R94-96 AUTHORIZING AGREEMENT - ARTHUR J. GALLAGHER AND COMPANY

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., • � . �, ' - 8 - `, _ � SCHEDULE IV I DEFINITIONS Claim — Any report of an accident (first or third party) alleging or resulting in injury, damage, or loss which could give rise to a demand for the payment of money. The claim charge is applicable on a per occurrence, per claimant, per line of coverage basis as defined in the RISX—FACS� system. Discretionary Settlement Authority — GB is authorized to make payment, for loss or expense, up to this amount, as GB deems necessary. aualified Loss or Claims — GB will investigate and adjust any loss or claim occurring within the service term, provided the loss or claim type is identified in Schedule V. Allocated Expenses — Shall be the responsibility of the CLIENT and shall include, but not be limited to: • legal fees • sub rosa investigations • professional photographs • medical examinations . • medical records • extraordinary travel made at CLIENT's request • experts' rehabilitation costs • court reporters • accident reconstruction • fees for service of process • architects, contractors � pre— and post—judgment interest paid • engineers • chemists • police, fire, coroner, weather, or other such • collection costs payable to third parties on reports subrogation • property damage appraisals • any other similar cost, fee or expense • extraordinary costs for witness statements reasonably chargeable to the investigation, • official documents and transcripts negotiation, settlement or defense of a claim or loss which must have the explicit prior approval of the CLIENT • Managed Care Managed Care — Managed Care services shall include but not be limited to: • preferred provider organization networks • utilization review services • automated state fee scheduling • light duty and return to work programs • medical case management and vocational • prospective injury management services ' rehabilitation network • hospital bill audit services 17357