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 Protection... Sanitas - health and dental  insurance plans in Spain Translations (normal / sworn)
Agencia de seguros exclusiva
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Protección... Seguros médicos y dentales traducciones (normales / juradas)

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since 7/2002

América Latina

Caribbean

Caribe

Company Platinum - health plan for employees in Latin America and the Caribbean

"couples"

España

Glossary

Latin America

Patrocinadores - América Latina y el Caribe

Sanitas Exterior - 100% hospital and outpatient reimbursement health insurance costs for employees working in 190 countries (when company is based in Spain!)

Spain

US Virgin Islands

 

e-learning

¿Estudiando en otro país?

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Forum for translators

Free English class every day!

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speak the language!

stress

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Your language...

 

 

 

 

 

 

 

 

www.e-healthinsuranceservices.com

Sanitas Health Plan Complete. General Conditions:

X. DISPUTES AND APPEALS

1. In the case of a dispute about the nature of an illness or the amount of benefit payable, each Party shall appoint an expert, who shall accept in writing the terms outlined below. If one of the parties has not selected an expert, they may be required to do so eight days following a request to so do, failure to do so shall mean that the advice of the other party's expert shall be considered binding.

2. In the case that the Experts reach an agreement, they shall make a report containing the causes of the Claim Event, the valuation or the Benefits, and the other surrounding circumstances affecting the payment of Benefits and the suggested amount of any reimbursement.

3. If the experts do not agree, both parties will appoint a third expert by consent, if no agreement is reached about the third expert, the expert will be decided by a Judge of First Instance according to the Civil Law of Arbitration. In this case the experts opinion will be delivered in a way specified by the parties, failing agreement within 30 days of the appointment of the third expert.

4. The Experts opinion, whether unanimous or by a majority will be notified to the parties immediately and will be binding on the parties unless judicially challenged by either of the parties within 30 days in the case of the Insurer and 180 days in the case of the Insured, both periods shall be calculated from the date of notification. If neither party takes the aforementioned actions within these time limits the experts' decision shall become final.

5. If the decision of the experts is not appealed, the Insurer must make the payment indicated by the experts within five days.

6. If the Insurer fails to pay the amount stipulated, the Insured should apply for legal judgement, the corresponding payment shall be increased at the annual rate legally specified and will be calculated from the time that the experts decision became final, and in any case the Insurer shall pay the costs incurred by the Insured in obtaining judgement.

7. Each party will pay the costs of their own expert. The third experts cost and any further expenses that the experts deliberations have incurred shall be split between the Insurer and the Insured. Should the need for the expert's decision have been due to a clearly inaccurate valuation of the claim then these costs shall be the sole responsibility of that party

What are the General Conditions? (and introduction)  Definitions I: Purpose of the policy 
II: Exclusions III: Legal Notices IV: Waiting Periods
V: Duration of the policy VI: Premiums VII: Obligations of the policy-holder and/or the insured
VIII: Rights of the policy-holder and / or the insured IX: Insurer's obligations  
XI: Duplicate policy XII: Complaints book XIII: Subrogation
XIV: Prescription XV: Contacting us XVI: Complaints procedure
XVII: Call monitoring XVIII: Jurisdiction  

 

Advantages of using the Sanitas network in Spain... BUPA insurance products Contact me...
Emergency care outside Spain In which countries are the benefits included? In-patient benefits
Index - General Conditions Level of reimbursement: In the Sanitas network... Level of reimbursement: Outside the Sanitas network (including second country cover)
Other benefits Out-patient benefits Premiums
Recap Sanitas Health Plan Complete: benefits covered second European Country
Some of the participating European hospitals Waiting periods What benefits are included?
What is the Annual Maximum per membership year?    

Fax: (00 34) 91 8032484
'phone: (00 34) 609 522 300
Also more information on.. www.e-healthinsuranceservices.com 

You can choose the level of cover you need:

Sanitas Health Plan Basic Sanitas Health Plan Classic Sanitas Health Plan Complete 
Treatment in the Sanitas network for outpatient only  Treatment in the Sanitas network for outpatient and inpatient  Treatment in Spain and in a second European country chosen by the member when applying for the policy

 

 

 

 

main index / índice principal

Disclaimer / Aviso  Traducciones juradas (Castellano al inglés) / Sworn translations (English to Spanish)

A Coruña Álava Albacete Alicante Almería Asturias  Ávila Badajoz Balearic Islands Barcelona  Burgos Cáceres
Cádiz Cantabria Castellón de la Plana Ceuta  Ciudad Real Córdoba Cuenca Girona  Granada Guadalajara Guipúzcoa Huelva
Huesca Jaén La Rioja Las Palmas León Lleida  Lugo  Madrid Málaga  Melilla Murcia Navarra
Ourense Palencia Pontevedra Salamanca Segovia  Sevilla Tarragona Tenerife Teruel  Toledo Valencia  
Valladolid Vizcaya Zamora Zaragoza Dental insurance policies Sanitas Health Plan Classic Sanitas Multi Sanitas Mundi Sanitas Health Plan Complete      
dmh.mobi e-adverts.mobi e-anuncios.mobi  www.e-agentelocaldeseguros.com www.agentevinculado.eu  www.e-agentevinculado.com www.e-agentevinculado.eu  www.e-autores.com  www.e-chapuzas.com  www.e-chiringuito.com  www.e-chollos.com www.e-comentarios.com  www.e-consultas.com  www.e-contabilidad.com www.e-despachos.com   www.e-direccion.com  www.e-domainfranchises.com www.e-domainrentals.com  www.e-greentourism.com www.e-grunertourismus.com www.e-healthinsurance.eu  www.e-healthinsuranceservices.com  www.e-hipermercado.com www.e-insuranceintermediary.com www.e-insuranceintermediary.eu   www.e-interpretes.com www.e-mensajeros.com    www.e-productosrurales.com www.e-profesores.com www.e-recursoshumanos.com www.e-reprografia.com  www.e-ruralproducts.com www.e-ruraltourism.com  www.e-ruraltourismAfrica.com  www.e-ruraltourismAsia.com www.e-ruraltourismBenelux.com www.e-ruraltourismCanada.com www.e-ruraltourismEurope.com www.e-ruraltourismFrance.com www.e-ruraltourismGermany.com www.e-ruraltourismGreece.com www.e-ruraltourismIreland.com www.e-ruraltourismItaly.com www.e-ruraltourismLatinAmerica.com  www.e-ruraltourismMiddleEast.com www.e-ruraltourismOceania.com www.e-ruraltourismPortugal.com www.e-ruraltourismScandinavia.com www.e-ruraltourismSpain.com www.e-ruraltourismUSA.com www.e-segurodeviaje.eu www.e-segurosdeviaje.eu www.e-segurosmedicos.eu  www.e-selfemployed.com www.e-studenthealth.com  www.e-sucursal.com   www.e-tablon.com www.e-telefonia.com  www.e-telefonico.com www.e-theSmithfamily.com www.e-traductoras.com www.e-traductores.com www.e-travelinsurance.eu   www.e-turismorural.com  www.e-vecinos.com www.e-vigilancia.com  www.e-vivero.com www.mainlyhealthplans.co.uk  www.mainlyhealthplans.com www.mainlyhealthplans.eu
 
 
Copyright ©. All rights reserved. 2001- David M Harris
Última modificación: 11 de May de 2008