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1. Parties: Identification of all parties to the agreement, including insurer, insured, and any other relevant parties (e.g., beneficiaries, additional insureds)
2. Background: Details of the insurance policy, claim circumstances, and events leading to settlement
3. Definitions: Definitions of key terms used throughout the agreement
4. Settlement Amount and Payment Terms: Specified settlement amount, payment method, timeline, and any conditions precedent to payment
5. Release and Discharge: Full and final release of claims against the insurer and related parties
6. Confidentiality: Terms regarding confidentiality of the settlement and its terms
7. Non-Admission: Statement that the settlement does not constitute admission of liability
8. Tax Implications: Acknowledgment of tax responsibilities and implications of the settlement
9. Entire Agreement: Integration clause confirming this document represents the complete agreement
10. Governing Law: Specification of applicable law and jurisdiction
11. Execution: Signature requirements and effective date
1. Medicare/Healthcare Liens: Required when there are healthcare liens or obligations that need to be addressed as part of the settlement
2. Future Medical Expenses: Used when the settlement includes provisions for future medical care or treatments
3. Structured Settlement Terms: Include when the settlement involves periodic payments rather than a lump sum
4. Third-Party Claims: Required when there are potential claims against third parties that need to be addressed
5. Return of Documents: Include when specific documents need to be returned or destroyed as part of settlement
6. Non-Disparagement: Optional clause preventing parties from making negative statements about each other
7. Subrogation Rights: Include when there are subrogation rights that need to be addressed or waived
1. Schedule A - Settlement Payment Details: Detailed breakdown of settlement amount, including any deductions or allocations
2. Schedule B - Released Claims: Comprehensive list of claims being released under the agreement
3. Schedule C - Insurance Policy Details: Details of the relevant insurance policy(ies) including policy numbers and coverage periods
4. Appendix 1 - Supporting Documentation: List of relevant documents supporting the claim and settlement
5. Appendix 2 - Medical Reports: Relevant medical reports and assessments (if applicable)
6. Appendix 3 - Payment Schedule: For structured settlements, detailed schedule of future payments
Claim
Claimant
Confidential Information
Effective Date
Insurance Policy
Insured
Insurer
Loss
Parties
Policy Period
Release
Released Claims
Released Parties
Settlement Amount
Settlement Payment
Supporting Documentation
Tax Obligations
Term
Incident
Jurisdiction
Governing Law
Business Day
Notice
Representatives
Beneficiary
Additional Insured
Policy Limits
Claim Number
Litigation
Dispute
Force Majeure
Material Breach
Subrogation Rights
Limitation Period
Consideration
Indemnification
Related Entities
Legal Costs
Healthcare Provider
Recitals
Definitions
Settlement Payment
Release and Discharge
Confidentiality
Non-Admission of Liability
Tax Indemnification
Representations and Warranties
Payment Terms
Governing Law
Jurisdiction
Entire Agreement
Severability
Amendment
Assignment
Notices
Further Assurances
Indemnification
Waiver
Force Majeure
Counterparts
Authority
Privacy
Medicare/Healthcare Compliance
Subrogation
Non-Disparagement
Document Return/Destruction
Third Party Rights
Costs and Expenses
Insurance
Financial Services
Healthcare
Construction
Manufacturing
Transportation
Real Estate
Professional Services
Retail
Hospitality
Mining
Energy
Agriculture
Maritime
Legal
Risk Management
Claims Processing
Compliance
Insurance Operations
Corporate Affairs
Policy Administration
Underwriting
Document Management
Client Relations
Insurance Claims Manager
Risk Manager
Legal Counsel
Claims Adjuster
Insurance Broker
Compliance Officer
Chief Risk Officer
Insurance Underwriter
Settlement Officer
Corporate Counsel
Insurance Administrator
Claims Investigation Specialist
Policy Administrator
Insurance Operations Manager
Legal Administrator
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