Common use of Content of Notification of Benefit Denial Clause in Contracts

Content of Notification of Benefit Denial. The Bank shall provide the claimant with a notice calculated to be understood by the claimant, which shall contain: (a) The specific reason or reasons for the adverse determination; (b) Reference to the specific Agreement provisions on which the benefit determination is based; (c) A statement that the claimant is entitled to receive, upon request and free of charge, reasonable access to, and copies of all documents, records, and other relevant information (as defined in applicable ERISA regulations); (d) A statement of the claimant's rights to bring an action under ERISA Section 502(a); (e) Any internal rule, guideline, protocol, or other similar criterion relied upon in making the adverse determination, or a statement that such a rule, guideline, protocol, or other similar criterion was relied upon in making the adverse determination and that the claimant can request and receive free of charge a copy of such rule, guideline, protocol or other criterion from the Bank; (f) 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 Agreement to the claimant's medical circumstances, or a statement that such explanation will be provided free of charge upon request; and (g) The following statement: "You and your Agreement may have other voluntary alternative dispute resolution options such as mediation. One way to find out what may be available is to contact your local U.S. Department of Labor Office and your state insurance regulatory agency."

Content of Notification of Benefit Denial. The Bank Company shall provide the claimant Claimant with a notice calculated to be understood by the claimantClaimant, which shall contain: (a) The specific reason or reasons for the adverse determination; (b) Reference to the specific Agreement plan provisions on which the benefit determination is based; (c) A statement that the claimant Claimant is entitled to receive, upon request and free of charge, reasonable access to, and copies of all documents, records, and other relevant information (as defined in applicable ERISA regulations); (d) A statement of the claimant's rights Claimant’s right to bring an action under ERISA Section 502(a); (e) Any internal rule, guideline, protocol, or other similar criterion relied upon in making the adverse determination, or a statement that such a rule, guideline, protocol, or other similar criterion was relied upon in making the adverse determination and that the claimant Claimant can request and receive free of charge a copy of such rule, guideline, protocol or other criterion from the BankCompany; (f) 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 Agreement Plan to the claimant's Claimant’s medical circumstances, or a statement that such explanation will be provided free of charge upon request; and (g) The following statement: "“You and your Agreement plan may have other voluntary alternative dispute resolution options such as mediation. One way to find out what may be available is to contact your local U.S. Department of Labor Office and your state insurance regulatory agency."”

Content of Notification of Benefit Denial. The Bank Company shall provide the claimant Claimant with a notice calculated to be understood by the claimantClaimant, which shall contain: (a) The specific reason or reasons for the adverse determination; (b) Reference to the specific Agreement plan provisions on which the benefit determination is based; (c) A statement that the claimant Claimant is entitled to receive, upon request and free of charge, reasonable access to, and copies of all documents, records, and other relevant information (as defined in applicable ERISA regulations); (d) A statement of the claimant's rights Claimant’s right to bring an action under ERISA Section 502(a); (e) Any internal rule, guideline, protocol, or other similar criterion relied upon in making the adverse determination, or a statement that such a rule, guideline, protocol, or other similar criterion was relied upon in making the adverse determination and that the claimant Claimant can request and receive free of charge a copy of such rule, guideline, protocol or other criterion from the BankCompany; (f) 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 this Agreement to the claimant's Claimant’s medical circumstances, or a statement that such explanation will be provided free of charge upon request; and (g) The following statement: "“You and your Agreement Company may have other voluntary alternative dispute resolution options such as mediation. One way to find out what may be available is to contact your local U.S. Department of Labor Office and your state insurance regulatory agency."” GREER STATE BANK Amended and Restated Salary Continuation Agreement

Content of Notification of Benefit Denial. The Bank shall provide the claimant Claimant with a notice calculated to be understood by the claimantClaimant, which shall contain: (a) The specific reason or reasons for the adverse determination; (b) Reference to the specific Agreement plan provisions on which the benefit determination is based; (c) A statement that the claimant Claimant is entitled to receive, upon request and free of charge, reasonable access to, and copies of all documents, records, and other relevant information (as defined in applicable ERISA regulations); (d) A statement of the claimantClaimant's rights right to bring an action under ERISA Section 502(a); (e) Any internal rule, guideline, protocol, or other similar criterion relied upon in making the adverse determination, or a statement that such a rule, guideline, protocol, or other similar criterion was relied upon in making the adverse determination and that the claimant Claimant can request and receive free of charge a copy of such rule, guideline, protocol or other criterion from the Bank; (f) 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 this Agreement to the claimantClaimant's medical circumstances, or a statement that such explanation will be provided free of charge upon request; and (g) The following statement: "You and your Agreement Bank may have other voluntary alternative dispute resolution options such as mediation. One way to find out what may be available is to contact your local U.S. Department of Labor Office and your state insurance regulatory agency."