Common use of Claim Decision Clause in Contracts

Claim Decision. Upon receipt of a claim, the Corporation shall advise the Claimant that a reply will be forthcoming within ninety (90) days and shall, in fact, deliver such reply within such period. The Corporation may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Corporation shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (a) the specific reason or reasons for such denial; (b) the specific reference to pertinent provisions of this Agreement on which such denial is based; (c) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (d) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (e) the time limits for requesting a review under subsection (3) and for review under subsection (4) hereof.

Claim Decision. Upon receipt of a claim, the Corporation Company shall advise the Claimant that a reply will be forthcoming within ninety (90) days and shall, in fact, deliver such reply within such period. The Corporation Company may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Corporation Company shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (a) the specific reason or reasons for such denial; (b) the specific reference to pertinent provisions of this Agreement on which such denial is based; (c) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (d) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (e) the time limits for requesting a review under subsection (3) and for review under subsection (4) hereof.

Claim Decision. Upon receipt of a claim, the Corporation shall advise the Claimant in writing that a reply will be forthcoming within ninety (90) days and shall, in fact, shall deliver such reply within such ninety (90) day period. The Corporation may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Corporation shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (a) the specific reason or reasons for such denial; (b) the specific reference to pertinent provisions of this Agreement on which such denial is based; (c) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (d) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (e) the time limits for requesting a review under subsection Subsection (3) of this Section and for review under subsection Subsection (4) hereofof this Section.

Claim Decision. Upon receipt of a claim, the Corporation Company shall advise the Claimant that a reply will be forthcoming within ninety (90) days and shall, in fact, deliver such reply within such period. The Corporation Company may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Corporation Company shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (ai) the specific reason or reasons for such denial; (bii) the specific reference to pertinent provisions of this Agreement on which such denial is based; (ciii) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (div) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (ev) the time limits for requesting a review under subsection (3) and for review under subsection (4) hereof.

Claim Decision. Upon receipt of a claim, the Corporation TALX shall advise the Claimant that a reply will be forthcoming within ninety (90) days and shall, in fact, deliver such reply within such period. The Corporation TALX may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Corporation TALX shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (a) the specific reason or reasons for such denial; (b) the specific reference to pertinent provisions of this Agreement on which such denial is based; (c) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (d) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (e) the time limits for requesting a review under subsection (3) and for review under subsection (4) hereof.

Claim Decision. Upon receipt of a claim, the Corporation Bank shall advise the Claimant that a reply will be forthcoming within ninety (90) days and shall, in fact, deliver such reply within such period. The Corporation Bank may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Corporation Bank shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: : (ai) the The specific reason or reasons for such denial; ; (bii) the The specific reference to pertinent provisions of this Agreement on which such denial is based; ; (ciii) a A description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; ; (div) appropriate Appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and and (ev) the The time limits for requesting a review under subsection (3) c. and for review under subsection (4) d. hereof.

Claim Decision. Upon receipt of a claim, the Corporation Bank shall advise the Claimant that a reply will be forthcoming within ninety (90) days and shall, in fact, deliver such a reply within such period. The Corporation Bank may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Corporation Bank shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: : (ai) the specific reason or reasons for such denial; ; (bii) the specific reference to pertinent provisions of this the Agreement on which such denial is based; ; (ciii) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; ; (div) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and and (ev) the time limits for requesting a review under subsection Subsection (3c) and for review under subsection Subsection (4) hereofd).

Claim Decision. Upon receipt of a claim, the Corporation shall advise the Claimant that a reply will be forthcoming within ninety (90) 90 days and the Plan Administrator shall, in fact, deliver such reply within such period. The Corporation Plan Administrator may, however, extend the reply period for an additional ninety (90) 90 days for reasonable cause. If the claim is denied in whole or in part, the Corporation Plan Administrator shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (a) the : i. The specific reason or reasons for such denial; (b) the specific ; ii. Specific reference to pertinent provisions of this Agreement Plan on which such denial is based; (c) a ; iii. A description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (d) appropriate ; iv. Appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (e) the and v. The time limits for requesting a review under subsection (3) iii and for review under subsection (4) iv hereof.

Claim Decision. Upon receipt of a claim, the Corporation shall advise the Claimant that a reply will be forthcoming within ninety (90) days and shall, in fact, deliver such reply within such period. The Corporation may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Corporation shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (a) the specific reason or reasons for such denial; (b) the specific reference to pertinent provisions of this Agreement on which such denial is based; (c) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (d) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (e) the time limits for requesting a review under subsection (3iii) and for review under subsection (4iv) hereof.

Claim Decision. Upon receipt of a claim, the Corporation Company shall advise the Claimant that a reply will be forthcoming within ninety (90) days and shall, in fact, deliver such reply within such period. The Corporation Company may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Corporation Company shall adopt a written opinion, using language calculated to be understood by the Claimant, . setting forth: (ai) the specific reason or reasons for such denial; (bii) the specific reference to pertinent provisions of this Agreement on which such denial is based; : (ciii) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (div) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; . and (ev) the time limits for requesting a review under subsection (3) and for review under subsection (4) hereof.

