Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 19 contracts
Samples: Life Insurance Endorsement Method Split Dollar Plan Agreement (Origin Bancorp, Inc.), Life Insurance Endorsement Method Split Dollar Plan Agreement (Origin Bancorp, Inc.), Endorsement Method Split Dollar Plan Agreement (Bucs Financial Corp)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 14 contracts
Samples: Endorsement Method Split Dollar Plan Agreement (Lyons Bancorp Inc), Life Insurance Endorsement Method Split Dollar Plan Agreement (Origin Bancorp, Inc.), Endorsement Method Split Dollar Plan Agreement (Lyons Bancorp Inc)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 9 contracts
Samples: Joint Beneficiary Designation Agreement (CB Financial Services, Inc.), Joint Beneficiary Designation Agreement (CB Financial Services, Inc.), Joint Beneficiary Designation Agreement (CB Financial Services, Inc.)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting BenmarkThe Benefit Marketing Group, Inc. (800770-544952-60791529). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 6 contracts
Samples: Life Insurance Endorsement Method Split Dollar Plan Agreement (GBC Bancorp Inc), Life Insurance Endorsement Method Split Dollar Plan Agreement (GBC Bancorp Inc), Life Insurance Endorsement Method Split Dollar Plan Agreement (Community Trust Financial Services Corporation)
Claim Procedures. Claim forms or claim information as to the subject policy Policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named named Fiduciary has a claim which may be covered under the provisions described in the insurance policyPolicy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policyPolicy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policyPolicy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 5 contracts
Samples: Endorsement Method Split Dollar Plan Agreement (First Litchfield Financial Corp), Endorsement Method Split Dollar Plan Agreement (First Litchfield Financial Corp), Endorsement Method Split Dollar Plan Agreement (First Litchfield Financial Corp)
Claim Procedures. Claim forms or claim information as to the subject policy Policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policyPolicy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policyPolicy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policyPolicy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 5 contracts
Samples: Split Dollar Agreement (Bank Holdings), Split Dollar Agreement (Bank Holdings), Split Dollar Agreement (Bank Holdings)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named Fiduciary or a beneficiary has a claim which may be covered under the provisions described in the insurance policy, they he or she should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Named Fiduciary or beneficiary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check or checks will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary or the beneficiary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary or the beneficiary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they it should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 5 contracts
Samples: Employee Supplemental Compensation Benefits Agreement (Greater Bay Bancorp), Employee Supplemental Compensation Benefits Agreement (Greater Bay Bancorp), Employee Supplemental Compensation Benefits Agreement (Greater Bay Bancorp)
Claim Procedures. Claim forms or claim information as to the subject policy Policy can be obtained by contacting BenmarkThe Benefit Marketing Group, Inc. (800770-544952-60791529). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policyPolicy, they it should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with to the terms of this AgreementNamed Fiduciary. In the event that a claim is not eligible under the policyPolicy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policyPolicy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they it should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 5 contracts
Samples: Endorsement Method Split Dollar Plan Agreement (North Bay Bancorp/Ca), Endorsement Method Split Dollar Plan Agreement (North Bay Bancorp/Ca), Life Insurance Endorsement Method Split Dollar Plan Agreement (North Bay Bancorp/Ca)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 4 contracts
Samples: Director Supplemental Income Plan Agreement (Osage Federal Financial Inc), Director Supplemental Income Plan Agreement (Osage Federal Financial Inc), Director Supplemental Income Plan Agreement (Osage Federal Financial Inc)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (The Pxxxxxxx Group at 800-544634-6079)3287. When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 4 contracts
Samples: Endorsement Method Split Dollar Plan Agreement (Community Financial Corp /Md/), Endorsement Method Split Dollar Plan Agreement (Community Financial Corp /Md/), Life Insurance Endorsement Method Split Dollar Plan Agreement (Community Financial Corp /Md/)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 4 contracts
Samples: Endorsement Method Split Dollar Plan Agreement (Central Valley Community Bancorp), Endorsement Method Split Dollar Plan Agreement (Central Valley Community Bancorp), Endorsement Method Split Dollar Plan Agreement (Central Valley Community Bancorp)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (800Xxxxx Consulting at 000-544000-6079)0000. When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they he or she should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they he or she should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 3 contracts
