Common use of Claims Procedure Clause in Contracts

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 50 contracts

Samples: Excess Benefit Plan Agreement (Home Federal Bancorp), Continuation Agreement (Ufh Capital Trust I), Continuation Agreement (Ufh Capital Trust I)

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Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility non-eligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 23 contracts

Samples: Fee Agreement (North Valley Bancorp), Fee Agreement (North Valley Bancorp), Compensation Agreement (QCR Holdings Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 17 contracts

Samples: Supplemental Executive Retirement Agreement (South Financial Group Inc), Supplemental Executive Retirement Agreement (South Financial Group Inc), Supplemental Executive Retirement Agreement (South Financial Group Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the this Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's written application for benefits, of his or her eligibility or noneligibility for benefits under the this Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the this Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 7 contracts

Samples: Executive Incentive Retirement Agreement (First Litchfield Financial Corp), Executive Incentive Retirement Agreement (First Litchfield Financial Corp), Executive Incentive Retirement Agreement (First Litchfield Financial Corp)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the for benefits under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's ’s written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1w) the specific reasons for such denial, (2x) a specific reference to the provisions of the Agreement on which the denial is based, (3y) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4z) an explanation of the Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 7 contracts

Samples: Bancorp Amended Director Retirement Agreement (Cortland Bancorp Inc), Bancorp Amended Director Retirement Agreement (Cortland Bancorp Inc), Director Retirement Agreement (Cortland Bancorp Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's written application for benefits, of his or her Claimant's eligibility or noneligibility ineligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her Claimant's claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 6 contracts

Samples: Fee Agreement (First Community Financial Corp), Fee Agreement (First Community Financial Corp), Fee Agreement (First Community Financial Corp)

Claims Procedure. The Company Employer shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's ’s written application for benefits, of his or her eligibility or noneligibility ineligibility for benefits under the this Agreement. If the Company Employer determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the this Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company Employer determines that there are special circumstances requiring additional time to make a decision, the Company Employer shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 6 contracts

Samples: Nevada Security Bank (Bank Holdings), Nevada Security Bank (Bank Holdings), Nevada Security Bank (Bank Holdings)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's ’s written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 5 contracts

Samples: Continuation Agreement (Codorus Valley Bancorp Inc), Continuation Agreement (Codorus Valley Bancorp Inc), Continuation Agreement (Codorus Valley Bancorp Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the for benefits under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Agreement lithe Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the , lithe Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 5 contracts

Samples: Bancorp Director Retirement Agreement (Cortland Bancorp Inc), Bancorp Director Retirement Agreement (Cortland Bancorp Inc), Bancorp Director Retirement Agreement (Cortland Bancorp Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-ninety- day period.

Appears in 4 contracts

Samples: Continuation Agreement (Community Banks Inc /Pa/), Continuation Agreement (Community Banks Inc /Pa/), Continuation Agreement (Community Banks Inc /Pa/)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the for benefits under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 4 contracts

Samples: Director Retirement Agreement (Cortland Bancorp Inc), Bancorp Director Retirement Agreement (Cortland Bancorp Inc), Bancorp Director Retirement Agreement (Cortland Bancorp Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility non-eligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed, and (5) a time within which review must be requested. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 4 contracts

Samples: Deferred Compensation Agreement (Team Financial Inc /Ks), Deferred Compensation Agreement (Team Financial Inc /Ks), Deferred Compensation Agreement (Team Financial Inc /Ks)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's ’s written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 4 contracts

Samples: Incentive Retirement Agreement (Smithtown Bancorp Inc), Incentive Retirement Agreement (Smithtown Bancorp Inc), Incentive Retirement Agreement (Smithtown Bancorp Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the pursuant to this Agreement (the "Claimant") in writing, within ninety (90) days of the Claimant's written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-ninety (90) day period.

Appears in 4 contracts

Samples: Continuation Agreement (First South Bancorp Inc), Continuation Agreement (First South Bancorp Inc), Continuation Agreement (First South Bancorp Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's written application for benefits, of his or her eligibility or noneligibility none eligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 4 contracts

Samples: Supplemental Executive Retirement Plan Agreement (Home Federal Bancorp), Supplemental Executive Retirement Plan Agreement (Home Federal Bancorp), Supplemental Executive Retirement Plan Agreement (Home Federal Bancorp)

Claims Procedure. The Company Bank shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's ’s written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company Bank determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company Bank determines that there are special circumstances requiring additional time to make a decision, the Company Bank shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 4 contracts

Samples: Riverview National Bank (Riverview Financial Corp), Riverview Bank (Riverview Financial Corp), Director Emeritus Agreement (Riverview Financial Corp)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement this Plan (the "Claimant") ), in writing, within ninety (90) days of Claimant's written application for benefits, of his or her Claimant's eligibility or noneligibility ineligibility for benefits under the Agreementthis Plan. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement this Plan on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her Claimant's claim, and a description of why it is needed, and (4) an explanation of the Agreementthis Plan's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 3 contracts

