Review of Denials Sample Clauses

Review of Denials. Any person, or his/her duly authorized representative, whose application for benefits is denied in whole, or in part, may appeal from such denial to the Board for a review of the decision, by submitting to the Board, within 120 days after receiving written notice from the Board of the denial of his/her claim, a written statement (1) requesting a review of his/her application for benefits by the Board; (2) setting forth all of the grounds upon which his/her request for review is based and any supporting facts thereof; and (3) setting forth any issues or comments the applicant deems pertinent to his/her application. The Board shall act upon each appeal within sixty (60) days after receipt of the applicant's request for review by the Board. The Board shall make a full and fair review of each appeal, and any written material submitted by the applicant or the Plan Sponsor in connection therewith, and may require the Plan Sponsor or the applicant to submit such additional facts, documents, or other evidence as the Board, in its sole discretion, deems necessary or advisable in making such a review. On the basis of its review, the Board shall make an independent determination of the applicant's eligibility for benefits under the Plan. The decision of the Board on any appeal shall be final and conclusive upon all persons if supported by substantial evidence in the records. In the event the Board denies an appeal, in whole, or in part, the Plan Sponsor shall give notice of the Board's decision to the applicant setting forth in a manner calculated to be understood by the applicant, the specific reasons for such denial and specific references to the pertinent Plan provisions on which the Board decision was based.
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Related to Review of Denials

  • Review Stages The Project Architect shall submit documents to the Owner for review at completion of the Schematic Design Phase, Design Development Phase and at the following stages of completion of the Construction Documents Phase as follows: 50%, 75%, 100%

  • REVIEW OF CONTRACT DOCUMENTS 4.2.1 The Contractor shall carefully study and compare the Contract Documents and shall immediately report in writing to the Architect and the State any error, inconsistency or omission he may discover. The Contractor shall not be liable to the State or the Architect for any damage resulting from any such errors, inconsistencies or omissions in the Contract Documents. The Contractor shall perform no portion of the Work at any time without Contract Documents or, where required, approved Shop Drawings, Product Data or Samples for such portion of the Work.

  • Review of Agreement Each party acknowledges that it has had time to review this agreement and, as desired, consult with counsel. In the interpretation of this agreement, no adverse presumption shall be made against any party on the basis that it has prepared, or participated in the preparation of, this agreement.

  • Review of Submittals A/E and ODR review is only for conformance with the design concept and the information provided in the Contract Documents. Responses to submittals will be in writing. The approval of a separate item does not indicate approval of an assembly in which the item functions. The approval of a submittal does not relieve the Contractor of responsibility for any deviation from the requirements of the Contract unless the Contractor informs the A/E and ODR of such deviation in a clear, conspicuous, and written manner on the submittal transmittal and at the time of submission, and obtains the A/E’s and Owner’s written specific approval of the particular deviation.

  • ADB’s Review of Procurement Decisions 9. All contracts procured under international competitive bidding procedures and contracts for consulting services shall be subject to prior review by ADB, unless otherwise agreed between the Borrower and ADB and set forth in the Procurement Plan. SCHEDULE 5

  • Review Procedure If the Plan Administrator denies part or all of the claim, the claimant shall have the opportunity for a full and fair review by the Plan Administrator of the denial, as follows:

  • Claims Review Findings a. Narrative Results.‌‌

  • Program Narrative All restricted xxxxxx courses which are taught for the purpose of qualifying an individual for restricted xxxxxx license to practice barbering shall consist of a minimum of 1200 hours of training to prepare each restricted xxxxxx to service their communities.

  • Review and Appeal (a) Each Party shall establish or maintain judicial, quasi-judicial, or administrative tribunals or procedures for the purpose of the prompt review and, where warranted, correction of final administrative actions regarding matters covered by this Treaty. Such tribunals shall be impartial and independent of the office or authority entrusted with administrative enforcement and shall not have any substantial interest in the outcome of the matter.

  • REVIEW OF TERMS The Company reserves the right to review any of these terms at any time. Any change will take effect on the next transaction following the date on which the Company notified the customer of such change.

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