Claim Review Procedure Sample Clauses

Claim Review Procedure. If Executive is denied benefits under this Agreement, Executive may request, in writing, a review of the denial by the Company or its designee within 60 days of receiving written notice of the denial. The Company shall respond in writing to a written request for review

Claim Review Procedure. If a claim is denied in whole or in part, the Claimant or his authorized representative may file a request for review of the decision of denial within ten (10) days after receipt by the Claimant of the written notice of denial. The request for review shall be in writing and shall be delivered to the Company. The request must specify issues or comments which the Claimant deems pertinent to the Claim. A decision by the Board of Directors on the request for review shall be made promptly, but not later than ten (10) days after the Company receives the Claimant's request for review. The Board's decision on review will be in writing and will include specific reasons for the Board's decision written in a manner calculated to be understood by the Claimant.

Claim Review Procedure. The purpose of the Claim Review Procedure ---------------------- is to provide a method by which a Claimant may have a reasonable opportunity to appeal a denial of a Claim for Benefits to the Insurer for a full and fair review. To accomplish that purpose, the Claimant or his duly authorized representative: 1. May request a review upon written application to the Insurer; 2. May review pertinent Plan documents; and 3. May submit issues and comments in writing to the Insurer. A Claimant (or his duly authorized representative) shall request a review by filing a written application for review with the Insurer at any time within 60 days after receipt by the Claimant of written notice of the denial of his Claim for Benefits.

Claim Review Procedure. If Participant is denied benefits under this Agreement, Participant may request, in writing, a review of the denial by Ingram or its designee within 60 days of receiving written notice of the denial. Ingram shall respond in writing to a written request for review within 90 days of receipt of such request. Neither the claim procedure set forth in this Section 7(i) nor Participant's failure to adhere to such procedure shall derogate from Participant's right to enforce this Agreement through legal action, including arbitration as provided in Section 7(c).

Claim Review Procedure. The claim review procedure is available upon written request by the claimant to the Claims Manager within 60 days after receipt by the claimant of written notice of the denial of the claim, and includes the right to examine pertinent documents and Company data and submit issues and comments in writing to the Claims Manager. The decision on review will be in writing and written in a manner calculated to be understood by the claimant, will be made within 30 days after receipt of the request for review (unless special circumstances warrant an extension of time not to exceed an additional 30 days), and will include specific reasons for the decision with references to the specific Agreement provisions on which the decision is based.

Claim Review Procedure. 7.1. In the event that a Participant or Beneficiary is denied a claim for benefits under the Plan, the Plan Committee shall provide to such claimant written notice of the denial which shall set forth: (a) the specific reasons for the denial; (b) specific references to the pertinent provisions of the Plan on which the denial is based; (c) a description of any additional material or information necessary for the claimant to perfect the claim and an explanation of why such material or information is necessary; and (d) an explanation of the Plan's claim review procedure. 7.2. After receiving written notice of the denial of a claim, a claimant or his representative may: (a) request a full and fair review of such denial by written application to the Plan Committee; (b) review pertinent documents; and (c) submit issues and comments in writing to the Plan Committee. 7.3. If the claimant wishes such a review of the decision denying his claim to benefits under the Plan, he must submit such written application to the Plan Committee within sixty (60) days after receiving written notice of the denial. 7.4. Upon receiving such written application for review, the Plan Committee may schedule a hearing for purposes of reviewing the claimant's claim, which hearing shall take place not more than thirty (30) days from the date on which the Plan Committee received such written application for review. 7.5. At least ten (10) days prior to the scheduled hearing, the claimant and his representative designated in writing by him, if any, shall receive written notice of the date, time, and place of such scheduled hearing. The claimant or his representative, if any, may request that the hearing be rescheduled, for his convenience, on another reasonable date or at another reasonable time or place. 7.6. All claimants requesting a review of the decision denying their claim for benefits may employ counsel for purposes of the hearing. 7.7. No later than sixty (60) days following the receipt of the written application for review, the Plan Committee shall submit its decision on the review in writing to the claimant involved and to his representative, if any; provided, however, a decision on the written application for review may be extended, in the event special circumstances such as the need to hold a hearing require an extension of time, to a day no later than one hundred twenty (120) days after the date of receipt of the written application for review. The decision shall include specific ...

Claim Review Procedure. (A) Claimant shall have a reasonable opportunity to appeal a denial of a claim for benefits to Plan Administrator and receive a full and fair review. (B) In order to accomplish such purpose, the claimant or a duly authorized representative may request or submit any or all of the following: (a) A review upon written application filed with Plan Administrator. (b) Copies of documents pertaining to the claim for benefits and its disallowance. (c) Issues and comments in writing.

Claim Review Procedure. The claimant or his authorized representative shall have 60 days after receipt of written notification of denial of a claim to request a review of the denial by making written request to the Committee (or its delegate), and may review pertinent documents and submit issues and comments in writing within such 60-day period. Not later than 60 days after receipt of the request for review, the Committee shall render and furnish to the claimant a written decision which shall include specific reasons for the decision, and shall make specific references to pertinent Plan and Trust provisions on which it is based. If special circumstances require an extension of time for processing, the decision shall be rendered as soon as possible, but not later than 120 days after receipt of the request for review, provided that written notice and explanation of the delay are given to the claimant prior to commencement of the extension. Such decision by the Committee shall not be subject to further review. If a decision on review is not furnished to a claimant within the specified time period, the claim shall be deemed to have been denied on review.

Claim Review Procedure. The claimant or his authorized representative shall have 60 days after receipt of written notification of denial of a claim to request a review of the denial by making written request to the Committee (or its delegate), and may review pertinent documents and submit issues and comments in writing within such 60-day period. Not later than 60 days after receipt of the request for review, the Committee shall render and furnish to the claimant a written decision which shall include specific reasons for the decision, and shall make specific references to pertinent Plan and Trust provisions on which it is based. The Committee decision shall only be subject to further review as described in section 10.

Claim Review Procedure. 12.1 In the event that a Member or Beneficiary is denied a claim for benefits under a Plan, the Plan Administrator shall provide to the claimant written notice of the denial which shall set forth: (a) the specific reasons for the denial; (b) specific references to the pertinent provisions of the Plan on which the denial is based; (c) a description of any additional material or information necessary for the claimant to perfect the claim and an explanation of why the material or information is necessary; and (d) an explanation of the Plan's claim review procedure.