Samples: Acnb Corp, Codorus Valley Bancorp Inc, Acnb Corp

Claims Procedure. The Company shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's ’s written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 3 contracts

Samples: Salary Continuation Agreement (Sussex Bancorp), Supplemental Executive Retirement Agreement (Midwest Banc Holdings Inc), Supplemental Executive Retirement Agreement (Midwest Banc Holdings Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's written application for benefits, of his or her Claimant's eligibility or noneligibility ineligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, Claimant's claim and a description of why it is needed, and (4) an explanation of the Agreement's claims claim review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 3 contracts

Samples: Continuation Agreement (Fidelity Bancorp Inc), Continuation Agreement (Fidelity Bancorp Inc), Continuation Agreement (Fidelity Bancorp Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's his or her written application for benefits, of his or her eligibility or noneligibility non-eligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 3 contracts

Samples: Fee Agreement (Tib Financial Corp), Deferred Fee Agreement (Acnb Corp), Director Deferred Fee Agreement (First Georgia Community Corp)

Claims Procedure. The Company Employer shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility ineligibility for benefits under the this Agreement. If the Company Employer determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the this Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company Employer determines that there are special circumstances requiring additional time to make a decision, the Company Employer shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 3 contracts

Samples: Split Dollar Agreement (Plumas Bancorp), Split Dollar Agreement (Plumas Bancorp), Split Dollar Agreement (Plumas Bancorp)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility ineligibility for benefits under the this Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the this Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed, and (5) a time within which a review must be requested. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 3 contracts

Samples: Agreement (Cooperative Bankshares Inc), Agreement (Cooperative Bankshares Inc), Agreement (Cooperative Bankshares Inc)

Claims Procedure. The Company Employer shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant"') in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility ineligibility for benefits under the this Agreement. If the Company Employer determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the this Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company Employer determines that there are special circumstances requiring additional time to make a decision, the Company Employer shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 3 contracts

Samples: Polonia Bank Split Dollar Agreement (Polonia Bancorp), Polonia Bank Split Dollar Agreement (Polonia Bancorp), Split Dollar Agreement (Plumas Bancorp)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility non-eligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewedreviewed and (5) a time within which review must be requested. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 2 contracts

Samples: Agreement (Cooperative Bankshares Inc), Agreement (Cooperative Bankshares Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the for benefits under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's ’s written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1a) the specific reasons for such denial, (2b) a specific reference to the provisions of the Agreement on which the denial is based, (3c) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4d) an explanation of the Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 2 contracts

Samples: Clovis Community Bank (Central Valley Community Bancorp), Deferred Fee Agreement (Central Valley Community Bancorp)

Claims Procedure. The Company shall notify any person the Executive or entity that makes a claim against the Agreement his successor in interest (the "Claimant") in writing, within ninety (90) days of the Claimant's written application for benefits, of his or her eligibility or noneligibility non eligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (11 ) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her Claimant's claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 2 contracts

Samples: Continuation Agreement (Federal Trust Corp), Continuation Agreement (Federal Trust Corp)

Claims Procedure. The Company shall notify the Director, the Director's beneficiary or any other person or entity that which makes a claim against the under this Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's his or her written application for benefits, of his or her eligibility or noneligibility ineligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 2 contracts

Samples: Stock Appreciation Rights Agreement (Commerce National Corp), Commerce National Corp

Claims Procedure. The Company shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility for benefits under the AgreementtheAgreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 2 contracts

Samples: Salary Continuation Agreement (Wesbanco Inc), Continuation Agreement (Wesbanco Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 2 contracts

Samples: Retirement Agreement (Midwest Banc Holdings Inc), Continuation Agreement (Wesbanco Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (33 ) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 2 contracts

Samples: Continuation Agreement (Southern Community Bancorp), Continuation Agreement (Southern Community Bancorp)

Claims Procedure. The Company Bank shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's ’s written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company Bank determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company Bank determines that there are special circumstances requiring additional time to make a decision, the Company Bank shall notify the Claimant claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 1 contract

Samples: Director Emeritus Agreement (First Perry Bancorp, Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the pursuant to this Agreement (the "Claimant") ), in writing, within ninety (90) days of Claimantthe claimant's written application for benefits, of his or her eligibility or noneligibility non- eligibility for benefits under the Agreement. If the Company determines that the Claimant claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant claimant to perfect his or her claimant's claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-ninety (90) day period.

Appears in 1 contract

Samples: Continuation Agreement (Peoples Bancorporation Inc /Sc/)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's written application for benefits, of his or her eligibility or noneligibility non-eligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day periodninety (90) days.

