Where each Monetary Award claim we have received stands at this time in the Settlement Program process, based on the last notice issued or the most recent action taken on the claim (to give a snapshot of current statuses, a claim is counted only once in one category)
Section 8 Details
In Review Process at Claims Administrator: The Claims Administrator is reviewing the Claim Package after an initial submission or a response to a notice requesting additional information and/or documents.
MAF Rule 20 Deviation Explanation Required: The claim is on hold while the Claims Administrator obtains an explanation from the diagnosing Qualified MAF Physician pursuant to Rule 20 of the Rules Governing Qualified MAF Physicians.
Special Master Remanded Claim to Claims Administrator: After an appeal by the Settlement Class Member, Class Counsel or Counsel for the NFL Parties, the Special Master remanded the claim (that is, sent the claim back) to the Claims Administrator to review new evidence submitted with the appeal.
Notice Ready to Issue: The Claims Administrator or an AAP member has completed a review and a notice with the outcome of that review will be issued to the Settlement Class Member (or his or her lawyer, if represented) the day after the date of the report.
Needs Special Master Statute of Limitations Review: The Special Masters must decide whether the claim submitted on behalf of a Retired NFL Football Player who died before January 1, 2006, is time-barred under the applicable statute of limitations.
Last Notice was for Incomplete Claim Package: The Claims Administrator is waiting for the Settlement Class Member (or his or her lawyer, if represented) to respond to one of its notices requesting additional information and/or documents.
Ready for Review by AAP: These claims are being reviewed by an AAP doctor or are awaiting such review.
Last Notice was Award Notice: The Claims Administrator issued a payable Notice of Monetary Award Claim Determination and the award has not been appealed (though the deadline to appeal has not expired), is not in Audit and has not yet been put on a Funding Request to be paid.
Last Notice was Denial Notice: The Claims Administrator sent a denial notice on the claim and the denial has not yet been appealed (though the deadline to appeal has not expired) and the claim is not in Audit.
On Appeal Now: The Settlement Class Member, Class Counsel and/or the NFL Parties have appealed an award or denial notice to the Special Masters and the appeal process is ongoing.
In Audit Investigation: The Claim Package is in the Claims Administrator’s Audit investigation under Sections 10.3 and 10.4 of the Settlement Agreement to determine if there has been misrepresentation, omission, or concealment of a material fact.
In Audit – Failure to Provide Information: The claim is in Audit but the investigation is stalled because a healthcare provider, lawyer, or Retired NFL Football Player refuses to cooperate and provide information necessary for the investigation.
Referred to the Special Investigator by the Special Masters: The Special Masters referred the claim for review by the Special Investigator, who serves under the authority of the Court, at the direction of the Special Masters.
Adverse Audit Report with the Parties for Review: The Claims Administrator determined there is a reasonable basis to support a finding that there has been a misrepresentation, omission or concealment of a material fact made in connection with the Claim Package and has presented to Class Counsel and the NFL Parties an Adverse Audit Report for their review under Audit Rule 16.
Adverse Audit Report Awaiting Response from Those Audited: One or both of Class Counsel and the NFL Parties consented or did not object to referral of a Claims Administrator Adverse Audit Report and the Special Masters have accepted the Report for further proceedings under Audit Rule 18. The affected parties have been notified and may submit responses to the Report.
Adverse Audit Report with the Special Masters for Review: The Special Masters are considering the Record of the Audit Proceeding to determine whether there has been misrepresentation, omission, or concealment of a material fact relating to the Claim Package.
Denied After Audit: The Special Masters, pursuant to Audit Rules 27 and 31, directed that claims subject to an Adverse Audit Report be denied.
Final Denial: The claim has been denied in the claims process and the denial was not appealed or has been upheld by the Special Master after appeal.
Withdrawn: The Settlement Class Member (or his or her lawyer, if represented) withdrew the claim and asked us to stop processing it. No further action is taken on a claim that has been withdrawn.
Ready for Next Month’s Payment List: The claim has not yet been paid but is ready to be included on a Funding Request, which the Claims Administrator prepares and sends to Class Counsel and the NFL Parties by the 10th of each month.
On this Month’s Payment List: The claim has not yet been paid but was included on the current Funding Request and will receive payment soon, unless reasons intervene to cause a delay in payment.
Paid: The Trustee has paid the claim.