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), Salary Continuation Agreement (Centennial First Financial Services), Director Incentive Retirement Agreement (First Litchfield Financial Corp)

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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: Director Deferred Fee Agreement (North Valley Bancorp), Executive Deferred Compensation Agreement (North Valley Bancorp), Director Deferred Fee Agreement (Ohio Valley Banc 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. 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), Director Incentive Retirement Agreement (First Litchfield 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) 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: Director Deferred Fee Agreement (First Community Financial Corp), Director Deferred Fee Agreement (First Community Financial Corp), Director Deferred 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: Split Dollar Agreement (Bank Holdings), Split Dollar Agreement (Bank Holdings), Split Dollar Agreement (Plumas Bancorp)

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: Director Retirement Agreement (Cortland Bancorp Inc), 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 ’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: Salary Continuation Agreement (Codorus Valley Bancorp Inc), Salary Continuation Agreement (Codorus Valley Bancorp Inc), Salary 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 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), 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 ’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: Director Incentive Retirement Agreement (Smithtown Bancorp Inc), Director Incentive Retirement Agreement (Smithtown Bancorp Inc), Executive Incentive Retirement Agreement (Smithtown 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 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: Salary Continuation Agreement (First South Bancorp Inc), Salary Continuation Agreement (First South Bancorp Inc), Salary 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 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: Salary Continuation Agreement (Community Banks Inc /Pa/), Salary Continuation Agreement (Community Banks Inc /Pa/), Salary Continuation Agreement (Community Banks Inc /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) 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: Employment 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 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: Salary Continuation Agreement (Fidelity Bancorp Inc), Salary Continuation Agreement (Fidelity Bancorp Inc), Salary Continuation Agreement (Fidelity Bancorp 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: 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: Executive Indexed Retirement Agreement (Cooperative Bankshares Inc), Director Deferred Fee Agreement (Cooperative Bankshares Inc), Director Retirement 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) 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: Director Deferred Fee Agreement (First Georgia Community Corp), Director Deferred Fee Agreement (Acnb Corp), Director Deferred Fee Agreement (Tib 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 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 (Polonia Bancorp), 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 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: Director Supplemental Life Insurance Plan (Acnb Corp), Executive Supplemental Life Insurance Plan (Acnb Corp), Group Term Replacement Plan (Codorus Valley 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 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 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: Director Deferred Fee Agreement (Cooperative Bankshares Inc), Director Deferred Fee 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) 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 forth: (1i) the The specific reasons for such denial, ; (2ii) a A specific reference to the provisions of the Agreement on which the denial is based, ; (3iii) a 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 ; and (4iv) an 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: Executive Supplemental Retirement Plan (Community Valley Bancorp), Executive Supplemental Retirement Plan (Community Valley 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 2 contracts

Samples: Director Group Term Replacement Plan (Codorus Valley Bancorp Inc), Director Group Term Replacement Plan (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 ’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: Deferred Fee Agreement (Central Valley Community Bancorp), Director Deferred Fee Agreement (Central Valley Community 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 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: Supplemental Executive Retirement Agreement (Midwest Banc Holdings Inc), Salary Continuation Agreement (Wesbanco Inc)

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), Stock Appreciation Rights Agreement (Commerce National Corp)

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: Salary Continuation Agreement (Federal Trust Corp), Salary Continuation Agreement (Federal Trust 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), Salary 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: Salary Continuation Agreement (Southern Community Bancorp), Salary Continuation Agreement (Southern Community Bancorp)

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 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: Salary Continuation Agreement (Mid Penn 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 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 (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: Salary Continuation 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 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: Split Dollar Agreement (West Pointe Bancorp 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: Director Deferred Fee Agreement (National Penn Bancshares 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: Salary 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) 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: Salary Continuation Agreement (Omega Financial Corp /Pa/)

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

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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) 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 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: Executive Indexed Retirement Agreement (Cooperative Bankshares Inc)

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 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: 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 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: Salary Continuation Agreement (North Valley Bancorp)

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: Officer Group Term Replacement Plan (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: Director Retirement Agreement (Ohio Valley Banc 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) 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: Supplemental Executive Retirement 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) 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 Corporation shall notify any person or entity that makes a claim against the Agreement under this Plan (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 AgreementPlan. If the Company Corporation 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 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 reviewedreviewed and (5) a time within which review must be requested. If the Company Corporation determines that there are special circumstances requiring additional time to make a decision, the Company Corporation 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 Life Insurance Plan (Heartland Financial Usa 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: Salary Continuation Agreement (Peoples Bancorporation Inc /Sc/)

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: Director Indexed Retirement Agreement (Home Federal 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 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: Officer Group Term Replacement Plan (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: Director Group Term Replacement Plan (Codorus Valley 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 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: Salary Continuation Agreement (North Valley Bancorp)

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: Salary Continuation Agreement (Western Sierra Bancorp)

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 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: Salary 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: Director Deferred Fee Agreement (First Community Bancshares Inc /In)

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 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: Split Dollar 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 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: Group Term Carve Out Plan (MBT Financial 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 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: Director Retirement 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) 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: Salary Continuation Agreement (Western Sierra Bancorp)

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