Common use of Notice of Decision Clause in Contracts

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 131 contracts

Samples: Supplemental Executive Retirement Agreement (Southern California Bancorp \ CA), Supplemental Director Retirement Agreement (BV Financial, Inc.), Salary Continuation Agreement (National Bankshares Inc)

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Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the this Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 71 contracts

Samples: Supplemental Executive Retirement Plan Agreement (Lake Shore Bancorp, Inc.), Supplemental Executive Retirement Plan Agreement (Mid Penn Bancorp Inc), Supplemental Executive Retirement Plan Agreement (Mid Penn Bancorp Inc)

Notice of Decision. The Plan Administrator shall notify the claimant Claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimantClaimant. The notification shall set forth: : (a) The the specific reasons for the denial; ; (b) A a reference to the specific provisions of the this Agreement on which the denial is based; ; (c) A 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 information relevant (as defined in applicable ERISA regulations) to the claimantClaimant’s claim for benefits; and and (d) A a statement of the claimantClaimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 58 contracts

Samples: Supplemental Executive Retirement Agreement (MUNCY COLUMBIA FINANCIAL Corp), Executive Supplemental Retirement Plan (LINKBANCORP, Inc.), Deferred Compensation Agreement (Peapack Gladstone Financial Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial;, (b) A reference to the specific provisions of the Agreement on which the denial is based;, (c) A statement that the claimant is entitled to receive, upon request and free of charge, reasonable access to, to and copies of, of all documents, records records, and other information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; , and (d) A statement of the claimant’s right to bring a civil action under ERISA Section section 502(a).

Appears in 33 contracts

Samples: Executive Deferred Compensation Agreement (Middlefield Banc Corp), Executive Deferred Compensation Agreement (Middlefield Banc Corp), Executive Deferred Compensation Agreement (Middlefield Banc Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth:forth – (a) The specific reasons for the denial;, (b) A reference to the specific provisions of the Agreement on which the denial is based;, (c) A statement that the claimant is entitled to receive, upon request and free of charge, reasonable access to, to and copies of, of all documents, records records, and other information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; , and (d) A statement of the claimant’s right to bring a civil action under ERISA Section section 502(a).

Appears in 26 contracts

Samples: Endorsement Split Dollar Agreement (Cortland Bancorp Inc), Endorsement Split Dollar Agreement (Cortland Bancorp Inc), Endorsement Split Dollar Agreement (Tidelands Bancshares Inc)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The A notification of denial shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the this Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 23 contracts

Samples: Director Deferred Compensation Agreement (LINKBANCORP, Inc.), Long Term Incentive Agreement, Deferred Compensation Agreement (Alamogordo Financial Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 18 contracts

Samples: Salary Continuation Agreement (Westbury Bancorp, Inc.), Salary Continuation Agreement (West Pointe Bancorp Inc), Salary Continuation Agreement (Service 1st Bancorp)

Notice of Decision. The Plan Administrator shall notify the claimant Claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimantClaimant. The notification shall set forth: : (ai) The the specific reasons for the denial; ; (bii) A a reference to the specific provisions of the this Agreement on which the denial is based; ; (ciii) A 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 information relevant (as defined in applicable ERISA regulations) to the claimantClaimant’s claim for benefits; and and (div) A a statement of the claimantClaimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 10 contracts

Samples: Split Dollar Life Insurance Agreement (Eureka Homestead Bancorp, Inc.), Split Dollar Life Insurance Agreement (Eureka Homestead Bancorp, Inc.), Split Dollar Life Insurance Agreement (Fidelity D & D Bancorp Inc)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth:forth — (a) The specific reasons for the denial;, (b) A reference to the specific provisions of the Agreement on which the denial is based;, (c) A statement that the claimant is entitled to receive, upon request and free of charge, reasonable access to, to and copies of, of all documents, records records, and other information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; , and (d) A statement of the claimant’s right to bring a civil action under ERISA Section section 502(a).

Appears in 10 contracts

Samples: Split Dollar Agreement (Cortland Bancorp Inc), Split Dollar Agreement (Cortland Bancorp Inc), Endorsement Split Dollar Agreement (Tidelands Bancshares Inc)

Notice of Decision. The Plan Administrator shall notify the claimant Claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimantClaimant. The notification shall set forth: : (a) The the specific reasons for the denial; ; (b) A a reference to the specific provisions of the this Agreement on which the denial is based; ; (c) A 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s Claimant's claim for benefits; and and (d) A a statement of the claimant’s Claimant's right to bring a civil action under ERISA Section 502(a).

