Common use of Claim Procedures Clause in Contracts

Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Plan Administrator 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 Plan Administrator 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 Plan Administrator of the denial pursuant to the requirements under the terms of the policy. If the Plan Administrator 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: Endorsement Method Split Dollar Plan Agreement (Lyons Bancorp Inc), Endorsement Method Split Dollar Plan Agreement (Lyons Bancorp Inc), Joint Beneficiary Designation Agreement (Southcrest Financial Group Inc)

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Claim Procedures. Claim forms or claim Policy information as to the subject policy can be obtained by contacting Benmark, Inc. Equias Alliance at (800000) 000-544-6079)0000. When the Plan Administrator has Named Fiduciary 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 Plan Administrator 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 Plan Administrator claimant of the denial pursuant to the requirements under the terms of the policyPolicy terms. If the Plan Administrator 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 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. Renaissance Bank Advisors. (800-544-6079). When the Plan Administrator 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 Plan Administrator 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 Plan Administrator of the denial pursuant to the requirements under the terms of the policy. If the Plan Administrator 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 2 contracts

Samples: Endorsement Method Split Dollar Plan Agreement (Lyons 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. Renaissance Bank Advisors (800-544-6079). When the Plan Administrator 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 Plan Administrator 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 Plan Administrator of the denial pursuant to the requirements under the terms of the policy. If the Plan Administrator 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: Split Dollar Plan Agreement (Central Bancorp Inc /Ma/)

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Claim Procedures. Claim forms or claim information as to the subject policy policy(ies) can be obtained by contacting Benmark, Inc. (800-544-6079)the Plan Administrator. When the Plan Administrator 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 Plan Administrator 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(ies), the Insurer will notify the Plan Administrator of the denial pursuant to the requirements under the terms of the policypolicy(ies). If the Plan Administrator 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: Joint Beneficiary Designation Agreement (Southern First Bancshares Inc)

Claim Procedures. Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. Renaissance Bank Advisors (800-544-6079). When the Plan Administrator 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 Plan Administrator 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 Plan Administrator of the denial pursuant to the requirements under the terms of the policy. If the Plan Administrator 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 (Origin Bancorp, Inc.)

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