Common use of Notice of Denial Clause in Contracts

Notice of Denial. If the Claim is wholly or partially denied, then the Administrator shall furnish to the Claimant, within the time limit applicable under (1) above, a written notice setting forth in a manner calculated to be understood by the Claimant: (A) the specific reason or reasons for such denial; (B) specific reference to the pertinent Plan provisions on which such denial is based; (C) a description of any additional material or information necessary for such Claimant to perfect his Claim and an explanation of why such material or information is necessary; and (D) appropriate information as to the steps to be taken if such Claimant wishes to submit his Claim for review pursuant to Section 11.8, including notice of the time limits set forth in Section 11.8(b)(2).

Notice of Denial. If the Claim is wholly or partially denied, then the Administrator shall furnish to the Claimant, within the time limit applicable under (1) above, a written notice setting forth in a manner calculated to be understood by the Claimant: (A) the specific reason or reasons for such denial; (B) specific reference to the pertinent Plan provisions on which such denial is based; (C) a description of any additional material or information necessary for such Claimant to perfect his Claim and an explanation of why such material or information is necessary; and (D) appropriate information as to the steps to be taken if such Claimant wishes to submit his Claim for review pursuant to Section 11.811.6, including notice of the time limits set forth in Section 11.8(b)(211.6(b)(2).