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If I have a CLAIM, how much of the DEDUCTIBLE is called on and at what stage in the CLAIM?
DEDUCTIBLE(S) are applied as follows:
Where applicable to indemnity payments and/or costs of repairs only:
- To judgments, settlements and/or costs of repairs, to the extent of the DEDUCTIBLE amount, when the judgment, settlement and/or cost of repair expenditure is due.
Where applicable to CLAIM expenses, indemnity payments and/or costs of repairs:
- To covered investigation and defence expenses due or incurred when the Statement of Defence or responding material is filed, to the extent of 50% of the DEDUCTIBLE amount;
- To covered investigation and defence expenses due or incurred at the time of commencement of examinations for discovery, or once examination begins, or once a pre-trial conference is held if no examination for discovery is held to the extent of 50% of the deductible amount;
- To judgments,settlements, and/or costs of repairs, to the extent of any outstanding DEDUCTIBLE amount, when the judgment, settlement and/or repair exependiture is due.
Thus, a LAWYER with the standard $5,000 DEDUCTIBLE applicable to CLAIM expenses, indemnity payments and/or repairs costs would be required to pay $2,500 when a Statement of Defence of responding material is filed; and $2,500 once examination for discovery begins or once a pre-trial conference is conducted if no examination for discovery is held, assuming that the covered investigation and defence costs incurred exceed these amounts.
However, if the CLAIM is settled prior to a Statement of Defence or other responding material being issued, the DEDUCTIBLE would apply to any indemnity payment or costs of repairs incurred only. If in this scenario the indemnity and/or repair was less than the $5,000 DEDUCTIBLE, the LAWYER would be required to pay this lesser amount.