Claims and Appeal Procedures. Any Employee who believes that he is entitled to receive a benefit under this Article V shall file a claim in writing with the third party administrator engaged by the Company to administer the Plan provided for in this Article III. If after the claims and appeals procedures of such administrator (which procedures are hereby incorporated by reference) are exhausted the claim is wholly or partially denied, the Employee may appeal the decision to the Pension Board by following the procedures set forth in Article I, Section
Appears in 2 contracts
Samples: Insurance Agreement, Insurance Agreement
Claims and Appeal Procedures. Any Employee who believes that he is entitled to receive a benefit under this Article V shall file a claim in writing with the third party administrator engaged by the Company to administer the Plan provided for in this Article III. If after the claims and appeals procedures of such administrator (which procedures are hereby incorporated by reference) are exhausted the claim is wholly or partially denied, the Employee may appeal the decision to the Pension Board by following the procedures set forth in Article I, SectionSection VIII.B.1. Adverse decisions made by the Pension Board may be taken up as a grievance under the procedures provided in Article I, Section VIII. E.
Appears in 1 contract
Samples: Insurance Agreement
Claims and Appeal Procedures. Any Employee who believes that he is entitled to receive a benefit under this Article V shall file a claim in writing with the third party administrator engaged by the Company to administer the Plan provided for in this Article III. V. If after the claims and appeals procedures of such administrator (which procedures are hereby incorporated by reference) are exhausted the claim is wholly or partially denied, the Employee may appeal the decision to the Pension Board by following the procedures set forth in Part II, Article III, SectionSection VIII.B. Adverse decisions made
Appears in 1 contract
Samples: Pension and Insurance Agreement