Common use of Notification to Claimant of Decision Clause in Contracts

Notification to Claimant of Decision. Within 90 days after receipt of a claim by the Committee (or within 180 days if special circumstances require an extension of time), the Committee shall notify the claimant of the decision with regard to the claim. In the event of such special circumstances requiring an extension of time, there shall be furnished to the claimant prior to expiration of the initial 90-day period written notice of the extension, which notice shall set forth the special circumstances and the date by which the decision shall be furnished. If such claim shall be wholly or partially denied, notice thereof shall be in writing and worded in a manner calculated to be understood by the claimant, and shall set forth: (i) the specific reason or reasons for the denial; (ii) specific reference to pertinent provisions of the Plan on which the denial is based; (iii) a description of any additional material or information necessary for the claimant to perfect the claim and an explanation of why such material or information is necessary; and (iv) an explanation of the procedure for review of the denial and the time limits applicable to such procedures, including a statement of the claimant’s right to bring a civil action under ERISA following an adverse benefit determination on review. Notwithstanding the foregoing, if the claim relates to a disability determination, the Committee shall notify the claimant of the decision within 45 days (which may be extended for an additional 30 days if required by special circumstances).

Appears in 6 contracts

Samples: Adoption Agreement (Semtech Corp), Adoption Agreement (Sandridge Energy Inc), Adoption Agreement (Proassurance Corp)

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Notification to Claimant of Decision. Within 90 days after receipt of a claim by the Committee Plan Administrator (or within 180 days if special circumstances require an extension of time), the Committee shall Plan Administrator will notify the claimant of the decision with regard to the claim. In the event of such special circumstances requiring an extension of time, there shall will be furnished to the claimant prior to expiration of the initial 90-day period written notice of the extension, which notice shall will set forth the special circumstances and the date by which the decision shall will be furnished. If such claim shall be is wholly or partially denied, notice thereof shall will be in writing and worded in a manner calculated to be understood by the claimant, and shall will set forth: (i) the specific reason or reasons for the denial; (ii) specific reference to pertinent provisions of the Plan on which the denial is based; (iii) a description of any additional material or information necessary for the claimant to perfect the claim and an explanation of why such material or information is necessary; and (iv) an explanation of the procedure for review of the denial and the time limits applicable to such procedures, including a statement of the claimant’s right to bring a civil action under ERISA following an adverse benefit determination on review. Notwithstanding the foregoingforgoing, if the claim relates to a disability determinationParticipant who is Disabled, the Committee shall Plan Administrator will notify the claimant of the decision within 45 days (which may be extended for an additional 30 days if required by special circumstances).

Appears in 4 contracts

Samples: Amc Entertainment Inc, Amc Entertainment Holdings, Inc., Amc Entertainment Inc

Notification to Claimant of Decision. Within 90 days after receipt of a claim by the Committee Plan Administrator (or within 180 days if special circumstances require an extension of time), the Committee Plan Administrator shall notify the claimant of the decision with regard to the claim. In the event of such special circumstances requiring an extension of time, there shall be furnished to the claimant prior to expiration of the initial 90-day period written notice of the extension, which notice shall set forth the special circumstances and the date by which the decision shall be furnished. If such claim shall be wholly or partially denied, notice thereof shall be in writing and worded in a manner calculated to be understood by the claimant, and shall set forth: (i) the specific reason or reasons for the denial; (ii) specific reference to pertinent provisions of the Plan on which the denial is based; (iii) a description of any additional material or information necessary for the claimant to perfect the claim and an explanation of why such material or information is necessary; and (iv) an explanation of the procedure for review of the denial and the time limits applicable to such procedures, including a statement of the claimant’s right to bring a civil action under ERISA following an adverse benefit determination on review. Notwithstanding the foregoingforgoing, if the claim relates to a disability determinationParticipant who is Disabled, the Committee Plan Administrator shall notify the claimant of the decision within 45 days (which may be extended for an additional 30 days if required by special circumstances).

