Initial Claims. If benefits under this Agreement become due, Cerner will notify you as to the amount of benefits you are entitled to, the duration of such benefit, the time the benefit is to commence and other pertinent information concerning your benefit. If you have been denied a benefit under the Agreement, or if you feel that the benefit which has been given to you is not accurate, you may file a claim with Cerner. If a claim for benefit is denied by Cerner, Cerner shall provide you with written or electronic notification of any adverse benefit determination within ninety (90) days after receipt of the claim unless special circumstances require an extension of time for processing the claim. If such an extension of time for processing is required, written or electronic notice indicating the special circumstances and the date by which a final decision is expected to be rendered shall be furnished to you. In no event shall the period of extension exceed one hundred eighty (180) days after receipt of the claim. The notice of denial of the claim shall set forth:
(a) The specific reason or reasons for the adverse determination;
(b) Reference to the specific Agreement provisions on which the determination is based;
(c) A description of any additional material or information necessary for you to perfect the claim, and an explanation of why such material or information is necessary; and
(d) A description of the applicable review procedures and the time limits applicable to such procedures, including a statement of your right to bring a civil action under ERISA section 502(a) following an adverse benefit determination on review. You (or your duly authorized representative) may review pertinent documents and submit issues and comments in writing to Cerner. If you fail to appeal such action to Cerner in writing within the prescribed period of time described in the next section, Cerner’s adverse determination shall be final, binding and conclusive. Executive’s Initials
Initial Claims. Any claim you have with respect to eligibility, participation, benefits or other aspects of the operation or administration of the Plan, including but not limited to: recovery of benefits under the Plan; enforcing rights under the Plan; or clarification with respect to rights to future benefits under the Plan, shall be made in writing to the Plan Administrator within 90 days following the date you knew or should have known of the facts upon which the claim is based. The Plan Administrator will provide you with the necessary forms and make all determinations as to the right of any person to a disputed benefit. If you make a claim for benefits under the Plan, you will be notified of the acceptance or denial of your claim within 90 days from the date the Plan Administrator receives your claim. In some cases, your request may take more time to review and an additional processing period of up to 90 days may be required. If that happens, you will be notified in writing. The written notice of extension will indicate the circumstances requiring the extension of time and the date by which the Plan Administrator expects to make a determination with respect to the claim. If the extension is required due to your failure to submit information necessary to decide the claim, the period for making the determination will be tolled from the date on which the extension notice is sent to you until the date on which you respond to the Plan’s request for information. If your claim is wholly or partially denied, or any other adverse benefit determination is made with respect to your claim, the Plan Administrator will furnish you with a written notice of this denial. This written notice will be provided to you within a reasonable period of time (generally 90 days) after the receipt of your claim by the Plan Administrator, subject to any tolling period as set forth above. The written notice will contain (i) the specific reason or reasons for the denial; (ii) specific reference to those Plan provisions on which the denial is based; (iii) a description of any additional information or material necessary to correct your claim and an explanation of why such material or information is necessary; and (iv) a description of the Plan’s appeals procedures (described below) and the applicable time limits, as well as a statement of your right to bring a civil action under ERISA following an adverse benefit determination on review.
Initial Claims. Any claim for a Disability Pension must be in writing on a form provided by the Trustees. Unless an extension applies, the Trustees must advise the claimant of its initial decision within forty-five (45) days of actual receipt of the written claim.
Initial Claims. Employees shall report all work-related injuries to his/her supervisor as soon as possible after an injury occurs.
Initial Claims. All claims shall be presented to the Plan Administrator in writing. Within ninety (90) days after receiving a claim, a claims official appointed by the Plan Administrator shall consider the claim and issue his or her determination thereon in writing. If the Plan Administrator or claims official determines that an extension of time is necessary, the claims official may extend the determination period for up to an additional ninety (90) days by giving the Claimant written notice indicating the special circumstances requiring the extension of time prior to the termination of the initial ninety (90) day period. Any claims that the Claimant does not pursue in good faith through the initial claims stage shall be treated as having been irrevocably waived.
Initial Claims. Any benefit claim must be in writing and delivered to the MHRC, at the following address: IPG Management Human Resources Committee 0000 Xxxxxx xx xxx Xxxxxxxx, 00xx Xxxxx New York, NY 10036 Attn: Executive Vice President, Chief Strategy and Talent Officer
Initial Claims. On or about the Task Order Effective Date, Athena will provide Pxxxx Systems with a work List containing 1000 Claims ("Initial Claims"). Pxxxx Systems will perform the Credit Balance Services for the Initial Claims. Upon completion of such services, Athena may terminate this Task Order without penalty by providing Pxxxx Systems with written notice.
Initial Claims. If the Associate has a claim for benefits which are not being paid, the Associate may file with the Secretary of the Committee a written claim describing the amount and nature of the claim and the supporting facts. The Chairman of the Committee shall designate an individual to review the claim (the "Authorized Representative"). The Authorized Representative must notify the Associate of the Authorized Representative's decision in writing by registered or certified mail within 60 days after receipt of the claim or, under special circumstances, within 120 days after its receipt of the claim. If the Authorized Representative denies the claim, the written notice of denial must list the reasons for denial, refer to the pertinent provisions of this Agreement on which the denial is based, describe any additional material or information necessary for the Associate to realize the claim, and explain the claim review procedure.
Initial Claims. Your claim must be presented to the Company in writing. Within 90 days after receiving the claim, a claims official appointed by the Company will consider your claim and issue his or her determination in writing. The claims official may extend the determination period for up to an additional 90 days by giving you written notice. With your consent, the initial claim determination period can be extended further. If you can establish that the claims official failed to respond to your claim in a timely manner, you may treat the claim as having been denied by the claims official.
Initial Claims. In the event that a dispute arises over any payment under this Agreement and the payment is not paid to Xx. Xxxxxx (or to his estate in the case of Xx. Xxxxxx'x death), the claimant of such payment must file a written claim with the Administrator within 60 days from the date payment is refused. The Administrator and MuniMae shall review the written claim and, if the claim is denied in whole or in part, shall provide, in writing and within 90 days of receipt of such claim, the specific reasons for such denial and reference to the provisions of this Agreement upon which the denial is based and any additional material or information necessary to perfect the claim. Such written notice shall further indicate the steps to be taken by the claimant if a further review of the claim denial is desired.
