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, • - 8- <br /> . <br /> SCHEDULEIV I <br /> DEFINITIONS � <br /> Claim - Any report of an accident(first or third party)alleging or resulting in injury,damage,or foss which could give II� <br /> rise to a demand for the payment of money. The cfaim charge is applicable on a per occurrence,per claimant,per line <br /> of coverage basis as defined in the RISX-FACSo system. <br /> Discretionary Settlement Authority- GB is authorized to make payment,for loss or expense,up to this amount,as ' <br /> GB deems necessary. , <br /> Qualified Loss or Claims - GB will investigate and adjust any loss or claim occurring within the service term, ' <br /> provided the loss or claim type is identified in Schedule V. � <br /> Allocated Expenses - Shall be the responsibility of the CLIENT and shall include, but not be limited to: �I <br /> • legal fees • sub rosa investigations I <br /> � professional photographs • medical examinations <br /> • medical records • extraordinary travel made at CLIENT's request �, <br /> • experts' rehabilitation costs • court reporters ! <br /> • accident reconstruction • fees for service of process I <br /> • archifects, contractors • pre- and post-judgment interest paid <br /> • engineers • chemists II <br /> • police,fire, coroner,weather, or other such • collection costs payable to third parties on I <br /> reports subrogation <br /> • property damage appraisals • any other similar cost,fee or expense reasonably I <br /> • extraordinary costs for witness statements chargeabfe to the investigation, negotiation, <br /> • official documents and transcripts settlement or defense of a claim or loss which i <br /> must have the explicit prior approval of the <br /> � CLIENT � <br /> • Managed Care <br /> Managed Care- Managed Care services shall include, but not be limited to: <br /> • preferred provider organization networks • utilization review services <br /> • state fee scheduling � light-duty and return-to-work programs <br /> • usual, customary and reasonable bill review • prospective injury management services <br /> • medical case management and vocational • hospital bill audit services <br /> rehabilitation network • wholesale pharmaceutical network <br /> • retail pharmaceutical network <br /> 06\cqllDecatur,IL,City of-000322.doc <br />