Appears in 3 contracts

Samples: Ufp Technologies Inc, Proassurance Corp, Sandridge Energy Inc

Notification to Claimant of Decision. Within 90 days after receipt of a claim by the Committee (or within 180 days if special circumstances require an extension of time), the Committee shall notify the claimant of the decision with regard to the claim. In the event of such special circumstances requiring an extension of time, there shall be furnished to the claimant prior to expiration of the initial 90-day period written notice of the extension, which notice shall set forth the special circumstances and the date by which the decision shall be furnished. If such claim shall be wholly or partially denied, notice thereof shall be in writing and worded in a manner calculated to be understood by the claimant, and shall set forth: (i) the specific reason or reasons for the denial; (ii) specific reference to pertinent provisions of the Plan on which the denial is based; (iii) a description of any additional material or information necessary for the claimant to perfect the claim and an explanation of why such material or information is necessary; and (iv) an explanation of the procedure for review of the denial and the time limits applicable to such procedures, including a statement of the claimant’s 's right to bring a civil action under ERISA following an adverse benefit determination on review. Notwithstanding the foregoing, if the claim relates to a disability determination, the Committee shall notify the claimant of the decision within 45 days (which may be extended for an additional 30 days if required by special circumstances).

Appears in 2 contracts

Samples: Plan Adoption Agreement (Bridgepoint Education Inc), Douglas Dynamics, Inc

Notification to Claimant of Decision. Within 90 days after receipt of a claim by the Committee Plan Administrator (or within 180 days if special circumstances require an extension of time), the Committee Plan Administrator shall notify the claimant of the his decision with regard to the claim. In the event of such special circumstances requiring an extension of time, there shall be furnished to the claimant prior to expiration of the initial 90-day period written notice of the extension, which notice shall set forth the special circumstances and the date by which the decision shall be furnished. If such claim shall be wholly or partially denied, notice thereof shall be in writing and worded in a manner calculated to be understood by the claimant, and shall set forth: (i) the specific reason or reasons for the denial; (ii) specific reference to pertinent provisions of the Plan on which the denial is based; (iii) a description of any additional material or information necessary for the claimant to perfect the claim and an explanation of why such material or information is necessary; and (iv) an explanation of the procedure for review of the denial and denial. If the time limits applicable Plan Administrator fails to such procedures, including a statement of the claimant’s right to bring a civil action under ERISA following an adverse benefit determination on review. Notwithstanding the foregoing, if the claim relates to a disability determination, the Committee shall notify the claimant of the decision within 45 days in timely manner, the claim shall be deemed denied as of the close of the initial 90-day period (which may be extended for an additional 30 days or the close of the extension period, if required by special circumstancesapplicable).

Appears in 2 contracts

Samples: Non Qualified Excess Plan Adoption Agreement (Emc Insurance Group Inc), Non Qualified Excess Plan Adoption Agreement (Emc Insurance Group Inc)

Notification to Claimant of Decision. Within 90 days after receipt of a claim by the Committee (or within 180 days if special circumstances require an extension of time), the Committee shall notify the claimant of the its decision with regard to the claim. In the event of such special circumstances requiring an extension of time, there shall be furnished to the claimant prior to expiration of the initial 90-day period written notice of the extension, which notice shall set forth the special circumstances and the date by which the decision shall be furnished. If such claim shall be wholly or partially denied, notice thereof shall be in writing and worded in a manner calculated to be understood by the claimant, and shall set forth: (i) the specific reason or reasons for the denial; (ii) specific reference to pertinent provisions of the Plan Agreement on which the denial is based; (iii) a description of any additional material or information necessary for the claimant to perfect the claim and an explanation of why such material or information is necessary; and (iv) an explanation of the procedure for review of the denial and the time limits applicable to such procedures, including a statement of the claimant’s right to bring a civil action under ERISA following an adverse benefit determination on reviewdenial. Notwithstanding the foregoing, if the claim relates to a disability determination, If the Committee shall fails to notify the claimant of the decision within 45 days in timely manner, the claim shall be deemed denied as of the close of the initial 90-day period (which may be extended for an additional 30 days or the close of the extension period, if required by special circumstancesapplicable).

Appears in 2 contracts

Samples: Retirement Security Agreement (Insteel Industries Inc), Retirement Security Agreement (Insteel Industries Inc)

Notification to Claimant of Decision. Within 90 days after receipt of a claim by the Committee plan administrator (or within 180 days if special circumstances require an extension of time), the Committee plan administrator shall notify the claimant of the his decision with regard to the claim. In the event of such special circumstances requiring an extension of time, there shall be furnished to the claimant prior to expiration of the initial 90-90 day period written notice of the extension, which notice shall set forth the special circumstances and the date by which the decision shall be furnished. If such claim shall be wholly or partially denied, notice thereof shall be in writing and worded in a manner calculated to be understood by the claimant, and shall set forth: (i) the specific reason or reasons for the denial; (iiH) specific reference to pertinent provisions of the Plan plan on which the denial is based; (iii) a description of any additional material or information necessary for the claimant to perfect the claim and an explanation of why such material or information is necessary; and (iv) an explanation of the procedure for review of the denial and denial. If the time limits applicable plan administrator fails to such procedures, including a statement of the claimant’s right to bring a civil action under ERISA following an adverse benefit determination on review. Notwithstanding the foregoing, if the claim relates to a disability determination, the Committee shall notify the claimant of the decision within 45 days in a timely manner, the claim shall be deemed denied as of the close of the initial 90 day period (which may be extended for an additional 30 days or the close of the extension period, if required by special circumstancesapplicable).

