Common use of DECISION ON REVIEW OF DENIAL OF CLAIM Clause in Contracts

DECISION ON REVIEW OF DENIAL OF CLAIM. The Company shall deliver to the claimant a written decision on the claim promptly, but not later than sixty (60) days, after the receipt of the claimant's request for review, except that if there are special circumstances (such as the need to hold a hearing) which require an extension of time for processing, the aforesaid sixty (60) day period shall be extended to one hundred twenty (120) days. Such decision shall (a) be written in a manner calculated to be understood by the claimant, (b) include specific reasons for the decision, and (c) contain specific references to the pertinent provisions upon which the decision is based.

DECISION ON REVIEW OF DENIAL OF CLAIM. The Company shall deliver to the claimant a written decision on the claim promptly, but not later than sixty (60) days, after the receipt of the claimant's ’s request for review, except that if there are special circumstances (such as the need to hold a hearing) which require an extension of time for processing, the aforesaid sixty (60) day period shall be extended to one hundred twenty (120) days. Such decision shall (a) be written in a manner calculated to be understood by the claimant, (b) include specific reasons for the decision, and (c) contain specific references to the pertinent provisions upon which the decision is based.

DECISION ON REVIEW OF DENIAL OF CLAIM. The Company Claims Fiduciary shall deliver to the claimant a written decision on the claim promptly, but not later than sixty (60) days, 60 days after the receipt of the claimant's request for review, except that if there are special circumstances (such as the need to hold a hearing) which require an extension of time for processing, the aforesaid sixty (60) -day period shall may be extended to one hundred twenty (120) days120 days by written notice delivered to the claimant prior to the expiration of the initial 60-day period. Such decision shall (ai) be written in a manner calculated to be understood by the claimant, (bii) include specific reasons for the decision, and (ciii) contain specific references to the pertinent plan provisions upon which the decision is based.