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Utah Insurance Receivers Office
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Below are the instructions for filing a Proof of Claim against Wasatch Crest Insurance Company. A copy of these instructions has been saved in PDF format and is available for download here. This PDF may be viewed with a free Adobe Acrobat viewer available for download at http://www.adobe.com. If you have any problems with this document please email the webmaster at tklein@utah.gov ***IMPORTANT***READ
CAREFULLY INSTRUCTION
FOR COMPLETING AND FILING PROOF OF CLAIM “IN
THE MATTER OF THE LIQUIDATION OF WASATCH
CREST INSURANCE COMPANY.” 1. A full and detailed statement of the facts constituting the claim. If not enough space is available on the form attach additional sheets. 2. Policyholders must include a copy of any policy on which a claim is filed. 3. ALL POLICYHOLDERS AND CERTIFICATE HOLDERS with previously reported claims or new claims should check the box indicating “Claim is made by policyholder for benefits provided by the policy”. Filing your proof will place the Liquidator on notice of the claim. This will activate your claim in the liquidation proceedings. You should file a separate proof for each claim that is known to you. You must file a Proof of Claim even if the claim is in suit. Do not file this Proof of Claim unless you are aware of a claim and can actually support it. If you fail to adequately describe and document your claim, for purposes of this liquidation, your Proof of Claim may be rejected at the sole discretion of the Liquidator. 4. CLAIMANTS OTHER THAN POLICYHOLDERS OR CERTIFICATE HOLDERS should check the appropriate box of the Proof of Claim form. This proof must be filed, even though the claim was presented to the company. Failure to file this proof will jeopardize your claim in the liquidation. If you fail to provide adequate documentation to support your claim, your Proof of Claim may be rejected at the sole discretion of the Liquidator. 4a. Claims submitted for legal, actuarial, reinsurance coverage or general creditor fees must include the original written contract or description of any other agreement with the company and must be accompanied by detailed invoices. 5. Supporting documents must be attached: (a) If the claim is for loss under a policy or contract of insurance attach a copy of the proof of loss, if any, filed with the company prior to the liquidation. (b) If the claim is for materials supplied, services rendered, or a contract with the company other than a policy or contract of insurance, a copy of the contract should be attached. If such contract was oral, give the name of the person who acted for the company and the terms of the contract or agreement. (c) If any document has been lost, destroyed, or cannot be provided the reason should be stated. (d) Claims filed by receivers, administrators, assignees, attorneys-in-fact, guardians, or other representative, should include proof of authority. (e) If you have been sued in connection with the claim, attach a copy of the summons or complaint or petition.
6. The Proof of Claim must be signed as follows: (a) A claimant who is an individual should sign on the line indicated. (b) A claim filed by a corporation should be signed on the line indicated by an officer, designating his title. 7. During the course of this liquidation proceeding, parties filing claims with the Liquidator must notify the Liquidator of any mailing address changes. 8. The Liquidator reserves the right to require other information he deems necessary in order to allow and properly classify claim or to deny it. THE LAST
DAY FOR FILING THIS PROOF OF CLAIM IS Even if you may not be able to determine the exact amount of your claim prior to that date, this form must be filed with the Liquidator or your claim may not be allowed. Mail the completed form to Wasatch Crest Insurance Company, In Liquidation 215 South State Street, Suite 300, Salt Lake City, Utah 84111 |