Appears in 1 contract

Samples: Emerging Communications Inc

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Notification to Claimant of Decision. Within 90 days after receipt of a claim by the Committee (or within 180 days if special circumstances require an extension of time), the Committee shall notify the claimant of the decision with regard to the claim. In the event of such special circumstances requiring an extension of time, there shall be furnished to the claimant prior to expiration of the initial 90-day period written notice of DD 2326-5 24 the extension, which notice shall set forth the special circumstances and the date by which the decision shall be furnished. If such claim shall be wholly or partially denied, notice thereof shall be in writing and worded in a manner calculated to be understood by the claimant, and shall set forth: (i) the specific reason or reasons for the denial; (ii) specific reference to pertinent provisions of the Plan on which the denial is based; (iii) a description of any additional material or information necessary for the claimant to perfect the claim and an explanation of why such material or information is necessary; and (iv) an explanation of the procedure for review of the denial and the time limits applicable to such procedures, including a statement of the claimant’s right to bring a civil action under ERISA following an adverse benefit determination on review. Notwithstanding the foregoing, if the claim relates to a disability determination, the Committee shall notify the claimant of the decision within 45 days (which may be extended for an additional 30 days if required by special circumstances).

Appears in 1 contract

Samples: Adoption Agreement (Santarus Inc)

Notification to Claimant of Decision. Within 90 days after receipt of a claim by the Committee Plan Administrator (or within 180 days if special circumstances require an extension of time), the Committee Plan Administrator shall notify the claimant of the decision with regard to the claim. In the event of such special circumstances requiring an extension of time, there shall be furnished to the claimant prior to expiration of the initial 90-day period written notice of the extension, which notice shall set forth the special circumstances and the date by which the decision shall be furnished. If such claim shall be wholly or partially denied, notice thereof shall be in writing and worded in a manner calculated to be understood by the claimant, and shall set forth: (i) the specific reason or reasons for the denial; (ii) specific reference to pertinent provisions of the Plan on which the denial is based; (iii) a description of any additional material or information necessary for the claimant to perfect the claim and an explanation of why such material or information is necessary; and (iv) an explanation of the procedure for review of the denial and the time limits applicable to such procedures, including a statement of the claimant’s 's right to bring a civil action under ERISA following an adverse benefit determination on review. Notwithstanding the foregoingforgoing, if the claim relates to a disability determinationParticipant who is Disabled, the Committee Plan Administrator shall notify the claimant of the decision within 45 days (which may be extended for an additional 30 days if required by special circumstances).

Appears in 1 contract

Samples: Agreement (Emc Insurance Group Inc)

Notification to Claimant of Decision. Within 90 days after receipt of a claim by the Committee Employer (or within 180 days if special circumstances require an extension of time), the Committee Employer shall notify the claimant of the decision with regard to the claim. In the event of such special circumstances requiring an extension of time, there shall be furnished to the claimant prior to expiration of the initial 90-day period written notice of the extension, which notice shall set forth the special circumstances and the date by which the decision shall be furnished. If such claim shall be wholly or partially denied, notice thereof shall be in writing and worded in a manner calculated to be understood by the claimant, and shall set forth: (i) the specific reason or reasons for the denial; (ii) specific reference to pertinent provisions of the Plan on which the denial is based; (iii) a description of any additional material or information necessary for the claimant to perfect the claim and an explanation of why such material or information is necessary; and (iv) an explanation of the procedure for review of the denial and the time limits applicable to such procedures, including a statement of the claimant’s 's right to bring a civil action under ERISA following an adverse benefit determination on review. Notwithstanding the foregoing, if the claim relates to a disability determination, the Committee Employer shall notify the claimant of the decision within 45 days (which may be extended for an additional 30 days if required by special circumstances).

Appears in 1 contract

Samples: Adoption Agreement (Huttig Building Products Inc)

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