Appears in 10 contracts

Samples: Supplemental Executive Retirement Plan Agreement (Emclaire Financial Corp), Supplemental Executive Retirement Plan (Eureka Homestead Bancorp, Inc.), Supplemental Executive Retirement Plan (Eureka Homestead Bancorp, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (ai) The specific reasons for the denial;, (bii) A reference to the specific provisions of the Agreement on which the denial is based;, (ciii) 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; , and (div) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 8 contracts

Samples: Supplemental Executive Retirement Plan Agreement (Sound Financial Bancorp, Inc.), Supplemental Executive Retirement Plan Agreement (Eagle Bancorp Inc), Supplemental Executive Retirement Plan Agreement (Sound Financial Bancorp, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; ; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 8 contracts

Samples: Salary Continuation Agreement (National Bankshares Inc), Salary Continuation Agreement (National Bankshares Inc), Salary Continuation Agreement (National Bankshares Inc)

Notice of Decision. The Plan Administrator shall notify the claimant Claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimantClaimant. The notification shall set forth: (ai) The specific reasons for the denial; (bii) A reference to the specific provisions of the Agreement Plan on which the denial is based; (ciii) 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 information relevant (as defined in applicable ERISA regulations) to the claimantClaimant’s claim for benefits; and (div) A statement of the claimantClaimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 8 contracts

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

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the this Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 7 contracts

Samples: Salary Continuation Agreement (Bank of the James Financial Group Inc), New Director Fee Continuation Plan Agreement (Rhinebeck Bancorp, Inc.), New Director Fee Continuation Plan Agreement (Rhinebeck Bancorp, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 records, and other information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 6 contracts

Samples: Salary Continuation Agreement (United Bancshares Inc/Oh), Salary Continuation Agreement (United Bancshares Inc/Oh), Survivor Income Benefit Agreement (PSB Holdings Inc /Wi/)

Notice of Decision. The Plan Administrator shall notify the claimant Claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimantClaimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimantClaimant’s claim for benefits; and (d) A statement of the claimantClaimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 6 contracts

Samples: Phantom Stock Appreciation Rights Agreement (Kinderhook Bank Corp), Phantom Stock Appreciation Rights Agreement (Kinderhook Bank Corp), Phantom Stock Appreciation Rights Agreement (Kinderhook Bank Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial;, (b) A reference to the specific provisions of the Agreement on which the denial is based;, (c) A statement that the claimant is entitled to receive, upon request and free of charge, reasonable access to, to and copies of, of all documents, records records, and other information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; , and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 5 contracts

Samples: Split Dollar Agreement (Cortland Bancorp Inc), Split Dollar Agreement (Cortland Bancorp Inc), Split Dollar Agreement (Cortland Bancorp Inc)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the a denial; (b) A reference to the specific provisions of the this Agreement on which the a denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 5 contracts

Samples: Supplemental Employee Retirement Plan (Cascade Bancorp), Supplemental Employee Retirement Plan (Cascade Bancorp), Supplemental Employee Retirement Plan (Cascade Bancorp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) 6.2.5.1 The specific reasons for the denial;, (b) 6.2.5.2 A reference to the specific provisions of the Agreement on which the denial is based;, (c) 6.2.5.3 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; , and (d) 6.2.5.4 A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 5 contracts

Samples: Supplemental Executive Retirement Agreement (New North Penn Bancorp Inc), Supplemental Executive Retirement Agreement (New North Penn Bancorp Inc), Supplemental Executive Retirement Agreement (North Penn Bancorp, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The A notification of denial shall set forth:: United Labor Bank, F.S.B. Performance Driven Plan (a) The specific reasons for the denial; (b) A reference to the specific provisions of the this Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 5 contracts

Samples: Performance Driven Plan (First Ulb Corp.), Performance Driven Plan (First Ulb Corp.), Performance Driven Plan (First Ulb Corp.)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial;, (b) A reference to the specific provisions of the Agreement on which the denial is based;, (c) A statement that the claimant is entitled to receive, upon request and free of charge, reasonable access to, to and copies of, of all documents, records records, and other information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; , and (d) A statement of the claimant’s right to bring a civil action under ERISA Section section 502(a).

