more of the body
(7) occupational disease
(8) chronic pain syndrome or related disorders
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