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.
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Samples: Split Dollar Agreement (Concord Efs Inc), Split Dollar Agreement (Concord Efs Inc), Split Dollar Agreement (Concord Efs Inc)
Content of Notice. The Insurer shall provide provide, to every Claimant ----------------- any claimant who is denied a Claim claim for Benefits benefits, written notice setting forth, in a manner calculated to be understood by the Claimantclaimant, the following:
1. ) The specific reason or reasons for the denial;
2. ) Specific reference to pertinent Plan Policy provision or provisions of this agreement on which the denial is based;
3. ) A description of any additional material or information necessary for the Claimant claimant to perfect the claim, claim and an explanation of why such material or information is necessary; and
4. ) An explanation of the PlanAgreement's Claim Review Procedure claim review procedure, as set forth belowin Sections 16E and 16F following.
Appears in 1 contract
Samples: Split Dollar Life Insurance Agreement (Alliant Techsystems Inc)
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.
Appears in 1 contract
Content of Notice. The Insurer shall provide provide, to every Claimant ----------------- any claimant who is denied a Claim claim for Benefits benefits, written notice setting forth, forth in a manner calculated to be understood by the Claimantclaimant, the following:
(1. ) The specific reason or reasons for the denial;
(2. ) Specific reference to pertinent Plan Policy or provisions of this Agreement on which the denial is based;
(3. ) A description of any additional material or information necessary for the Claimant claimant to perfect the claim, claim and an explanation of why such material or information is necessary; and
(4. ) An explanation of the Planthis Agreement's Claim Review Procedure claim review procedure, as set forth in Sections (e) and (f) below.
Appears in 1 contract
Samples: Split Dollar Agreement (Atlantic Coast Airlines Inc)
Content of Notice. The Insurer shall provide to every Claimant who ----------------- 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.
Appears in 1 contract
Content of Notice. The Insurer shall provide provide, to every Claimant ----------------- any claimant who is denied a Claim claim for Benefits benefits, written notice setting forth, in a manner calculated to be understood by the Claimantclaimant, the following:
1. ) The specific reason or reasons for the denial;
2. ) Specific reference to pertinent Plan policy provision or provisions of this Agreement on which the denial is based;
3. ) A description of any additional material or information necessary for the Claimant claimant to perfect the claim, claim and an explanation of why such material or information is necessary; and
4. ) An explanation of the PlanAgreement's Claim Review Procedure claim review procedure, as set forth belowin Sections 9E and 9F following.
Appears in 1 contract
Samples: Executive Life Insurance Agreement (Alliant Techsystems Inc)