Common use of Benefit Determinations Clause in Contracts

Benefit Determinations. The Plan, or a person or entity working on behalf of the Plan, will administer your Benefits and determine your Benefits in accordance with the terms of this Agreement. For Claim Denials, your Explanation of Benefits is your Notice of Adverse Benefit Determination. Other Adverse Benefit Determinations are described in section 2.F.

Appears in 9 contracts

Samples: Member Benefit Agreement, Member Benefit Agreement, Member Benefit Agreement

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Benefit Determinations. The Plan, or a person or entity working on behalf of the Plan, will administer your Benefits and determine your Benefits in accordance with the terms of this Agreement. For Claim Denials, your Explanation of Benefits is your Notice of Adverse Benefit DeterminationDete rmination. Other Adverse Benefit Determinations are described in section 2.F.

Appears in 1 contract

Samples: Member Benefit Agreement

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Benefit Determinations. The Plan, or a person or entity working on behalf of the Plan, will administer your Benefits and determine your Benefits in accordance with the terms of this Agreement. For Claim Denials, your Explanation of Benefits is your Notice of Adverse Benefit Determination. Other Adverse Benefit Determinations are described in section 2.F.2.G.

Appears in 1 contract

Samples: Member Benefit Agreement

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