Claim for Benefits Sample Clauses
Claim for Benefits. Claims for benefits shall be processed as soon as administratively feasible and without unreasonable delay due to causes beyond the control of the Bank. A written ruling on each claim for benefits shall be delivered to the Director or Beneficiary making the claim. If the claim is denied in any respect, the ruling shall set forth the specific reasons for such denial, written in a manner calculated to be understood by the Director or Beneficiary, including:
A. Specific references to pertinent Agreement provisions on which the denial is based;
B. A description of any additional material or information necessary for the claimant to perfect the claim;
C. An explanation of why such material or information is needed; and
D. An explanation of the Agreement's review procedure for denied claims. Such ruling shall be made within thirty (30) days from the date the claim is received by the Bank. If information upon which the ruling is based is not available, the Bank shall make prompt effort to secure all information needed and make its ruling. If the claim is not acted upon within one hundred twenty (120) days of the claim, the claimant may proceed to the review stage as if the claim had been denied.
Claim for Benefits. To obtain payment of any benefits under the Plan a Participant must comply with the rules and procedures of the particular benefit program elected pursuant to this Plan under which the Participant claims a benefit.
Claim for Benefits. It is not necessary that an Eligible Employee apply for severance pay and severance benefits under the Plan. However, if an Eligible Employee wishes to file a claim for severance pay and severance benefits, such claim must be in writing and filed with the Plan Administrator. If the Eligible Employee does not provide all the necessary information for the Plan Administrator to process the claim, the Plan Administrator may request additional information and set deadlines for the Eligible Employee to provide that information. Within ninety (90) days after receiving a claim, the Plan Administrator will:
(a) either accept or deny the claim completely or partially; and
(b) notify the claimant of acceptance or denial of the claim.
Claim for Benefits. Any claim for benefits under the Plan shall be made in writing to any member of the Committee. If such claim for benefits is wholly or partially denied by the Committee, the Committee shall, within a reasonable period of time, but not later than sixty (60) days after receipt of the claim, notify the claimant of the denial of the claim. Such notice of denial shall be in writing and shall contain:
(a) The specific reason or reasons for denial of the claim;
(b) A reference to the relevant Plan provisions upon which the denial is based;
(c) A description of any additional material or information necessary for the claimant to perfect the claim, together with an explanation of why such material or information is necessary; and
(d) An explanation of the Plan’s claim review procedure. If no such notice is provided, the claim shall be deemed granted.
Claim for Benefits a) Any Claim for Benefits underwritten by an Insurance Contract shall be made to the Insurer. If the Insurer denies any Claim, the Participant or Beneficiary shall follow the Insurer’s claims review procedure as set forth by the terms of that plan or other plan description. Any other Claim for Benefits shall be made to the Administrator. If the Administrator denies a Claim, the Administrator will provide notice to the Participant or Beneficiary, in writing, within 30 days after the Claim is filed unless special circumstances require an extension of time for processing the Claim. The notice of a denial of a Claim shall be written in a manner calculated to be understood by the Claimant and shall set forth:
1) The reason(s) for the denial;
2) Specific reference to the provisions of the Plan on which the denial was based;
3) A description of any additional material or information needed to further process the Claim and an explanation of why such material or information is necessary;
4) A description of the Plan’s review procedures and time limits applicable to such procedures, as well as the Participant’s right to bring a civil action under Section 502 of ERISA following a final appeal;
5) A statement of a Participant’s right to receive, upon request and free of charge, reasonable access to, and copies of, all documents, records, and other information relevant to the Claim;
6) A statement that if the denial was based on an internal rule, guideline, protocol, or similar criteria, a copy of such rule, guideline, protocol, or other similar criteria will be provided, free of charge, upon written request.
b) Within 180 days after receipt of the above material, the Claimant shall have a reasonable opportunity to appeal the Claim denial to the Administrator for a full and fair review. The Claimant or his duly authorized representative may:
1) Request a review upon written notice to the Administrator;
2) Review pertinent documents; and
3) Submit issues and comments in writing, setting forth which of the reasons for denial that he/she disagrees with along with any supporting documents of additional comments related to the appeal.
c) A decision on the review by the Administrator will be made not later than 30 days after receipt of a request for review, unless special circumstances require an extension of time for processing (such as the need to hold a hearing), in which event a decision should be rendered as soon as possible, but in no event later than 120 days after su...
Claim for Benefits. If Executive, Executive’s surviving spouse or Beneficiary, as the case may be (the “Claimant”) does not receive timely payment of any benefits which Claimant believes are due and payable under this Program, Claimant may file a claim for Supplemental Retirement Benefit under this Program by notifying the Company in writing, together with such other documents and information as Company may require. Within 90 days following receipt of the claim and all necessary documents and information, Company’s authorized delegate reviewing the claim (the “Claims Administrator”) shall furnish the Claimant with written notice of the decision rendered with respect to the claim. The Claims Administrator shall be designated by the Company’s Board of Directors. The Board of Directors reserves the right to change the Claims Administrator from time to time. Should special circumstances require an extension of time for processing the claim, written notice of the extension shall be furnished to the Claimant prior to the expiration of the initial 90 day period. The notice shall indicate the special circumstances requiring an extension of time and the date by which a final decision is expected to be rendered. In no event shall the period of the extension exceed ninety (90) days from the end of the initial 90 day period.
Claim for Benefits. Benefits shall be paid in accordance with the provisions of this Plan. The Trustee or Beneficiary shall make a written request to the Treasurer for the benefits provided under the Plan, on a form provided by the Treasurer.
Claim for Benefits. It is anticipated that the Plan Administrator will administer the Plan in such a manner as to provide benefits without requiring Participants to file claims, however, any Participant or Beneficiary who at any time believes he is entitled to payment of a benefit under the Plan may apply for said benefit on a form supplied by the Plan Administrator. The Plan Administrator may within thirty (30) days require the Participant to submit such additional information as the Plan Administrator deems necessary to determine the validity of the Participant's claim.
Claim for Benefits. Any claim for benefits under this Plan shall be made in writing to the Plan Administrator. If a claim for benefits is wholly or partially denied, the Plan Administrator shall so notify the Participant or beneficiary within 90 days after receipt of the claim. The notice of denial shall be written in a manner calculated to be understood by the Participant or beneficiary and shall contain (a) the specific reason or reasons for denial of the claim, (b) specific references to the pertinent Plan provisions upon which the denial is based, (c) a description of any additional material or information necessary to perfect the claim together with an explanation of why such material or information is necessary and (d) an explanation of the claims review procedure. The decision or action of the Plan Administrator shall be final, conclusive and binding on all persons having any interest in the Plan, unless a written appeal is filed as provided in Section 8.12 hereof.
Claim for Benefits. Section 13.2. Request for Review of a Denial of a Claim for Benefits....