Common use of Manner and Content of Notice of Decision on Review Clause in Contracts

Manner and Content of Notice of Decision on Review. Upon completion of its review of an adverse initial claim determination, the Plan Administrator will give the Claimant, in writing or by electronic notification, a notice containing: (A) its decision; (B) the specific reasons for the decision; (C) the relevant Plan provisions or insurance contract provisions on which its decision is based; (D) a statement that the Claimant is entitled to receive, upon request and without charge, reasonable access to, and copies of, all documents, records and other information in the Plan's files which is relevant to the Claimant's claim for benefits; (E) a statement describing the Claimant's right to bring an action for judicial review under ERISA section 502(a); and (F) if an internal rule, guideline, protocol or other similar criterion was relied upon in making the adverse determination on review, a statement that a copy of the rule, guideline, protocol or other similar criterion will be provided without charge to the Claimant upon request.

Manner and Content of Notice of Decision on Review. Upon completion of its review of an adverse initial claim determination, the Plan Administrator will give the Claimant, in writing or by electronic notification, a notice containing: (A) its decision; (B) the specific reasons for the decision; (C) the relevant Plan provisions or insurance contract provisions on which its decision is based; (D) a statement that the Claimant is entitled to receive, upon request and without charge, reasonable access to, and copies of, all documents, records and other information in the Plan's ’s files which is relevant to the Claimant's ’s claim for benefits; (E) a statement describing the Claimant's ’s right to bring an action for judicial review under ERISA section 502(a); and (F) if an internal rule, guideline, protocol or other similar criterion was relied upon in making the adverse determination on review, a statement that a copy of the rule, guideline, protocol or other similar criterion will be provided without charge to the Claimant upon request.

Manner and Content of Notice of Decision on Review. Upon completion of its review of an adverse initial claim determination, the Plan Administrator Bank will give the Claimant, in writing or by electronic notification, a notice containing: (A) its decision; (B) the specific reasons for the decision; (C) the relevant Plan Agreement provisions or insurance contract provisions on which its decision is based; (D) a statement that the Claimant is entitled to receive, upon request and without charge, reasonable access to, and copies of, all documents, records and other information in the Plan's Agreement’s files which is relevant to the Claimant's ’s claim for benefits; (E) a statement describing the Claimant's ’s right to bring an action for judicial review under ERISA section Section 502(a); and (F) if an internal rule, guideline, protocol or other similar criterion was relied upon in making the adverse determination on review, a statement that a copy of the rule, guideline, protocol or other similar criterion will be provided without charge to the Claimant upon request.

Manner and Content of Notice of Decision on Review. Upon completion of its review of an adverse initial claim determination, the Plan Administrator Corporation will give the Claimant, in writing or by electronic notification, a notice containing: (Ai) its decision; (Bii) the specific reasons for the decision; (Ciii) the relevant Plan provisions or insurance contract provisions on which its decision is based; (Div) a statement that the Claimant is entitled to receive, upon request and without charge, reasonable access to, and copies of, all documents, records and other information in the Plan's ’s files which is relevant to the Claimant's ’s claim for benefits; (Ev) a statement describing the Claimant's ’s right to bring an action for judicial review under ERISA section Section 502(a)) of ERISA; and (Fvi) if an internal rule, guideline, protocol or other similar criterion was relied upon in making the adverse determination on review, a statement that a copy of the rule, guideline, protocol or other similar criterion will be provided without charge to the Claimant upon request.

Manner and Content of Notice of Decision on Review. Upon completion of its review of an adverse initial claim determination, the Plan Administrator Corporation will give the Claimant, in writing or by electronic notification, a notice containing: (Ai) its decision; (Bii) the specific reasons for the decision; (Ciii) the relevant Plan provisions or insurance contract provisions of this Agreement on which its decision is based; (Div) a statement that the Claimant is entitled to receive, upon request and without charge, reasonable access to, and copies of, all documents, records and other information in the Plan's Corporation’s files which is relevant to the Claimant's ’s claim for benefits; (Ev) a statement describing the Claimant's ’s right to bring an action for judicial review under ERISA section Section 502(a)) of ERISA; and (Fvi) if an internal rule, guideline, protocol or other similar criterion was relied upon in making the adverse determination on review, a statement that a copy of the rule, guideline, protocol or other similar criterion will be provided without charge to the Claimant upon request.

Manner and Content of Notice of Decision on Review. Upon completion of its review of an adverse initial claim determination, the Plan Administrator will give the Claimant, in writing or by electronic notification, a notice containing: (A) its decision; (B) the specific reasons for the decision; (C) the relevant Plan provisions or insurance contract provisions on which its decision is based; (D) a statement that the Claimant is entitled to receive, upon request and without charge, reasonable access to, and copies of, all documents, records and other information in the Plan's ’s files which is relevant to the Claimant's ’s claim for benefits; (E) a statement describing the Claimant's ’s right to bring an action for judicial review under ERISA section 502(a); andand Exhibit 10.40 (F) if an internal rule, guideline, protocol or other similar criterion was relied upon in making the adverse determination on review, a statement that a copy of the rule, guideline, protocol or other similar criterion will be provided without charge to the Claimant upon request.

