Common use of Administration and Governance Clause in Contracts

Administration and Governance. 1. A SLB Committee designated by the Superintendent will administer the SLB and determine the validity of claims against the SLB. The SLB Committee shall include health care professionals (two non-voting) from the plans in the Benefits Trust, the CTA president or designee, the OESPA president or designee, the Orange County Service Unit Executive Director and three District administrators. Such determination shall be expedited in cases of extreme hardship. a. Step 1: The initial decision is made by a designee(s) of the committee and sent to the employee. b. Step 2: If the claim of the member is denied, an employee may request, in writing, an appeal of the decision within five duty days of receipt of the denial. Such decisions will be appealed to the full Committee. The decision of the full Committee is final. 2. Quarterly reports of usage of the SLB shall be available to members. A copy shall be provided to the Union and the Fringe Benefits Committee. The report shall include the number of days used and the reasons for usage.

Administration and Governance. 1. A SLB Committee designated by the Superintendent will administer the SLB and determine the validity of claims against the SLB. The SLB Committee shall include health care professionals (two non-voting) from the plans in the Benefits Trust, the CTA president or and designee, the OESPA president or and designee, the Orange County Service Unit Executive Director and three two District administrators. Such determination shall be expedited in cases of extreme hardship. a. Step 1: The initial decision is made by a designee(s) of the committee and sent to the employee. b. Step 2: If the claim of the member is denied, an employee may request, in writing, an appeal of the decision within five duty days of receipt of the denial. Such decisions will be appealed to the full Committee. The decision Thedecision of the full Committee is final. 2. Quarterly reports of usage of the SLB shall be available to members. A copy shall be provided to the Union and the Fringe Benefits Committee. The report shall include the number of days used and the reasons for usage.