Appears in 4 contracts

Samples: Salary Continuation Agreement (Fidelity Southern Corp), Salary Continuation Agreement (Fidelity Southern Corp), Salary Continuation Agreement (Fidelity Southern Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial is based; (c) A statement that the claimant is entitled to receive, upon request and free of charge, reasonable access to, and copies of, of all documents, records and other information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 4 contracts

Samples: Supplemental Executive Retirement Plan Agreement (Athens Bancshares Corp), Supplemental Executive Retirement Plan Agreement (Athens Bancshares Corp), Supplemental Executive Retirement Plan Agreement (Athens Bancshares Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The If the Plan Administrator denies part or all of the claim, the notification shall set forth: (a) 6.2.5.1 The specific reasons for the denial;, (b) 6.2.5.2 A reference to the specific provisions of the Agreement on which the denial is based;, (c) 6.2.5.3 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; , and (d) 6.2.5.4 A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 4 contracts

Samples: Supplemental Executive Retirement Plan Agreement (Malvern Federal Bancorp Inc), Supplemental Executive Retirement Plan Agreement (Malvern Federal Bancorp Inc), Supplemental Executive Retirement Plan Agreement (Malvern Federal Bancorp Inc)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the this Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).. Avenue Bank Supplemental Executive Retirement Plan Agreement

Appears in 4 contracts

Samples: Supplemental Executive Retirement Plan Agreement (Pinnacle Financial Partners Inc), Supplemental Executive Retirement Plan Agreement (Avenue Financial Holdings, Inc.), Supplemental Executive Retirement Plan Agreement (Avenue Financial Holdings, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall be set forthforth with: (a) The specific reasons for the denial;, (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; , and (d) A statement of the claimant’s right to bring a civil action under ERISA Section section 502(a).

Appears in 3 contracts

Samples: Executive Split Dollar Agreement (BV Financial, Inc.), Executive Split Dollar Agreement (Hamilton Bancorp, Inc.), Executive Split Dollar Agreement (Hamilton Bancorp, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall be set forthforth with: (a) The specific reasons for the denial;, (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; , and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 3 contracts

Samples: Split Dollar Insurance Agreement (CB Financial Services, Inc.), Executive Split Dollar Agreement (Melrose Bancorp, Inc.), Executive Split Dollar Agreement (Melrose Bancorp, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 3 contracts

Samples: Supplemental Executive Retirement Agreement (Union Bankshares Inc), Split Dollar Life Insurance Agreement (Investors Bancorp Inc), Split Dollar Life Insurance Agreement (New Investors Bancorp, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The If the claim is denied then the notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the this Agreement on which the denial is based;; and (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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 3 contracts

Samples: Supplemental Retirement Plan (Ameriana Bancorp), Supplemental Retirement Plan (Ameriana Bancorp), Supplemental Retirement Plan (Ameriana Bancorp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth:; (a) The specific reasons for the denial; (b) A reference to the specific provisions of the this Agreement on which the denial is based;; and (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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 3 contracts

Samples: Director Retirement Agreement (Berkshire Hills Bancorp Inc), Director Retirement Agreement (Berkshire Hills Bancorp Inc), Director Retirement Agreement (Berkshire Hills Bancorp Inc)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial is based;; OLD LINE BANK Salary Continuation Agreement (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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 3 contracts

Samples: Salary Continuation Agreement (Old Line Bancshares Inc), Salary Continuation Agreement (Old Line Bancshares Inc), Salary Continuation Agreement (Old Line Bancshares Inc)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial;, (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s =s claim for benefits; , and (d) A statement of the claimant’s =s right to bring a civil action under ERISA Section section 502(a).

Appears in 3 contracts

Samples: Endorsement Split Dollar Agreement (Crescent Financial Corp), Endorsement Split Dollar Agreement (Crescent Financial Corp), Endorsement Split Dollar Agreement (Crescent Financial Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth:forth - (a) The specific reasons for the denial; , (b) A reference to the specific provisions of the Agreement on which the denial is based; , (c) A statement that the claimant is entitled to receive, upon request and free of charge, reasonable access to, to and copies of, of all documents, records records, and other information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and , and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section section 502(a).

