Calculating Time Periods. For purposes of Section I. herein, the 60-working day period within which a benefit determination on review shall be made, subject to any extension granted pursuant to paragraph I.2 above, begins at the time an Appeal is received by the Plan or the Plan’s Designee, without regard to whether all the information necessary to make an Appeal Decision accompanies the filing.
Appears in 6 contracts
Samples: Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement for a Qualified Health Plan, In Network Individual Enrollment Agreement
Calculating Time Periods. For purposes of Section I. herein, the 60-working day period within which a benefit determination on review shall be made, subject to any extension granted pursuant to paragraph I.2 above, begins at the time an Appeal is received by the Plan or the Plan’s 's Designee, without regard to whether all the information necessary to make an Appeal Decision accompanies the filing.
Appears in 3 contracts
Samples: Student Health Plan Individual Enrollment Agreement, Student Health Plan Individual Enrollment Agreement, Member Contract
Calculating Time Periods. For purposes of Section I. herein, the 60-working day period within which a benefit determination on review shall be made, subject to any extension granted pursuant to paragraph I.2 above, begins at the time an Appeal is received by the Plan or the Plan’s Plan‟s Designee, without regard to whether all the information necessary to make an Appeal Decision accompanies the filing.
Appears in 3 contracts
Samples: In Network Group Contract, In Network Group Contract, In Network Group Contract
Calculating Time Periods. For purposes of Section I. herein, the 60-working day period within which a benefit determination on review shall be made, subject to any extension granted pursuant to paragraph I.2 above, made begins at the time an Appeal is received by the Plan or the Plan’s Designee, without regard to whether all the information necessary to make an Appeal Decision accompanies the filing.
Appears in 1 contract
Samples: Individual Plan Agreement
