Common use of Claim Decision Clause in Contracts

Claim Decision. Upon receipt of a claim, the Bank shall advise the Claimant that a reply will be forthcoming within 90 days and shall, in fact, deliver such reply within such period. The Bank may, however, extend the reply period for an additional 90 days for reasonable cause. If the claim is denied in whole or in part, the Bank 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.

Appears in 3 contracts

Sources: Split Dollar Agreement (NBT Bancorp Inc), Split Dollar Agreement (NBT Bancorp Inc), Split Dollar Agreement (NBT Bancorp Inc)

Claim Decision. Upon receipt of a claim, the Bank Company shall advise the Claimant that a reply will be forthcoming within 90 days and shall, in fact, deliver such reply within such period. The Bank Company may, however, extend the reply period for an additional 90 days for reasonable cause. If the claim is denied in whole or in part, the Bank 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.

Appears in 3 contracts

Sources: Employment Agreement (American International Group Inc), Employment Agreement (American International Group Inc), Split Dollar Agreement (American General Corp /Tx/)

Claim Decision. Upon receipt of a claim, the Bank shall advise the Claimant that a reply will be forthcoming within 90 days and shall, in fact, deliver such reply within such period. The Bank may, however, extend the reply period for an additional 90 days for reasonable cause. If the claim is denied in whole or in part, the Bank 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 his 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.

Appears in 2 contracts

Sources: Split Dollar Agreement (NBT Bancorp Inc), Split Dollar Agreement (NBT Bancorp Inc)

Claim Decision. Upon receipt of a claim, the Bank Corporation shall advise the Claimant that a reply will be forthcoming within 90 ninety (90) days and shall, in fact, deliver such reply within such period. The Bank Corporation may, however, extend the reply period for an additional 90 ninety (90) days for reasonable cause. If the claim is denied in whole or in part, the Bank Corporation shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: : (a1) the The specific reason or reasons for such denial; ; (b2) the The specific reference to pertinent provisions of this Agreement on which such denial is based; ; (c3) 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; ; (d4) appropriate Appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and and (e5) the The time limits for requesting a review under subsection (3) c. and for review under subsection (4) d. hereof.

Appears in 2 contracts

Sources: Deferred Compensation Agreement (Second Bancorp Inc), Deferred Compensation Agreement (Second Bancorp Inc)

Claim Decision. Upon receipt of a claim, the Bank shall advise the Claimant that a reply will be forthcoming within 90 ninety (90) days and shall, in fact, deliver such reply within such period. The Bank may, however, extend the reply period for an additional 90 ninety (90) days for reasonable cause. If the claim is denied denied, in whole or in part, the 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 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.

Appears in 1 contract

Sources: Supplemental Retirement Agreement (BSB Bancorp, Inc.)

Claim Decision. Upon receipt of a claim, the Bank Corporation shall advise the Claimant that a reply report will be forthcoming within 90 ninety (90) days and shall, in fact, fact deliver such the reply within such period. The Bank Corporation may, however, extend the reply period for an additional 90 thirty (30) days for reasonable cause. If the claim is denied in whole or in part, the Bank Corporation shall adopt a written opinion, using language calculated to be understood by the Claimant, setting forth: : (a1) the specific reason or reasons for such denial; ; (b2) the specific reference to pertinent provisions of this Agreement on which such denial is based; ; (c3) a description of any additional material or information necessary for the Claimant to perfect his or her (his) (her) claim and an explanation why such material or such information is necessary; ; (d4) appropriate information as to the steps to be taken if the Claimant wishes to submit the claim for review; and and (e5) the time limits for requesting a review under subsection (3C) and ad for review under subsection (4( d) hereof.

Appears in 1 contract

Sources: Equity Split Dollar Agreement (First Washington Financial Corp)