Common use of Procedure for Review Clause in Contracts

Procedure for Review. Any Claimant whose claim has been denied in full or in part may individually, or through the Claimant's duly authorized representative, request a review of the claim denial by delivering a written application for review to the Plan Administrator at any time within sixty days after receipt by the Claimant of written notice of the denial of the claim. Such request shall set forth in reasonable detail: (1) the grounds upon which the request for review is based and any facts in support thereof; and (2) any issues or comments which the Claimant considers pertinent to the claim. Following such request for review, the Plan Administrator fully and fairly shall review the decision denying the claim. Prior to the decision of the Plan Administrator, the Claimant shall be given an opportunity to review pertinent documents.

Procedure for Review. Any Claimant whose claim has been denied in full or in any part may individually, or through the Claimant's duly authorized representative, request a review of the claim denial by delivering a written application for review to the Plan Administrator at any time within sixty (60) days after receipt by the Claimant of written notice of the denial of the claim. Such request shall set forth in reasonable detail: (1i) the grounds upon which the request for review is based and any facts in support thereof; and (2ii) any issues or comments which the Claimant considers pertinent to the his claim. Following such request for review, the Plan Administrator fully and fairly shall review the decision denying the claim. Prior to the decision of the Plan Administrator, the Claimant shall be given an opportunity to review pertinent documents.