Manner and Content of Notice of Decision on Review. Upon completion of its review of an adverse initial claim determination, the Plan Administrator will give the Claimant, in writing or by electronic notification, a notice containing: (A) its decision; (B) the specific reasons for the decision;; Exhibit 10.41 (C) the relevant Plan provisions or insurance contract provisions on which its decision is based; (D) a statement that the Claimant is entitled to receive, upon request and without charge, reasonable access to, and copies of, all documents, records and other information in the Plan's ’s files which is relevant to the Claimant's ’s claim for benefits; (E) a statement describing the Claimant's ’s right to bring an action for judicial review under ERISA section 502(a); and (F) if an internal rule, guideline, protocol or other similar criterion was relied upon in making the adverse determination on review, a statement that a copy of the rule, guideline, protocol or other similar criterion will be provided without charge to the Claimant upon request.

Manner and Content of Notice of Decision on Review. Upon completion of its review of an adverse initial claim determination, the Plan Administrator Board will give the Claimant, in writing or by electronic notification, a notice containing:containing- (A) its decision; (B) the specific reasons for the decision; (C) the relevant Plan Agreement provisions or insurance contract provisions on which its decision is based; (D) a statement that the Claimant is entitled to receive, upon request and without charge, reasonable access to, and copies of, all documents, records and other information in the Plan's Agreement’s files which is relevant to the Claimant's ’s claim for benefits; (E) a statement describing the Claimant's ’s right to bring an action for judicial review under ERISA section 502(a); and (F) if an internal rule, guideline, protocol or other similar criterion was relied upon in making the adverse determination on review, a statement that a copy of the rule, guideline, protocol or other similar criterion will be provided without charge to the Claimant upon request.

Manner and Content of Notice of Decision on Review. Upon completion of its review of an adverse initial claim determination, the Plan Administrator Company will give the Claimant, in writing or by electronic notification, a notice containing: (A) its decision; (B) the specific reasons for the decision; (C) the relevant Plan provisions or insurance contract provisions on which its decision is based; (D) a statement that the Claimant is entitled to receive, upon request and without charge, reasonable access to, and copies of, of all documents, records and other information in the Plan's files ’s tiles which is relevant to the Claimant's ’s claim for benefits; (E) a statement describing the Claimant's ’s right to bring an action for judicial review under ERISA section 502(a); and (F) if an internal rule, guideline, protocol or other similar criterion was relied upon in making the adverse determination on review, a statement that a copy of the rule, guideline, protocol or other similar criterion will be provided without charge to the Claimant upon request.

Manner and Content of Notice of Decision on Review. Upon completion of its review of an adverse initial claim determination, the Plan Administrator Company will give the Claimant, in writing or by electronic notification, a notice containing: (A) its decision; (B) the specific reasons for the decision; (C) the relevant Plan Agreement provisions or insurance contract provisions on which its decision is based; (D) a statement that the Claimant is is, entitled to receive, upon request and without charge, reasonable access to, ; and copies of, all documents, records and other information in the Plan's Agreement’s files which is relevant to the Claimant's ’s claim for benefits; (E) a statement describing the Claimant's ’s right to bring an action for judicial review under ERISA section 502(a); and (F) if an internal rule, guideline, protocol or other similar criterion was relied upon in making the adverse determination on review, a statement that a copy of the rule, guideline, protocol or other similar criterion will be provided without charge to the Claimant upon request.

Manner and Content of Notice of Decision on Review. Upon completion of its review of an adverse initial claim determination, the Plan Administrator Bank will give the Claimant, in writing or by electronic notification, a notice containing: (Ai) its decision; (Bii) the specific reasons for the decision; (Ciii) the relevant Plan provisions or insurance contract provisions of the Agreement on which its decision is based; (Div) a statement that the Claimant is entitled to receive, upon request and without charge, reasonable access to, and copies of, all documents, records and other information in the Plan's Bank’s files which is relevant to the Claimant's ’s claim for benefits; (Ev) a statement describing the Claimant's ’s right to bring an action for judicial review under ERISA section Section 502(a)) of ERISA; and (Fvi) if an internal rule, guideline, protocol or other similar criterion was relied upon in making the adverse determination on review, a statement that a copy of the rule, guideline, protocol or other similar criterion will be provided without charge to the Claimant upon request.

Manner and Content of Notice of Decision on Review. Upon completion of its review of an adverse initial claim determination, the Plan Administrator Bank will give the Claimant, in writing or by electronic notification, a notice containing: (Ai) its decision; (Bii) the specific reasons for the decision; (Ciii) the relevant Plan provisions or insurance contract provisions of the Agreement on which its decision is based; (Div) a statement that the Claimant is entitled to receive, upon request and without charge, reasonable access to, and copies of, all documents, records and other information in the Plan's Bank’s files which is are relevant to the Claimant's ’s claim for benefits; (Ev) a statement describing the Claimant's ’s right to bring an action for judicial review under ERISA section Section 502(a)) of ERISA; and (Fvi) if an internal rule, guideline, protocol or other similar criterion was relied upon in making the adverse determination on review, a statement that a copy of the rule, guideline, protocol or other similar criterion will be provided without charge to the Claimant upon request.