Appears in 3 contracts

Samples: Endorsement Split Dollar Agreement (Southcoast Financial Corp), Endorsement Split Dollar Agreement (Southcoast Financial Corp), Endorsement Split Dollar Agreement (First South Bancorp Inc)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denialdecision; (b) A reference to the specific provisions of the this Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 3 contracts

Samples: Salary Continuation Agreement (Consumers Bancorp Inc /Oh/), Salary Continuation Agreement (Consumers Bancorp Inc /Oh/), Salary Continuation Agreement (Consumers Bancorp Inc /Oh/)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its the decision on reviewof the independent fiduciary. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 2 contracts

Samples: Supplemental Executive Retirement Agreement (Cambridge Bancorp), Supplemental Executive Retirement Agreement (Cambridge Bancorp)

Notice of Decision. The Plan Administrator shall notify the claimant Claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimantClaimant. The notification shall set forth: : (a) The i)the specific reasons for the denial; ; (bii) A a reference to the specific provisions of the this Agreement on which the denial is based; ; (ciii) A 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s Claimant's claim for benefits; and and (div) A a statement of the claimant’s Claimant's right to bring a civil action under ERISA Section 502(a).

Appears in 2 contracts

Samples: Split Dollar Life Insurance Agreement (Middlefield Banc Corp), Split Dollar Life Insurance Agreement (Middlefield Banc Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial;, (b) A reference to the specific provisions of the Agreement on which the denial is based;, (c) A statement that the claimant is entitled to receive, upon request and free of charge, reasonable access to, to and copies of, of all documents, records records, and other information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; , and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section section 502(a).

Appears in 2 contracts

Samples: Defined Contribution Supplemental Executive Retirement Plan (Southern Michigan Bancorp Inc), Salary Continuation Agreement (BNC Bancorp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denialdecision; (b) A reference to the specific provisions of the this Agreement on upon which the denial decision 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 2 contracts

Samples: Salary Continuation Agreement (Home Bancorp, Inc.), Salary Continuation Agreement (Home Bancorp, Inc.)

Notice of Decision. The Plan Administrator shall notify the ------------------ claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; ; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 2 contracts

Samples: Salary Continuation Agreement (Pacific Premier Bancorp Inc), Salary Continuation Agreement (Pacific Premier Bancorp Inc)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth:forth - (a) The specific reasons for the denial;, (b) A reference to the specific provisions of the Agreement on which the denial is based;, (c) A statement that the claimant is entitled to receive, upon request and free of charge, reasonable access to, to and copies of, of all documents, records records, and other information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; , and (d) A statement of the claimant’s right to bring a civil action under ERISA Section section 502(a).

Appears in 2 contracts

Samples: Endorsement Split Dollar Agreement (Southern Community Financial Corp), Endorsement Split Dollar Agreement (Southern Community Financial Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Salary Continuation Agreement (Fidelity Federal Bancorp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) 6.2.5.1 The specific reasons for the denial;, (b) 6.2.5.2 A reference to the specific provisions of the Agreement Plan on which the denial is based;, (c) 6.2.5.3 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; , and (d) 6.2.5.4 A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Supplemental Executive Retirement Plan Agreement (Malvern Federal Bancorp Inc)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).. THE FIRST NATIONAL BANK OF MIFFLINTOWN Second Amended and Restated Salary Continuation Agreement

Appears in 1 contract

Samples: Salary Continuation Agreement (First Community Financial Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth:forth — (ai) The specific reasons for the denial;, (bii) A reference to the specific provisions of the Agreement on which the denial is based;, (ciii) 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; , and (div) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Supplemental Salary Continuation Plan Agreement (Tennessee Commerce Bancorp, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant Claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimantClaimant. The notification shall set forth: : (a) The the specific reasons for the denial; ; (b) A a reference to the specific provisions of the this Agreement on which the denial is based; ; (c) A 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 information relevant (as defined in applicable ERISA regulations) ), to the claimantClaimant’s claim for benefits; and and (d) A a statement of the claimantClaimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Supplemental Executive Retirement Plan (Riverview Financial Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The A notification of denial shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the this Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Executive Deferred Compensation Agreement (CBTX, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the this Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).. BANK’34 Director Retirement Agreement

