Common use of Appeals Rights Clause in Contracts

Appeals Rights. All decisions of SHL’s Managed Care Program may be appealed by the Insured or his Authorized Representative through the Appeals Procedures. If an imminent and serious threat to the health of the Insured exists, the appeal will be directed to SHL's Medical Director.

Appears in 9 contracts

Samples: Group Health Insurance Certificate of Coverage, Agreement of Coverage, Epo Agreement of Coverage

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Appeals Rights. All decisions of SHL’s Managed Care Program may be appealed by the Insured or his Authorized Representative through the Appeals Procedures. If an imminent and serious threat to the health of the Insured exists, the appeal will be directed to SHL's Medical Dental Director.

Appears in 1 contract

Samples: Dental Coverage Agreement

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Appeals Rights. All decisions of SHL’s Managed Care Program may Programmay be appealed by the Insured or his Authorized Representative through the Appeals Procedures. If an imminent and serious threat to the health of the Insured exists, the appeal will be directed to SHL's Medical Director.

Appears in 1 contract

Samples: Group Health Insurance Certificate of Coverage

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