Samples: Life Insurance Endorsement Method Split Dollar Plan Agreement (Central Valley Community Bancorp), Life Insurance Endorsement Method Split Dollar Plan Agreement (Central Valley Community Bancorp), Life Insurance Endorsement Method Split Dollar Plan Agreement (Central Valley Community Bancorp)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they it should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 3 contracts
Samples: Life Insurance Endorsement Method Split Dollar Plan Agreement (First Capital Bancorp, Inc.), Endorsement Method Split Dollar Plan Agreement (South Street Financial Corp), Endorsement Method Split Dollar Plan Agreement (Ecb Bancorp Inc)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named Name Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements requirement are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 3 contracts
Samples: Split Dollar Life Insurance Agreement, Split Dollar Life Insurance Agreement (M&f Bancorp Inc /Nc/), Split Dollar Life Insurance Agreement (M&f Bancorp Inc /Nc/)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 3 contracts
Samples: Endorsement Method Split Dollar Plan Agreement (First Colebrook Bancorp, Inc.), Split Dollar Life Insurance Agreement (First Colebrook Bancorp, Inc.), Endorsement Method Split Dollar Plan (First Colebrook Bancorp, Inc.)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting BenmarkThe Benefit Marketing Group, Inc. (800770-544952-60791529). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 3 contracts
Samples: Endorsement Method Split Dollar Plan Agreement (Heritage NOLA Bancorp, Inc.), Endorsement Method Split Dollar Plan Agreement (Southcrest Financial Group Inc), Endorsement Method Split Dollar Plan Agreement (Centra Financial Holdings Inc)
Claim Procedures. Claim forms or claim information as to the subject policy Policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policyPolicy, they it should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with to the terms of this AgreementNamed Fiduciary. In the event that a claim is not eligible under the policyPolicy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policyPolicy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they it should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 2 contracts
Samples: Endorsement Method Split Dollar Plan Agreement (Heritage Commerce Corp), Endorsement Method Split Dollar Plan Agreement (Heritage Commerce Corp)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting BenmarkThe Benefit Marketing Group, Inc. (800770-544952-60791529). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 2 contracts
Samples: Director Supplemental Retirement Plan Agreement (Heritage NOLA Bancorp, Inc.), Endorsement Method Split Dollar Plan Agreement (Crescent Banking Co)
Claim Procedures. Claim forms or claim information as to concerning the subject policy Policies can be obtained by contacting Benmark, Inc. (800Xxxxx Consulting at 000-544000-6079)0000. When the Named Fiduciary has receives a claim which may be covered under the provisions described in the insurance policyPolicies, they he or she should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Named Fiduciary what further requirements steps are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under one or more of the policyPolicies, the Insurer will notify the Named Fiduciary claimant of the denial pursuant to the requirements under the terms of the policyapplicable Policy(ies). If the Named Fiduciary claimant is dissatisfied with the denial of the claim and wishes to contest such claim denial, they he or she should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 2 contracts
Samples: Life Insurance Endorsement Method Split Dollar Agreement (Central Valley Community Bancorp), Life Insurance Endorsement Method Split Dollar Agreement (Central Valley Community Bancorp)
Claim Procedures. Claim forms or claim information as to concerning the subject policy Policies can be obtained by contacting Benmark, Inc. Equias Alliance at (800000) 000-544-6079)0000. When the Named Fiduciary has receives a claim which may be covered under the provisions described in the insurance policyPolicies, they he or she should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Named Fiduciary what further requirements steps are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under one or more of the policyPolicies, the Insurer will notify the Named Fiduciary claimant of the denial pursuant to the requirements under the terms of the policyapplicable Policy(ies). If the Named Fiduciary claimant is dissatisfied with the denial of the claim and wishes to contest such claim denial, they he or she should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 2 contracts
Samples: Life Insurance Endorsement Method Split Dollar Agreement (Central Valley Community Bancorp), Life Insurance Endorsement Method Split Dollar Agreement (Central Valley Community Bancorp)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. Equias Alliance at (800000) 000-544-6079)0000. When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they he or she should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they he or she should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 2 contracts
Samples: Life Insurance Split Dollar Endorsement Method Agreement (Central Valley Community Bancorp), Life Insurance Split Dollar Endorsement Method Agreement (Central Valley Community Bancorp)
