Claimant's Right to Appeal Denial of Claim Sample Clauses

Claimant's Right to Appeal Denial of Claim. A claimant whose claim is denied, in whole or in part, will have the right of an appeal to the Plan Administrator for review of the denial. The following provisions will apply to the right of appeal: (a) The request for review must be filed with the Plan Administrator within 60 days after written notice of denial of the claim. (b) The request will be in writing signed by the claimant or his authorized representative. (c) The claimant will have the right, upon request, to review records and documents relating to the claim and to a hearing that are in the possession of the Plan Administrator. (d) The claimant may submit issues, arguments, and other comments in writing to the Plan Administrator, with any documentary evidence in support of his claim. (e) The decision by the Plan Administrator will be given to the claimant in writing within 60 days after receipt by the Plan Administrator of the claimant's request for review. If special circumstances require extension of the 60-day period, the Plan Administrator may extend the 60-day period for up to 60 additional days by notifying the claimant, within the original 60-day period, of the extension, the reason for it, and when a decision can be expected. If the decision denies the claim, in whole or in part, the decision will state the specific reasons for the denial, including specific references to the Plan provision or provisions on which the denial is based, all stated in language calculated to be understood by the claimant.