Claim Decision. Upon receipt of a claim, the Corporation shall advise the Claimant that a reply will be forthcoming within ninety (90) days and shall, in fact, deliver such reply within such period. The Corporation may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied dented in whole or in part, the Corporation shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (a) the specific reason or reasons for such denial; (b) the specific reference to pertinent provisions of this Agreement on which such denial is based; (( c) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (( d) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (( e) the time limits for requesting a review under subsection (3) and for review under subsection (4) hereof.

Claim Decision. Upon receipt of a claim, the Corporation shall advise the Claimant that a reply will be forthcoming within ninety (90) days and shall, in fact, deliver such reply within such period. The Corporation may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Corporation shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (ai) the specific reason or reasons for such denial; (bii) the specific reference to or pertinent provisions of this Agreement on which such denial is based; (ciii) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (div) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (ev) the time limits for requesting a review under subsection (3) and for review under subsection (4) hereof.

Claim Decision. Upon receipt of a claim, the Corporation shall advise the Claimant that a reply will be forthcoming within ninety (90) days and shall, in fact, deliver such reply within such period. The Corporation may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Corporation shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (a) the specific reason or reasons for such denial; (b) the specific specified reference to pertinent provisions of this Agreement on which such denial is based; (c) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (d) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (e) the time limits for requesting a review under subsection (3) and for review under subsection (4) hereof.

Claim Decision. Upon receipt of a claim, the Corporation shall advise the Claimant that a reply will be forthcoming within ninety (90) days and shall, in fact, deliver such reply within such period. The Corporation may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Corporation shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: : (a) the The specific reason or reasons for such denial; ; (b) the The specific reference to pertinent provisions of this Agreement on which such denial is based; ; (c) a A description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; . (d) appropriate Appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and and (e) the The time limits for requesting a review under subsection (3iii) and for review under subsection (4iv) hereof.

Claim Decision. Upon receipt of a claim, the Corporation shall advise the Claimant that a reply will be forthcoming within ninety (90) days and shall, in fact, deliver such reply within such period. The Corporation may, however, extend the reply period for an additional ninety (90) days for reasonable cause. . 14.2.1 If the claim is denied in whole or in part, the Corporation shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: : (a) the The specific reason or reasons for such denial; ; (b) the The specific reference to pertinent provisions of this Agreement on which such denial is based; ; (c) a A description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; ; (d) appropriate Appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and and (e) the The time limits for requesting a review under subsection (3) c. and for review under subsection (4) d. hereof.

Claim Decision. Upon receipt of a claim, the Corporation shall advise the Claimant that a reply will be forthcoming forth coming within ninety (90) days and shall, in fact, deliver such reply within such period. The Corporation may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Corporation shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (a) the specific reason or reasons for such denial; (b) the specific reference to pertinent provisions of this Agreement on which such denial is based; (c) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (d) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (e) the time limits for requesting a review under subsection (3) and for review under subsection (4) hereof.

Claim Decision. Upon receipt of a claim, the Corporation Company shall advise the Claimant that a reply will be forthcoming within ninety (90) days and shall, in fact, deliver such reply within such period. The Corporation Company may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Corporation Company shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (a) the specific reason or reasons for such denial; (b) the specific reference to pertinent provisions of this Agreement on which such denial is based; (c) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (d) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (e) the time limits for requesting a review under subsection (3) and for review under subsection (4) hereof.

Claim Decision. Upon receipt of a claim, the Corporation shall advise the Claimant that a reply will be forthcoming within ninety (90) days and shall, in fact, deliver such reply within such period. The Corporation may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Corporation shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (a) the specific reason or reasons for such denial; (b) the specific reference to pertinent provisions of this Agreement on which such denial is based; (c) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (d) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (e) the time limits for requesting a review under subsection (3) and for review under subsection (4) hereofbelow.

Claim Decision. Upon receipt of a claim, the Corporation Committee shall advise the Claimant that a reply will be forthcoming within ninety (90) days and shall, in fact, deliver such reply within such period. The Corporation Company may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Corporation Committee shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: (a) the specific reason or reasons for such denial; (b) the specific reference to pertinent provisions of this Agreement on which such denial is based; (c) a description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation of why such material or such information is necessary; (d) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (e) the time limits for requesting a review under subsection (3) and for review under subsection (4) hereof.

Claim Decision. Upon receipt of a claim, the Corporation Bank shall advise the Claimant that a reply will be forthcoming within ninety (90) days and shall, in fact, deliver such reply within such period. The Corporation Bank may, however, extend the reply period for an additional ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Corporation Bank shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: : (ai) the The specific reason or reasons for such denial; ; (bii) the The specific reference to pertinent provisions of this Agreement on which such denial is based; (c) a iii)A description of any additional material or information necessary for the Claimant to perfect his or her claim and an explanation why such material or such information is necessary; (d) appropriate iv)Appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and (ev) the The time limits for requesting a review under subsection (3) c. and for review under subsection (4) d. hereof.