Appears in 1 contract

Samples: Director Retirement Agreement (Alamogordo Financial Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA BRISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Salary Continuation Agreement (Luther Burbank Corp)

Notice of Decision. The Plan Administrator shall notify the claimant Claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimantClaimant. The notification shall set forth: (aforth:(a) The the specific reasons for the denial; ; (b) A a reference to the specific provisions of the this Agreement on which the denial is based; ; (c) A 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 information relevant (as defined in applicable ERISA regulations) to the claimantClaimant’s claim for benefits; and and (d) A a statement of the claimantClaimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Supplemental Executive Retirement Plan Agreement (Sunshine Bancorp, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant ------------------ in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; ; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Supplemental Executive Retirement Agreement (Community Partners Bancorp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth:forth - (a) The specific reasons for the denial;, (b) A reference to the specific provisions of the Agreement on which the denial is based;, (c) A statement that the claimant is entitled to receive, upon request and free of charge, reasonable access to, to and copies of, of all documents, records records, and other information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; , and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section section 502(a).

Appears in 1 contract

Samples: Endorsement Split Dollar Agreement (Southcoast Financial Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 records, and other 14 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Executive Deferred Compensation Agreement (PSB Holdings Inc /Wi/)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial;, (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; , and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Split Dollar Agreement (Cortland Bancorp Inc)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; , (b) A reference to the specific provisions of the this Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and , and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Executive Deferred Incentive Agreement (Home Federal Bancorp Inc)

Notice of Decision. The Plan Administrator shall notify ------------------ the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial;, (b) A reference to the specific provisions of the Agreement on which the denial is based;, (c) A statement that the claimant is entitled to receive, upon request and free of charge, reasonable access to, to and copies of, of all documents, records records, and other information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; , and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section section 502(a).

Appears in 1 contract

Samples: Split Dollar Agreement (BNC Bancorp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; ; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and and (d) A For Disability claims only, a statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Salary Continuation Agreement (Heartland Bancshares Inc /In/)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the this Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).. HOME FEDERAL BANK Third Amended and Restated Salary Continuation Agreement

Appears in 1 contract

Samples: Salary Continuation Agreement (Home Federal Bancorp, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; ; (b) A reference to the specific provisions of the this Agreement on which the denial is based; ; and (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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Director Fee Continuation Agreement (MFB Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 116 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Salary Continuation Agreement (Service 1st Bancorp)

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Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; , (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and , and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section section 502(a).

Appears in 1 contract

Samples: Endorsement Split Dollar Agreement (Citizens South Banking Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the this Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).. Harvard Savings Bank Salary Continuation Agreement

Appears in 1 contract

Samples: Salary Continuation Agreement (Harvard Illinois Bancorp, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant Claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimantClaimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s Claimant's claim for benefits; and (d) A statement of the claimant’s Claimant's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Salary Continuation Agreement (Central Federal Corp)

Notice of Decision. The Plan Administrator shall notify the claimant Claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimantClaimant. The notification shall set forth: (ai) The specific reasons for the denial; (bii) A reference to the specific provisions of the Agreement Plan on which the denial is based; (ciii) 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s Claimant's claim for benefits; and (div) A statement of the claimant’s Claimant's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Supplemental Executive Retirement Plan (Acnb Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial;; PEOPLES FEDERAL MHC Salary Continuation Agreement (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Salary Continuation Agreement (Peoples Federal Bancshares, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth:forth - (a) The specific reasons for the denial;, (b) A reference to the specific provisions of the Split Dollar Agreement on which the denial is based;, (c) A statement that the claimant is entitled to receive, upon request and free of charge, reasonable access to, to and copies of, of all documents, records records, and other information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; , and (d) A statement of the claimant’s right to bring a civil action under ERISA Section section 502(a).