Appears in 1 contract

Samples: Six Rivers National Bank Supplemental Executive Retirement Agreement (North Valley Bancorp)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement this Plan (the "Claimant") ”), in writing, within ninety (90) days of Claimant's ’s written application for benefits, of his or her Claimant’s eligibility or noneligibility ineligibility for benefits under the Agreementthis Plan. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement this Plan on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her Claimant’s claim, and a description of why it is needed, and (4) an explanation of the Agreement's this Plan’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 1 contract

Samples: Executive Supplemental Life Insurance Plan (Acnb Corp)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement this Plan (the "Claimant") ), in writing, within ninety (90) days of Claimant's written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreementthis Plan. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement this Plan on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreementthis Plan's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day periodninety (90) days.

Appears in 1 contract

Samples: MBT Financial Corp

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") Director’s beneficiary in writing, within ninety (90) days of Claimant's his or her written application for benefits, of his or her eligibility or noneligibility non-eligibility for benefits under the Agreement. If the Company determines that the Claimant beneficiary is not eligible for benefits or full benefits, the notice shall set forth (1i) the specific reasons for such denial, (2ii) a specific reference to the provisions of the Agreement on which the denial is based, (3iii) a description of any additional information or material necessary for the Claimant claimant to perfect his or her claim, and a description of why it is needed, and (4v) an explanation of the Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant beneficiary wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant beneficiary of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-ninety (90) day period.

Appears in 1 contract

Samples: Deferred Fee Agreement (American River Bankshares)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's ’s written application for benefits, of his or her eligibility or noneligibility ineligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, ; (2) a specific reference to the provisions of the Agreement on which the denial is based, ; (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, ; and (4) an explanation of the Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 1 contract

Samples: Continuation Agreement (Western Sierra Bancorp)

Claims Procedure. The Company shall notify any person or entity that makes claims a claim right to an interest against the Agreement this Group Term Replacement Plan (the "Claimant") in writing, within ninety (90) days of Claimant's his or her written application for benefits, of his or her eligibility or noneligibility ineligibility for benefits under the Agreementthis Plan. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement this Plan on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's this Plan’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 1 contract

Samples: Codorus Valley Bancorp Inc

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's ’s written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time rime for up to an additional ninety-day period.

Appears in 1 contract

Samples: Continuation Agreement (Mid Penn Bancorp Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the pursuant to this Agreement (the "Claimant") ), in writing, within ninety (90) days of Claimantthe claimant's written application for benefits, of his or her eligibility or noneligibility non-eligibility for benefits under the Agreement. If the Company determines that the Claimant claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant claimant to perfect his or her claimant's claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-ninety (90) day period.

Appears in 1 contract

Samples: Peoples National Bank (Peoples Bancorporation Inc /Sc/)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, ; (2) a specific reference to the provisions of the Agreement on which the denial is based, ; (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, ; and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day periodninety (90) days.

Appears in 1 contract

Samples: Continuation Agreement (West Pointe Bancorp Inc)

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Claims Procedure. The Company shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's ’s written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day periodninety (90) days.

Appears in 1 contract

Samples: Supplemental Executive Retirement Agreement (First Internet Bancorp)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant"') in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility ineligibility for benefits under the this Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the this Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 1 contract

Samples: Association Split Dollar Agreement (Home Federal Bancorp Inc)

Claims Procedure. The Company Bank shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's written application for benefits, of his or her eligibility or noneligibility ineligibility for benefits under the Agreement. If the Company Bank determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company Bank determines that there are special circumstances requiring additional time to make a decision, the Company Bank shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 1 contract

Samples: Retirement Agreement (Tompkins Trustco Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's his or her written application for benefits, of his or her eligibility or noneligibility non-eligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 1 contract

Samples: Director Deferred Fee Agreement (Tib Financial Corp.)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety thirty (9030) days of Claimant's ’s written application for benefits, of his or her eligibility or noneligibility ineligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, ; (2) a specific reference to the provisions of the Agreement on which the denial is based, ; (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, ; and (4) an explanation of the Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninetythirty-day period.

Appears in 1 contract

Samples: Western Sierra National (Western Sierra Bancorp)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility ineligibility for benefits under the this Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the this Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 1 contract

Samples: Company Split Dollar Agreement (West Pointe Bancorp Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's ’s written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the The Company determines that there are special circumstances requiring additional time to make a decision, the The Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 1 contract

Samples: Continuation Agreement (Omega Financial Corp /Pa/)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the for benefits under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of after receiving Claimant's ’s written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1w) the specific reasons for such denial, (2x) a specific reference to the provisions of the Agreement on which the denial is based, (3y) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4z) an explanation of the Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 1 contract

Samples: Bancorp Director Retirement Agreement (Cortland Bancorp Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's ’s written application for benefits, of his or her eligibility or noneligibility ineligibility for benefits under the this Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the this Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed, and (5) a time within which a review must be requested. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 1 contract

