Common use of Appeal of a Denial Clause in Contracts

Appeal of a Denial. If a request for disability leave benefits is denied, the employee shall be informed of the denial in writing. The employee may then file, in writing and within thirty (30) days of the notice of the denial, a request for an appeal of the denial with the Director of Administrative Services or his/her designee. Additional information regarding the employee's claim may be submitted with the employee's grievance and such information will be considered during the appeal. Where a medical question is at issue, the Director shall upon receiving a written request for an appeal, obtain a medical opinion from an independent third party who shall be mutually agreed to by the employee's physician and the Director. The selection of a third party shall be made within fifteen (15) days of the appeal, unless an extension is agreed to by the parties. The third party selected shall render a medical opinion within thirty (30) days of the selection. If the appeal to the Director results in denial of the disability leave benefits, the employee shall be informed of the denial in writing. The employee may then file, within thirty (30) days of the notice of the denial, a grievance in accordance with Article 20 of this Agreement. The grievance must be filed at Step 3 of the Grievance Procedure.

Appears in 3 contracts

Samples: Article 1 Agreement, das.ohio.gov, das.ohio.gov

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Appeal of a Denial. If a request for disability leave benefits is denied, the employee shall be informed of the denial in writing. The employee may then file, in writing and file a request for an appeal with the Director of Administrative Services within thirty (30) 30 days of the notice of the denial, a request for an appeal of the denial with the Director of Administrative Services or his/her designee. Additional information regarding the employee's ’s claim may be submitted with during the employee's grievance course of the appeal and such information will be considered during the appealconsidered. Where a medical question is at issue, the Director of Administrative Services shall upon receiving a written request for an appeal, appeal obtain a medical opinion from an independent third party physician who shall be mutually agreed to by the employee's ’s physician and the Director. The selection of a third party shall be made within fifteen (15) 15 days of the filing of the appeal, unless an extension is agreed to by the parties. The third party selected physician shall render a medical opinion in writing within thirty (30) 30 days of the selectionselection and this opinion shall be the basis for the Director’s decision. If the appeal to the Director results in denial of the Administrative Services denies disability leave benefits, the employee shall be informed of the denial in writing. The employee may then file, file a grievance pursuant to Article 25 within thirty (30) 30 days after receipt of the notice of denial from the denial, a grievance in accordance with Article 20 of this AgreementDirector. The grievance must shall be filed at Step 3 2 of the Grievance Proceduregrievance procedure.

Appears in 2 contracts

Samples: Collective Bargaining Agreement, Collective Bargaining Agreement

Appeal of a Denial. If a request for disability leave benefits is denied, the employee shall be informed of the denial in writing. The employee may then file, in writing and file a request for an appeal with the Director of Administrative Services within thirty (30) 30 days of the notice of the denial, a request for an appeal of the denial with the Director of Administrative Services or his/her designee. Additional information regarding the employee's ’s claim may be submitted with during the employee's grievance course of the appeal and such information will be considered during the appealconsidered. Where a medical question is at issue, the Director of Administrative Services shall upon receiving a written request for an appeal, appeal obtain a medical opinion from an independent third party physician who shall be mutually agreed to by the employee's ’s physician and the Director. The selection of a third party shall be made within fifteen (15) 15 days of the filing of the appeal, unless an extension is agreed to by the parties. The third party selected physician shall render a medical opinion in writing within thirty (30) 30 days of the selectionselection and this opinion shall be the basis for the Director’s decision. If the appeal to the Director results in denial of the Administrative Services denies disability leave benefits, the employee shall be informed of the denial in writing. The employee may then file, file a grievance pursuant to Article 22 within thirty (30) 30 days after receipt of the notice of denial from the denial, a grievance in accordance with Article 20 of this AgreementDirector. The grievance must shall be filed at Step 3 of the Grievance Proceduregrievance procedure.

Appears in 1 contract

Samples: Collective Bargaining Agreement

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Appeal of a Denial. If a request for disability leave benefits is denied, the employee shall be informed of the denial in writing. The employee may then file, in writing and file a request for an appeal with the Director of Administrative Services within thirty (30) days of the notice of the denial, a request for an appeal of the denial with the Director of Administrative Services or his/her designee. Additional information regarding the employee's ’s claim may be submitted with during the employee's grievance course of the appeal and such information will be considered during the appealconsidered. Where a medical question is at issue, the Director of Administrative Services shall upon receiving a written request for an appeal, appeal obtain a medical opinion from an independent third third- party physician who shall be mutually agreed to by the employee's ’s physician and the Director. The selection of a third party shall be made within fifteen (15) days of the filing of the appeal, unless an extension is agreed to by the parties. The third third-party selected physician shall render a medical opinion in writing within thirty (30) days of the selectionselection and this opinion shall be the basis for the Director’s decision. If the appeal to the Director results in denial of the Administrative Services denies disability leave benefits, the employee shall be informed of the denial in writing. The employee may then file, file a grievance pursuant to Article 25 within thirty (30) days after receipt of the notice of denial from the denial, a grievance in accordance with Article 20 of this AgreementDirector. The grievance must shall be filed at Step 3 2 of the Grievance Proceduregrievance procedure.

Appears in 1 contract

Samples: Bargaining Agreement

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