Appears in 1 contract

Samples: Split Dollar Agreement (Fidelity Southern Corp)

Notice of Decision. The Plan Administrator shall notify the claimant Claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimantClaimant. The notification shall set forth: : (a) The the specific reasons for the denial; ; (b) A a reference to the specific provisions of the this Agreement on which the denial is based; ; (c) A 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 information relevant (as defined in applicable ERISA regulations) to the claimantClaimant’s claim for benefits; and and (d) A a statement of the claimant’s Claimant's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Supplemental Retirement Agreement (MidWestOne Financial Group, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial is is (c) based; (cd) A statement that the claimant is entitled to receive, upon request and free of charge, , (e) reasonable access to, and copies of, all documents, records and other information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (df) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Supplemental Executive Retirement Agreement (Southern California Bancorp \ CA)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Salary Continuation Agreement (Heartland Bancshares Inc/Fl)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the this Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Supplemental Executive Retirement Agreement (Rhinebeck Bancorp, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth:forth - (a) The specific reasons for the denial; , (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and , and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section section 502(a).

Appears in 1 contract

Samples: Endorsement Split Dollar Agreement (Citizens South Banking Corp)

Notice of Decision. The If the Plan Administrator denies part or the entire claim, the Plan Administrator shall notify the claimant in writing of its decision on reviewsuch denial. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) : The specific reasons for the denial; (b) ; A reference to the specific provisions of the this Agreement on which the denial is based; (c) ; A statement that description of any additional information or material necessary for the claimant to perfect the claim and an explanation of why it is entitled needed; An explanation of this Agreement's review procedures and the time limits applicable to receive, upon request such procedures; and free of charge, reasonable access to, and copies of, all documents, records and other information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a)) following an adverse benefit determination on review.

Appears in 1 contract

Samples: Imputed Income Tax Reimbursement Agreement (First Citizens Bancshares Inc /Tn/)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined described in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Supplemental Executive Retirement Plan (First Bancshares Inc /MS/)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).. THE FIRST NATIONAL BANK OF MIFFLINTOWN Amended and Restated Salary Continuation Agreement

Appears in 1 contract

Samples: Salary Continuation Agreement (First Community Financial Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA ERJSA regulations) to the claimant’s 's claim for benefits; and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Director Retirement Agreement (Independent Bank Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).. XXXXXX XXXXXXXXXXXX Supplemental Executive Retirement Agreement

Appears in 1 contract

Samples: Supplemental Executive Retirement Agreement (Fentura Financial Inc)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth:forth - (a) The specific reasons for the denial; , (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and , and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section section 502(a).. 283

Appears in 1 contract

Samples: Endorsement Split Dollar Agreement (Citizens South Banking Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA ER1SA Section 502(a).

Appears in 1 contract

Samples: Salary Continuation Agreement (First Keystone Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The In the event the claim is denied, then the notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the this Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Salary Continuation Plan (Ameriana Bancorp)

Notice of Decision. The Plan Administrator shall notify the claimant Claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimantClaimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 records, and other information relevant (as defined in applicable ERISA regulations) to the claimantClaimant’s claim for benefits; and (d) A statement of the claimantClaimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Supplemental Executive Retirement Agreement (Cambridge Bancorp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) : The specific reasons for the denial; (b) ; A reference to the specific provisions of the this Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and (d) and A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Imputed Income Tax Reimbursement Agreement (First Citizens Bancshares Inc /Tn/)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 records, and other information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Survivor Income Benefit Agreement (PSB Holdings Inc /Wi/)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the this Agreement on which the denial is based;; Supplemental Executive Retirement Agreement (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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Supplemental Executive Retirement Agreement (FSB Bancorp, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA BRISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA BRISA Section 502(a).

Appears in 1 contract

Samples: Salary Continuation Agreement (Luther Burbank Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its the decision on reviewof the independent fiduciary. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Supplemental Executive Retirement Agreement (Cambridge Bancorp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; ; (b) A reference to the specific provisions of the this Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Salary Continuation Agreement (MFB Corp)

Notice of Decision. The Plan Administrator shall notify the claimant Claimant in writing of its decision on review. , The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. Claimant The notification shall set forth: : (a) The the specific reasons for the denial; ; (b) A a reference to the specific provisions of the this Agreement on which the denial is based; ; (c) A 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 information relevant (as defined in applicable ERISA regulations) to the claimantClaimant’s claim for benefits; and and (d) A a statement of the claimantClaimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Supplemental Executive Retirement Plan (Riverview Financial Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall be set forth: forth with: (ai) The the specific reasons for the denial; ; (bii) A a reference to the specific provisions of the Agreement on which the denial is based; ; (ciii) A 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and and (div) A a statement of the claimant’s right to bring a civil action under ERISA Section section 502(a).