Claim Procedures. Claim forms or claim Policy information as to the subject policy can be obtained by contacting Benmark, Inc. (800Xxxxx Consulting at 000-544000-6079)0000. When the Named Fiduciary has receives a claim which may be covered under the provisions described in the insurance policyPolicy, they he or she should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Named Fiduciary what further requirements steps are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policyPolicy, the Insurer will notify the Named Fiduciary claimant of the denial pursuant to the requirements under the terms of the policyPolicy terms. If the Named Fiduciary claimant is dissatisfied with the denial of the claim and wishes to contest such claim denial, they he or she should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 2 contracts
Samples: Life Insurance Endorsement Method Split Dollar Agreement (Central Valley Community Bancorp), Life Insurance Endorsement Method Split Dollar Agreement (Central Valley Community Bancorp)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they it should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 2 contracts
Samples: Executive Supplemental Retirement Plan (Citizens Financial Corp/De/), Endorsement Method Split Dollar Plan Agreement (South Street Financial Corp)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. Vero Consulting (800804-544288-60797000). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 2 contracts
Samples: Endorsement Method Split Dollar Plan Agreement (Old Point Financial Corp), Endorsement Method Split Dollar Plan Agreement (Old Point Financial Corp)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (800770-544952-6079l529). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named name Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 1 contract
Samples: Life Insurance Endorsement Method Split Dollar Plan Agreement (Fauquier Bankshares Inc)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting BenmarkThe Benefit Marketing Group, Inc. (800770-544952-60791529). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policyPolicy, they it should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with to the terms of this AgreementNamed Fiduciary. In the event that a claim is not eligible under the policyPolicy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policyPolicy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they it should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 1 contract
Samples: Director Supplemental Compensation Agreement (Greater Bay Bancorp)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. Vero Consulting (800804-544288-60797000). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 1 contract
Samples: Endorsement Method Split Dollar Plan (Old Point Financial Corp)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurerinsurer.
Appears in 1 contract
Samples: Joint Beneficiary Designation Agreement (Meridian Interstate Bancorp Inc)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting BenmarkMMB Consulting, Inc. LLC (800804-544762-60797036). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 1 contract
Samples: Endorsement Method Split Dollar Plan Agreement (Old Point Financial Corp)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting BenmarkVero Consulting, Inc. LLC (800804-544288-60797000). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 1 contract
Samples: Endorsement Method Split Dollar Plan (Old Point Financial Corp)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (The Pxxxxxxx Group at 800-544634-6079)3287. When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 1 contract
Samples: Endorsement Method Split Dollar Plan Agreement (Community Financial Corp /Md/)
Claim Procedures. Claim forms or claim information as to the subject policy Policy(ies) can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policyPolicy(ies), they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policyPolicy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policyPolicy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 1 contract
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's ’s actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 1 contract
Samples: Endorsement Method Split Dollar Plan (Central Valley Community Bancorp)
Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting BenmarkThe Benefit Marketing Group, Inc. (800770-544952-60791529). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of or the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All all objections to the Insurer's actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 1 contract
Samples: Executive Supplemental Retirement Plan (CCF Holding Co)
Claim Procedures. Claim forms or claim information as to for the subject policy Policy can be obtained by contacting Benmark, Inc. Equias Alliance at (800831) 373-544-6079)4614. When the Named Fiduciary has a claim xxxxxxxx x xxaim which may be covered under the provisions described in the insurance policyPolicy, they he or she should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Named Fiduciary what further requirements steps are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policyPolicy, the Insurer will notify the Named Fiduciary claimant of the denial pursuant to the requirements under the terms of the policyPolicy terms. If the Named Fiduciary claimant is dissatisfied with the denial of the claim and wishes to contest such claim denial, they he or she should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 1 contract
Samples: Life Insurance Endorsement Method Split Dollar Agreement (Central Valley Community Bancorp)
Claim Procedures. Claim forms or claim information as to 'the subject policy can be obtained by contacting BenmarkXxx-xxxx, Inc. (800-544-6079). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer Insurer—or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's actions should be in writing and submitted to the office named above for transmittal to the Insurer.
Appears in 1 contract
Samples: Director Supplemental Retirement Plan Agreement (Citizens Bancshares Corp /Ga/)