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Chapter Law Content

Title: Regulations for Examination of Farmer Health Insurance Disputes CH
Category: Council of Agriculture, Executive Yuan(行政院農業委員會)
Chapter 3 Procedures of Examination
Article 14
After receiving the written opinions from the insurer, the Supervisory Commission shall refer it with the application form to the Examination Committee for examination.
The examination mentioned in the preceding paragraph shall be decided within three months after the day following on which the application form is received. The said time limit may be extended once if necessary; however, the extention period may not exceed more than two months, and the applicant should be notified of the extension.
To which the applications are subject to provisions of Paragraph 1, 2 of Article 6 to be supplemented or corrected, the period mentioned in the preceding paragraph shall start from the day following that on which the supplement or correction is submitted; the period with no supplement or correction may start from the day following the expiry day of supplemented or corrected period; others which need to supplement or present reasons during examination period shall start from the day following that on which the last supplement or presentation is accepted.
Article 15
If the examination should be decided based on its relation with other laws, the procedures of examination can be suspended pursuant to the authorities or the applicant's application till the said relation is affirmed, and the applicant should be notified of the suspension.
Article 16
The Dispute Examination Division of Supervisory Commission should write down its initial comments according to the nature of the case, or the examination members should present their initial comments about the examination. If necessary, the case can be sent for experts to examine and verify, and then submitted for the Examination Committee to examine.
Reasonable fees can be paid for the examination or verification mentioned in the preceding paragraph in accordance with the standards set forth in relevant regulations.
Article 17
If the Examination Committee thinks necessary to re-examine the situations of injury, disease or disability of the insured persons, it can appoint a hospital or professional physician to make a re-examination. The insured shall not reject the re-examination without any proper reason.
The expenses for the re-examination mentioned in the preceding paragraph shall be borne by the insurer.
Article 18
The Supervisory Commission shall make the decision report of examination according to the results of examination , and submit it to the Chairman of Supervisory Commission for approval and decision. The Supervisory Commission should deliver such decision report to the applicant, the insuring establishment and the insurer respectively within fifteen (15) days after examination.
The insurer shall fulfill the examination decision mentioned in the preceding paragraph within fifteen(15) days after receipt of such report.