Common use of Filing a Claim for Benefits Clause in Contracts

Filing a Claim for Benefits. Any insured, Beneficiary, or other individual, (“Claimant”) entitled to benefits under this Agreement will file a claim request with the Plan Administrator. The Plan Administrator will, upon written request of a Claimant, make available copies of all forms and instructions necessary to file a claim for benefits or advise the Claimant where such forms and instructions may be obtained. If the claim relates to disability benefits, then the Plan Administrator shall designate a sub-committee to conduct the initial review of the claim (and applicable references below to the Plan Administrator shall mean such sub-committee).

Appears in 14 contracts

Samples: Executive Salary Continuation Agreement (Lyons Bancorp Inc), Executive Salary Continuation Agreement (Lyons Bancorp Inc), Executive Salary Continuation Agreement (Wellesley Bancorp, Inc.)

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Filing a Claim for Benefits. Any insured, Beneficiarybeneficiary, or other individual, (“Claimant”) entitled to benefits under this Agreement Executive Plan will file a claim request with the Plan Administrator. The Plan Administrator will, upon written request of a Claimant, make available copies of all forms and instructions necessary to file a claim for benefits or advise the Claimant where such forms and instructions may be obtained. If the claim relates to disability benefits, then the Plan Administrator shall designate a sub-committee to conduct the initial review of the claim (and applicable references below to the Plan Administrator shall mean such sub-committee).

Appears in 13 contracts

Samples: Executive Salary Continuation Agreement (Summit Financial Group Inc), Executive Salary Continuation Agreement (Mountain National Bancshares Inc), Supplemental Retirement Plan Agreement (Merrill Merchants Bancshares Inc)

Filing a Claim for Benefits. Any insured, Beneficiarybeneficiary, or other individual, ("Claimant") entitled to benefits under this Agreement will file a claim request with the Plan Administrator. The Plan Administrator will, upon written request of a Claimant, make available copies of all forms and instructions necessary to file a claim for benefits or advise the Claimant where such forms and instructions may be obtained. If the claim relates to disability benefits, then the Plan Administrator shall designate a sub-committee to conduct the initial review of the claim (and applicable references below to the Plan Administrator shall mean such sub-committee).

Appears in 1 contract

Samples: Continuation Agreement (Simmons First National Corp)

Filing a Claim for Benefits. Any insured, Beneficiary, or other individual, ("Claimant") entitled to benefits under this Agreement will file a claim request with the Plan Administrator. The Plan Administrator will, upon written request Request of a Claimant, make available copies of all forms and instructions necessary to file a claim for benefits or advise the Claimant where such forms and instructions may be obtained. If the claim relates to disability benefits, then the Plan Administrator shall designate a sub-committee to conduct the initial review of the claim (and applicable references below to the Plan Administrator shall mean such sub-committee).

Appears in 1 contract

Samples: Executive Salary Continuation Agreement (Hampden Bancorp, Inc.)

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Filing a Claim for Benefits. Any insured, Beneficiary, or other individual, (“Claimant”) entitled to benefits under this Agreement Plan will file a claim request with the Plan Administrator. The Plan Administrator will, upon written request of a Claimant, make available copies of all forms and instructions necessary to file a claim for benefits or advise the Claimant where such forms and instructions may be obtained. If the claim relates to disability benefits, then the Plan Administrator shall designate a sub-committee to conduct the initial review of the claim (and applicable references below to the Plan Administrator shall mean such sub-committee).

Appears in 1 contract

Samples: Participation Agreement (Bank of Granite Corp)

Filing a Claim for Benefits. Any insured, Beneficiary, or other individual, ("Claimant") entitled to benefits under this Agreement Plan will file a claim request with the Plan Administrator. The Plan Administrator will, upon written request of a Claimant, make available copies of all forms and instructions necessary to file a claim for benefits or advise the Claimant where such forms and instructions may be obtained. If the claim relates to disability benefits, then the Plan Administrator shall designate a sub-committee to conduct the initial review of the claim (and applicable references below to the Plan Administrator shall mean such sub-committee).

Appears in 1 contract

Samples: Continuation Plan (Origin Bancorp, Inc.)

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