Samples: Split Dollar Agreement (Cooperative Bankshares Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's ’s written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the The Company determines that there are special circumstances requiring additional time to make a decision, the The Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 1 contract

Samples: Continuation Agreement (Omega Financial Corp /Pa/)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's his or her written application for benefits, of his or her eligibility or noneligibility non-eligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 1 contract

Samples: Director Deferred Fee Agreement (First Georgia Community Corp)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's claims review procedure and other appropriate information as to 212 the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 1 contract

Samples: Continuation Agreement (North Valley Bancorp)

Claims Procedure. The Company shall notify any person or entity that makes who claims a claim against the right to an interest under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility ineligibility for benefits under the this Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the this Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 1 contract

Samples: Indexed Retirement Agreement (Home Federal Bancorp Inc)

Claims Procedure. The Company shall notify any person or entity that makes making a claim against the under this Split Dollar Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility ineligibility for benefits under the this Split Dollar Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the this Split Dollar Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Split Dollar Agreement's claims review procedure and other appropriate information as to concerning the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 1 contract

Samples: Split Dollar Agreement (Cortland Bancorp Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement this Group Term Replacement Plan (the "Claimant") in writing, within ninety (90) days of Claimant's written application for benefits, of his or her Claimant's eligibility or noneligibility ineligibility for benefits under the Agreementthis Plan. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement this Plan on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her Claimant's claim, and a description of why it is needed, and (4) an explanation of the Agreementthis Plan's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 1 contract

Samples: Agreement (First Community Financial Corp)

Claims Procedure. The Company shall notify any person or entity that makes claims a claim right to an interest against the Agreement this Group Term Replacement Plan (the "Claimant") in writing, within ninety (90) days of Claimant's his or her written application for benefits, of his or her eligibility or noneligibility ineligibility for benefits under the Agreementthis Plan. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement this Plan on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreementthis Plan's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 1 contract

Samples: Codorus Valley Bancorp Inc

Claims Procedure. The Company shall notify any person or entity that who makes a claim against the this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility for benefits under the this Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the this Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewedreviewed and (5) a time within which review must be requested. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 1 contract

Samples: Agreement (Cooperative Bankshares Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's ’s written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 1 contract

Samples: Supplemental Executive Retirement Agreement (South Financial Group Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against under the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's written application for benefits, of his or her Claimant's eligibility or noneligibility ineligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her Claimant's claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 1 contract

Samples: Fee Agreement (National Penn Bancshares Inc)

Claims Procedure. The Company shall notify any person or entity that makes claims a claim right to an interest against the Agreement this Group Term Replacement Plan (the "Claimant") in writing, within ninety (90) days of Claimant's his or her written application for benefits, of his or her eligibility or noneligibility ineligibility for benefits under the Agreementthis Plan. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement this Plan on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's this Plan’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the 107 Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 1 contract

Samples: Codorus Valley Bancorp Inc

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) days of Claimant's written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period.

Appears in 1 contract

Samples: Continuation Agreement (Orrstown Financial Services Inc)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility non-eligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 1 contract

Samples: Fee Agreement (First Community Bancshares Inc /In)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) 263 an explanation of the this Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 1 contract

Samples: Dollar Agreement (North Valley Bancorp)

Claims Procedure. The Company shall notify any person or entity that makes a claim against the under this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's ’s written application for benefits, of his or her eligibility or noneligibility non-eligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's ’s claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 1 contract

Samples: First Community Financial Corp

Claims Procedure. The Company shall notify any person or entity that makes a claim against the Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility for benefits under the Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewed, and (5) a time within which review must be requested. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 1 contract

Samples: Retirement Agreement (Ohio Valley Banc Corp)

Claims Procedure. The Company shall notify any person or entity that who makes a claim against the this Agreement (the "Claimant") in writing, within ninety (90) 90 days of Claimant's written application for benefits, of his or her eligibility or noneligibility ineligibility for benefits under the this Agreement. If the Company determines that the Claimant is not eligible for benefits or full benefits, the notice shall set forth (1) the specific reasons for such denial, (2) a specific reference to the provisions of the this Agreement on which the denial is based, (3) a description of any additional information or material necessary for the Claimant to perfect his or her claim, and a description of why it is needed, and (4) an explanation of the this Agreement's claims review procedure and other appropriate information as to the steps to be taken if the Claimant wishes to have the claim reviewedreviewed and (5) a time within which review must be requested. If the Company determines that there are special circumstances requiring additional time to make a decision, the Company shall notify the Claimant of the special circumstances and the date by which a decision is expected to be made, and may extend the time for up to an additional ninety-day period90 days.

Appears in 1 contract

Samples: Agreement (Cooperative Bankshares Inc)

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