Appears in 1 contract

Samples: Supplemental Life Insurance Agreement (PCSB Financial Corp)

Notice of Decision. The Plan Administrator shall notify the claimant Claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimantClaimant. The notification shall set forth: : (a) The the specific reasons for the denial; ; (b) A a reference to the specific provisions of the this Agreement on which the denial is based; ; (c) A 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 information relevant (as defined in applicable ERISA regulations) to the claimantClaimant’s claim for benefits; and and (d) A a statement of the claimant’s Claimant’s· right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Salary Continuation Agreement (Central Valley Community Bancorp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth:forth - (a) The specific reasons for the denial; , (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s 's claim for benefits; and , and (d) A statement of the claimant’s 's right to bring a civil action under ERISA Section section 502(a).. 293

Appears in 1 contract

Samples: Endorsement Split Dollar Agreement (Citizens South Banking Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial is based;; Split Dollar Life Insurance Agreement (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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Split Dollar Life Insurance Agreement (Alamogordo Financial Corp)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The A notification of denial shall set forth: (a) The specific reasons for the denial; ; (b) A reference to the specific provisions of the this Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; and and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Deferred Compensation Agreement (Bancorp 34, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant Claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimantClaimant. The notification shall set forth: : (a) The the specific reasons for the denial; ; (b) A a reference to the specific provisions of the this Agreement on which the denial is based; ; (c) A 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 information relevant (as defined in applicable ERISA regulations) to the claimantClaimant’s claim for benefits; and and (d) A a statement of the claimantClaimant’s right to bring a civil action under ERISA Section 502(a).. Page 10 of 15 Initials _____ _____

Appears in 1 contract

Samples: Salary Continuation Agreement (Community West Bancshares /)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth:forth — (a) 7.2.5.1 The specific reasons for the denial;, (b) 7.2.5.2 A reference to the specific provisions of the Agreement on which the denial is based;, (c) 7.2.5.3 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; , and (d) 7.2.5.4 A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Salary Continuation Plan (Tennessee Commerce Bancorp, Inc.)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth:forth — (a) The specific reasons for the denial;, (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefits; , and (d) A statement of the claimant’s right to bring a civil action under ERISA Section section 502(a).

Appears in 1 contract

Samples: Endorsement Split Dollar Agreement (Civitas Bankgroup Inc)

Notice of Decision. The Plan Administrator shall notify the claimant Claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimantClaimant. The notification shall set forth: : (a) The the specific reasons for the denial; ; (b) A a reference to the specific provisions of the this Agreement on which the denial is based; ; (c) A 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 information relevant (as defined in applicable ERISA regulations) to the claimantClaimant’s claim for benefits; and and (d) A a statement of the claimantClaimant’s right to bring a civil action under ERISA Section 502(a). Nothing contained herein is intended to limit the Executive’s right to bring a civil action under ERISA following exhaustion of the claims procedures set forth herein.

Appears in 1 contract

Samples: Deferred Compensation Agreement (Lakeland Bancorp Inc)

Notice of Decision. The Plan Administrator shall notify the claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification shall set forth: (a) The specific reasons for the denial; (b) A reference to the specific provisions of the Agreement on which the denial 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s claim for benefitsbenefits ; and (d) A statement of the claimant’s right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Salary Continuation Agreement (Luther Burbank Corp)

Notice of Decision. The Plan Administrator shall notify the claimant Claimant in writing of its decision on review. The Plan Administrator shall write the notification in a manner calculated to be understood by the claimantClaimant. The notification shall set forth: ; (ai) The the specific reasons for the denial; ; (bii) A a reference to the specific provisions of the this Agreement on which the denial is based; ; (ciii) A 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 information relevant (as defined in applicable ERISA regulations) to the claimant’s Claimant's claim for benefits; and and (div) A a statement of the claimant’s Claimant's right to bring a civil action under ERISA Section 502(a).

Appears in 1 contract

Samples: Split Dollar Life Insurance Agreement (Investors Bancorp, Inc.)

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