Content of Notice. The Plan Administrator shall provide written notice to every Claimant who is denied a claim for benefits which notice shall set forth the following:
(i.) The specific reason or reasons for the denial;
(ii.) Specific reference to pertinent Agreement provisions on which the denial is based;
(iii.) A description of any additional material or information necessary for the Claimant to perfect the claim, and any explanation of why such material or information is necessary; and
(iv.) Any other information required by applicable regulations, including with respect to disability benefits.
Content of Notice a. The notice shall explain the following:
i. The adverse benefit determination the Contractor has made or intends to make.
ii. The reasons for the adverse benefit determination, including the right of the beneficiary to be provided upon request and free of charge, reasonable access to and copies of all documents, records, and other information relevant to the beneficiary’s adverse benefit determination. Such information includes medical necessity criteria, and any processes, strategies, or evidentiary standards used in setting coverage limits.
Content of Notice. Any notice which requires a response shall indicate the maximum response time specified in Section 9.
Content of Notice. Each notice of reduction in force or displacement shall at a minimum contain the following information:
1. The reason for reduction in force or displacement;
2. The effective date of reduction in force or displacement;
3. The employee’s state seniority;
4. A statement advising the employee that he/she may have the right to displace another employee and that he/she must exercise his/her displacement rights within five (5) days of the date he/she is notified that he/she is displaced or is notified of the reduction in force and that failure to provide timely notice shall result in a waiver of the employee’s right to displace;
5. A statement advising the employee of the right to recall;
6. A statement that the employee is responsible for maintaining a current address with his/her Employing Agency which shall be maintained in the employee’s official personnel file;
7. A statement setting forth any conversion of benefit rights which the employee may exercise;
8. A statement indicating that the arbitration procedure may be directly utilized by an employee, with the approval of the Association, concerning any of the following matters: selection of the employee for reduction in force pursuant to Section 18.03; displacement of an employee as a result of the reduction in force; timeliness of the notice of reduction, displacement or recall; or failure of the employee to be placed on a recall list or to be properly recalled from reduction in force or displacement.
Content of Notice. After review and discussion with the Human Resources Manager, any disciplinary action which may result in suspension without pay shall be set forth, in writing, to the employee at least ten (10) working days before the proposed effective date or dates. All notices of proposed action shall be personally served or be mailed by certified mail, return receipt requested, to the last known address of the employee(s). This notice shall be prepared by the Department Director after consultation with the Human Resources Manager and shall contain the following:
1. A description of the proposed action and its effective date or dates, and the ordinance, regulation, or rule violated.
2. A statement of the acts or omissions upon which the action is based.
3. A statement that a copy of any available materials upon which the action is based is attached. This does not preclude either party from utilizing additional information if the matter should be appealed to the Board. However, this additional material shall be made available at least ten (10) working days before the date of appeal to the Board.
4. A statement advising the employee of the right to seek representation and to request a hearing as provided herein.
Content of Notice. The job vacancy notice shall include: the job title, a brief description of the position and duties, the minimum qualifications required for the position, months per year assigned to the position, the salary range, and the deadline for applying for the vacancy. The notice shall also include the intended number of hours per day and days per week. The assigned job site shall be included if known. The job title on the job vacancy notice will be the same as the title listed in Article I.
Content of Notice. Every notice of meeting shall state the place, day and hour of the meeting and every notice of a special meeting shall state the matters to be discussed at that meeting. Notice of any general or special meeting may be abridged or waived if all the Trustees who are for the time being in New Zealand consent in writing to such abridgement or waiver.
Content of Notice. The Insurer shall provide to every Claimant ----------------- who is denied a Claim for Benefits written notice setting forth, in a manner calculated to be understood by the Claimant, the following:
1. The specific reason or reasons for the denial;
2. Specific reference to pertinent Plan provisions on which the denial is based;
3. A description of any additional material or information necessary for the Claimant to perfect the claim, and an explanation of why such material or information is necessary; and
4. An explanation of the Plan's Claim Review Procedure as set forth below.
Content of Notice. The Administrator’s written or electronic notification of any adverse benefit determination must contain the following information:
(1) The specific reason or reasons for the adverse determination.
(2) Reference to the specific Plan provisions on which the denial is based.
(3) A description of any additional information or material necessary to correct the claim and an explanation of why such material or information is necessary.
(4) Appropriate information as to the steps to be taken if the Claimant or beneficiary wishes to submit the claim for review.
(5) In the case of disability benefits where the disability is determined by a physician chosen by the Administrator:
(i) If an internal rule, guideline, protocol, or other similar criterion was relied upon in making the adverse determination, either the specific rule, guideline, protocol, or other similar criterion; or a statement that such rule, guideline, protocol, or other similar criterion was relied upon in making the adverse determination and that a copy of the rule, guideline, protocol, or other similar criterion will be provided free of charge upon request.
(ii) If the adverse benefit determination is based on a medical necessity or experimental treatment or similar exclusion or limit, either an explanation of the scientific or clinical judgment for the determination, applying the terms of the Plan to the Claimant’s medical circumstances, or a statement that such explanation will be provided to the Claimant free of charge upon request. If the claim has been denied or deemed denied, and the Claimant wants to submit the claim for review, the Claimant must follow the Claims Review Procedure below.
Content of Notice. Action to suspend, demote, or discharge shall be in written form and shall state the reason(s) for said action. Such notices shall also indicate the effective date of the action or the time period for which the action shall be effective, if appropriate. A demotion action shall state the classification to which the employee is demoted.
