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How to claim reimbursement

Published on 28 September 2020

Rules for submitting a claim

Members must follow the rules for claim submission:

  1. Requests for reimbursement are for scheme members only.
  2. All claims for reimbursement should be submitted within 60 days of the member being notified of final costs on closure of the claim.

Claim for the "award"

Members can submit a claim for reimbursement of the"award":

  • after payment of the final award to the claimant
  • after payment of a significant interim award has been made
  • when the claim has been settled

Members should keep a note of all interim requests submitted and paid so that they deduct them from their final claim submission.

Claim for "costs"

Members can submit a claim for "costs" after all relevant costs have been finalised and the claim has been closed.

  1. For clinical and non-clinical claims lodged with the member by the claimant or their solicitor, the deductible will be £25,000 for each claim.

Members may reclaim from CNORIS the total value of award, claimant’s legal expenses, and own legal expenses less the £25,000 deductibles threshold.

"Lodged" claim definition

The "lodged" claim could be an initial letter from a solicitor requesting information. "Lodged" refers to the initial written indication that the claimant believes there was some negligence or wrongdoing on the part of the organisation or its servants.

A claim will be lodged in our database only when a formal intimation of claim has been received.

  1. Any claims for which insurance should have been available will not be paid by CNORIS. If a member submits a claim and records indicate that it may have been insured by a predecessor organisation, it will be returned unprocessed.